Abstract
Background: Patient-centred care (PCC) is a key component of high-quality healthcare in the 21st century. General practitioners (GPs) are well positioned to deliver PCC being at the front-line of the health system. Models of PCC have been published to support health practitioners, but PCC knowledge s continually expanding, and models need to be updated to effectively support GPs.
Aim/Objectives: Evaluate and advance a theoretical model of PCC consultation with GPs and patient advocates.
Methods: Qualitative description in a social constructivist/interpretivist paradigm. Participants were purposively sampled from six primary care organisations in south east Queensland/northern New South Wales. Data were analysed thematically using a constant-comparison approach.
Findings: Three focus groups with 15 patient advocates and three focus groups with 12 GPs were conducted before data saturation was obtained. Three themes emerged, related to impression of the model and identified gaps: (1) the model represents the ideal; (2) considering the system and collaborating in care; and (3) optimising the general practice environment. The data were synthesised to produce an updated model of PCC consisting of six inter-related elements.
Implications: Qualitative testing advances and supports the credibility of the model; and contextualises it to ‘real world’ practice. An enhanced understanding of PCC demonstrated through our model can be used to inform patients, providers and health organisations of PCC. Future work can incorporate the model in tools/toolkits that expose GPs to unique feedback from patients regarding PCC.
Aim/Objectives: Evaluate and advance a theoretical model of PCC consultation with GPs and patient advocates.
Methods: Qualitative description in a social constructivist/interpretivist paradigm. Participants were purposively sampled from six primary care organisations in south east Queensland/northern New South Wales. Data were analysed thematically using a constant-comparison approach.
Findings: Three focus groups with 15 patient advocates and three focus groups with 12 GPs were conducted before data saturation was obtained. Three themes emerged, related to impression of the model and identified gaps: (1) the model represents the ideal; (2) considering the system and collaborating in care; and (3) optimising the general practice environment. The data were synthesised to produce an updated model of PCC consisting of six inter-related elements.
Implications: Qualitative testing advances and supports the credibility of the model; and contextualises it to ‘real world’ practice. An enhanced understanding of PCC demonstrated through our model can be used to inform patients, providers and health organisations of PCC. Future work can incorporate the model in tools/toolkits that expose GPs to unique feedback from patients regarding PCC.
| Original language | English |
|---|---|
| Pages (from-to) | vi-vii |
| Number of pages | 2 |
| Journal | Australian Journal of Primary Health |
| Volume | 26 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Aug 2020 |
| Event | Australasian Association for Academic Primary Care (AAAPC) Annual Research Conference, Online - Online Duration: 14 Aug 2020 → 15 Aug 2020 https://aaapc.org.au/ARC |
