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Values and Meaning in Rural Primary Care Practices: Implications for Interventions Within Context.
- Source :
- Journal of Primary Care & Community Health; 11/25/2022, p1-7, 7p
- Publication Year :
- 2022
-
Abstract
- Objectives: It is important to understand the unique perspectives and values that motivate patients and clinicians in rural primary care settings to participate in clinical care activities. Our objective was to explore perspectives, preferences, and values related to primary care that could influence implementation of evidence-based programs. Methods: Qualitative study utilizing semi-structured interviews and using immersion/crystallization and thematic analysis. Participants were primary care practice members (clinicians, clinical staff, and administrators) and their patients in rural Colorado. Results: Twenty-six practice members and 23 patients across 9 practices participated. There were 4 emergent themes that were consistent across practice members and some patients. Patient perspectives are located in parenthesis. They included: (1) Focus on quality patient care, patient satisfaction, and continuity of care (patients appreciated quality and compassionate care), (2) Importance of prevention and wellness (patients appreciated help with preventing health problems), (3) Clinician willingness and ability to meet patient preferences for care (patients described comfort with local care), and (4) Passion for serving underserved, uninsured, or vulnerable populations (patients described their vulnerabilities). There were differences in how the perspectives were operationalized by practice member role, illustrating the importance of different ways of addressing these values. Conclusions: Successful implementation requires consideration of context, and much of context is understanding what is important to those involved in the primary care experience. This study sheds light on salient values of rural primary care practice members and their patients, which may inform interventions designed with and for this setting. [ABSTRACT FROM AUTHOR]
- Subjects :
- PROFESSIONAL practice
MEDICAL quality control
IMMERSION in liquids
HUMAN research subjects
HEALTH services accessibility
SOCIAL values
RESEARCH methodology
EVIDENCE-based medicine
INTERVIEWING
PATIENT satisfaction
RACE
COMMUNITY health services
PRIMARY health care
PATIENTS' attitudes
HUMAN services programs
QUALITATIVE research
CONTINUUM of care
PREVENTIVE health services
INFORMED consent (Medical law)
COMPARATIVE studies
AT-risk people
DESCRIPTIVE statistics
HEALTH
RESEARCH funding
THEMATIC analysis
SOCIAL skills
SMOKING
DATA analysis software
SOCIODEMOGRAPHIC factors
ETHNIC groups
RURAL population
CRYSTALLIZATION
Subjects
Details
- Language :
- English
- ISSN :
- 21501319
- Database :
- Complementary Index
- Journal :
- Journal of Primary Care & Community Health
- Publication Type :
- Academic Journal
- Accession number :
- 160421370
- Full Text :
- https://doi.org/10.1177/21501319221139371