mdh.sePublikasjoner
Endre søk
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Client/patient perceptions of achieving equity in primary health care: a mixed methods study
Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. (Equity Research Group)ORCID-id: 0000-0001-9059-599X
Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.ORCID-id: 0000-0002-3787-1040
2015 (engelsk)Inngår i: International Journal for Equity in Health, ISSN 1475-9276, E-ISSN 1475-9276, Vol. 14, nr 1, s. 1-12, artikkel-id 196Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Abstract Introduction: To provide health care on equal terms has become a challenge for the health system. As the front line in health services, primary care has a key role to play in developing equitable health care, responsive to the needs of different population groups. Reducing inequalities in care has been a central and recurring theme in Swedish health reforms. The aim of this study is to describe and assess client/patient experiences and perceptions of care in four primary health care units (PHCUs) involved in Sweden's national Care on Equal Terms project. Methods: Mixed Method Research (MMR) was chosen to describe and assess client/patient experiences and perceptions of health care with regard to equity. There was a focus group discussion, and individual interviews with 21 clients/patients and three representatives of patient associations. Data from the Swedish National Patient Survey (NPS), conducted in 2011 and followed up in 2013, were also used. Results: The interview data were divided into two main categories and three subcategories. The first category "Perception of equitable health care" had two subcategories, namely "Health care providers' perceptions" and "Fairness and participation". The second category "To achieve more equitable health care" had four subcategories: "Encounter", "Access", "Interpreters and bilingual/diverse health care providers" and "Time pressure and continuity". Results from the NPS showed that two of the PHCUs improved in some aspects of patient perceived quality of care (PPQC) while two were not so successful. Conclusions: Clients/patients perceived health care providers' perceptions of their ethnic origin and mental health status as important for equitable health care. Discriminatory perceptions may lead to those in need of care refraining from seeking it. More equitable care means longer consultations, better accessibility in terms of longer opening hours, and ways of communicating other than just via voice mail. It also involves continuity in care and access to an interpreter if needed. Employing bilingual/diverse kinds of health providers is a way of providing more equitable primary health care.

sted, utgiver, år, opplag, sider
2015. Vol. 14, nr 1, s. 1-12, artikkel-id 196
Emneord [en]
adolescent, adult, Article, attitude assessment, equitable health care, female, health care, health care access, health care quality, health personnel attitude, health survey, human, language ability, major clinical study, male, patient attitude, patient information, patient participation, primary health care, priority journal, Sweden
HSV kategori
Identifikatorer
URN: urn:nbn:se:mdh:diva-28712DOI: 10.1186/s12939-015-0196-5ISI: 000359827900001PubMedID: 26265148Scopus ID: 2-s2.0-84938925502OAI: oai:DiVA.org:mdh-28712DiVA, id: diva2:847888
Tilgjengelig fra: 2015-08-21 Laget: 2015-08-21 Sist oppdatert: 2019-06-18bibliografisk kontrollert

Open Access i DiVA

Fulltekst mangler i DiVA

Andre lenker

Forlagets fulltekstPubMedScopushttp://www.equityhealthj.com/content/14/1/65

Personposter BETA

Akhavan, ShararehTillgren, Per

Søk i DiVA

Av forfatter/redaktør
Akhavan, ShararehTillgren, Per
Av organisasjonen
I samme tidsskrift
International Journal for Equity in Health

Søk utenfor DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric

doi
pubmed
urn-nbn
Totalt: 148 treff
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf