دورية أكاديمية
Discussions about preventive services: a qualitative study
| العنوان: | Discussions about preventive services: a qualitative study |
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| المؤلفون: | Osber Deborah, Isenberg Karen, Hoover Sonia, Murillo Jennifer, Maier Jan, Kelly Bridget, Lasser Karen E, Pilkauskas Natasha, Willis Bayo C, Hersey James |
| المصدر: | BMC Family Practice, Vol 9, Iss 1, p 49 (2008) |
| بيانات النشر: | BMC |
| سنة النشر: | 2008 |
| المجموعة: | Directory of Open Access Journals: DOAJ Articles |
| مصطلحات موضوعية: | Medicine (General), R5-920 |
| الوصف: | Background Elderly minority patients are less likely to receive influenza vaccination and colorectal cancer screening than are other patients. Communication between primary care providers (PCPs) and patients may affect service receipt. Methods Encounters between 7 PCPs and 18 elderly patients were observed and audiotaped at 2 community health centers. Three investigators coded transcribed audiotapes and field notes. We used qualitative analysis to identify specific potential barriers to completion of preventive services and to highlight examples of how physicians used patient-centered communication and other facilitation strategies to overcome those barriers. Results Sharing of power and responsibility, the use of empathy, and treating the patient like a person were all important communication strategies which seemed to help address barriers to vaccination and colonoscopy. Other potential facilitators of receipt of influenza vaccine included (1) cultural competence, (2) PCP introduction of the discussion, (3) persistence of the PCP (revisiting the topic throughout the visit), (4) rapport and trust between the patient and PCP, and (5) PCP vaccination of the patient. PCP persistence as well as rapport and trust also appeared to facilitate receipt of colorectal cancer screening. Conclusion Several communications strategies appeared to facilitate PCP communications with older patients to promote acceptance of flu vaccination and colorectal cancer screening. These strategies should be studied with larger samples to determine which are most predictive of compliance with prevention recommendations. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 1471-2296 |
| العلاقة: | http://www.biomedcentral.com/1471-2296/9/49Test; https://doaj.org/toc/1471-2296Test; https://doaj.org/article/cbe50ca204214c7b8934084ea13cf9a0Test |
| DOI: | 10.1186/1471-2296-9-49 |
| الإتاحة: | https://doi.org/10.1186/1471-2296-9-49Test https://doaj.org/article/cbe50ca204214c7b8934084ea13cf9a0Test |
| رقم الانضمام: | edsbas.771109DB |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 14712296 |
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| DOI: | 10.1186/1471-2296-9-49 |