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Similar values, different expectations

How do patients and providers view ‘health’ and perceive the healthcare experience

Bibliographic Data

ID19507343
AuthorsNabil Natafgi (0000-0003-4979-0317, Department of Health Services Policy and Management, Arnold School of Public Health University of South Carolina Columbia South Carolina USA, corresponding author), Olayinka Ladeji (Department of Pharmaceutical Health Services Research, School of Pharmacy, The PATIENTS Program University of Maryland Baltimore Maryland USA), Shanikque Blackwell (Department of Health Services Policy and Management, Arnold School of Public Health University of South Carolina Columbia South Carolina USA), Yoon Duk Hong (0000-0002-9548-5770, Department of Pharmaceutical Health Services Research, School of Pharmacy, The PATIENTS Program University of Maryland Baltimore Maryland USA), Gail Graham (0000-0003-2463-6591, Department of Pharmaceutical Health Services Research, School of Pharmacy, The PATIENTS Program University of Maryland Baltimore Maryland USA), Marcia Cort (University of Maryland Capital Region Health Lake Arbor Maryland USA), C Daniel Mullins (0000-0003-4322-2490, Department of Pharmaceutical Health Services Research, School of Pharmacy, The PATIENTS Program University of Maryland Baltimore Maryland USA)
Year2022
Volume25
Issue4
Pages1517-1528
Publication date2022-08-01
Open AccessYes
TypeARTICLE
VenueHealth Expectations (JOURNAL)
Journal identifiersISSN: 1369-6513 • E-ISSN: 1369-7625
PublisherWiley (PUBLISHER • GB)
DOI10.1111/hex.13493
PMID35411659
OpenAlexW4223581494
LanguageEN
Citations received4
References cited37

INTRODUCTION: No one can argue on the importance of health in one's life. However, the value of health in the context of other priorities for individuals is not always as clear. Further, patients' experience with the healthcare system is rarely contrasted with the service providers' expectations. The aim of this paper is to examine and compare patients' and providers' own definitions of health and their perceptions of the healthcare delivery experience from the lens of residents and providers in West Baltimore, Maryland. METHODS: This was a qualitative study with semi-structured focus groups (15 sessions) and individual in-depth interviews (21 interviews) with 94 participants. Two independent coders thematically analysed the transcripts. RESULTS: Patients identified five areas where health systems can help them stay healthy or become healthier: affordability and costs of care; accessibility; clinician/patient communication; addressing social determinants; and stigma and trust. Providers acknowledged that the healthcare experience is not always perfect. While the medical team focuses on conversations that enhance medical care, patients are expecting providers to touch on subjects beyond medical care. CONCLUSIONS: Patients and providers need to consider that although they have a common value towards health, there is still a gap in what users expect and what providers can offer. To further align those expectations, there is a need for increasing involvement of patient in care administration and improving dialogue between the parties about these differences. PATIENT OR PUBLIC CONTRIBUTION: A Stakeholder Advisory Board (SAB)-comprised of a patient, two community leaders, a physician and two healthcare administrators-was instrumental in codeveloping the study material (e.g., interview guides), engaging patients in the research process, identifying participants and codeveloping dissemination material. Two SAB members-Gail Graham, a patient consultant/professor, and Marcia Cort, a physician-are coauthors

Business · Focus group · Health care · Patient experience · Perception · Political science · Public relations · Qualitative research · Service provider · Sociology · Stakeholder · Health Literacy and Information Accessibility · Medicine · Nursing · Patient Satisfaction in Healthcare · Patient-Provider Communication in Healthcare · Psychology · Marketing

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Citations per year1
Citation span2022 - 2025 (4)
Highly citedNo
Open DOIOpen Access
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