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Client/patient perceptions of achieving equity in primary health care: a mixed methods study
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. (Equity Research Group)ORCID iD: 0000-0001-9059-599X
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.ORCID iD: 0000-0002-3787-1040
2015 (English)In: International Journal for Equity in Health, ISSN 1475-9276, E-ISSN 1475-9276, Vol. 14, no 1, 1-12 p., 196Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
2015. Vol. 14, no 1, 1-12 p., 196
Keyword [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
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-28712DOI: 10.1186/s12939-015-0196-5ISI: 000359827900001Scopus ID: 2-s2.0-84938925502OAI: oai:DiVA.org:mdh-28712DiVA: diva2:847888
Available from: 2015-08-21 Created: 2015-08-21 Last updated: 2017-12-04Bibliographically approved

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Publisher's full textScopushttp://www.equityhealthj.com/content/14/1/65

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Akhavan, ShararehTillgren, Per

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