A qualitative study in rural and urban areas on whether--and how--to consult during routine and out of hours.

BMC Family Practice
Neil C CampbellJohn MacDonald

Abstract

Patients vary widely when making decisions to consult primary care. Some present frequently with trivial illness: others delay with serious disease. Differences in health service provision may play a part in this. We aimed to explore whether and how patients' consulting intentions take account of their perceptions of health service provision. Four focus groups and 51 semi-structured interviews with 78 participants (45 to 64 years) in eight urban and rural general practices in Northeast and Southwest Scotland. We used vignettes to stimulate discussion about what to do and why. Inductive analysis identified themes and explored the influence of their perceptions of health service provision on decision-making processes. Anticipated waiting times for appointments affected consulting intentions, especially when the severity of symptoms was uncertain. Strategies were used to deal with this, however: in cities, these included booking early just in case, being assertive, demanding visits, or calling out-of-hours; in rural areas, participants used relationships with primary care staff, and believed that being perceived as undemanding was advantageous. Out-of-hours, decisions to consult were influenced by opinions regarding out-of-hours s...Continue Reading

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Citations

Jan 20, 2007·BMC Family Practice·Mieke CardolPeter P Groenewegen
Jul 10, 2009·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Erik ZakariassenSteinar Hunskaar
Dec 6, 2012·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Rosemary Laura SimmondsSarah Purdy
Apr 18, 2009·The American Journal of Emergency Medicine·Lena Marie BeillonJohan Herlitz
May 18, 2016·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Jeannie L Haggerty, Jean-Frédéric Levesque
Apr 20, 2011·Journal of the Royal Society of Medicine·Sylvia GoddenAllyson M Pollock
Sep 4, 2010·Journal of Telemedicine and Telecare·Lisa KiddYvonne Wengstrom
Feb 28, 2020·International Journal of Environmental Research and Public Health·Christina DobsonLinda Sharp
Jul 6, 2019·The European Journal of General Practice·Stéphane HenningerOlivier Pasche
May 12, 2016·BMC Medical Education·Sarah StattonGail Wilson
Dec 9, 2008·International Journal of Palliative Nursing·Kathryn McCallNora Kearney
May 12, 2017·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Joanne E CosterAnna Cantrell

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