Determinants of patient participation for safer care: a qualitative study of physicians' experiences and perceptions

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MARC

Schildmeijer, Kristina,1959-Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV),reaction,Department of Health and Caring Sciences Linnaeus University Kalmar Sweden (author)

Determinants of patient participation for safer care : a qualitative study of physicians' experiences and perceptions

Article/chapterEnglish2018

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2018-09-12
John Wiley & Sons,2018
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LIBRIS-ID:oai:DiVA.org:lnu-82911
https://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-82911URI
https://doi.org/10.1002/hsr2.87DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-156016URI

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Language:English
Summary in:English

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Subject category:art swepub-publicationtype

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Objective: There is a paucity of research on physicians' perspectives on involving patients to achieve safer care. This study aims to explore determinants of patient participation for safer care, according to physicians in Swedish health care.Methods: We used a deductive descriptive design, applying qualitative content analysis based on the Capability-Opportunity-Motivation-Behaviour framework. Semi-structured interviews were conducted with 13 physicians in different types of health care units, to achieve a heterogeneous sample. The main outcome measure was barriers and facilitators to patient participation of potential relevance for patient safety.Results: Analysis of the data yielded 14 determinants (ie, subcategories) functioning as barriers and/or facilitators to patient participation of potential relevance for patient safety. These determinants were mapped to five categories: physicians' capability to involve patients in their care; patients' capability to become involved in their care, as perceived by the physicians; physicians' opportunity to achieve patient participation in their care; physicians' motivation to involve patients in their care; and patients' motivation to become involved in their care, as perceived by the physicians.Conclusion: There are many barriers to patient participation to achieve safer care. There are also facilitators, but these tend to depend on initiatives of individual physicians and patients, because organizational-level support may be lacking. Many of the determinants are interdependent, with physicians' perceived time constraints influencing other barriers.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Health Care Service and Management, Health Policy and Services and Health Economy hsv//eng
Barriers
Determinants
Facilitators
Patient participation
Patient safety
Physicians
Omvårdnad
Nursing

Added entries (persons, corporate bodies, meetings, titles ...)

Nilsen, Per,1960-Linköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten(Swepub:liu)perni31 (author)
Ericsson, CarinLinköping University Hospital, Sweden,Region Östergötland, Kardiologiska kliniken US(Swepub:liu)n/a (author)
Broström, Anders,1963-Department of Nursing, School of Health and Welfare Jönköping University Jönköping Sweden(Swepub:liu)andbr94 (author)
Skagerström, Janna,1983-Linköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten,Region Östergötland, Enheten för forskningsstöd(Swepub:liu)janma13 (author)
LinnéuniversitetetInstitutionen för hälso- och vårdvetenskap (HV) (creator_code:org_t)

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In:Health Science Reports: John Wiley & Sons1:10, s. 1-102398-8835

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