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Service Users' and Caregivers' Perspectives on Continuity of Care in Out-of-Hours Primary Care

Datos Bibliográficos

ID4615481
AutoresNiamh Gallagher (0000-0002-7573-9024, Ollscoil na Gaillimhe – University of Galway), Anne Macfarlane (0000-0002-9708-5025, University of Limerick, Limerick, Ireland), Andrew W Murphy (0000-0001-5549-8246, Ollscoil na Gaillimhe – University of Galway), George K Freeman (Imperial College London, London, United Kingdom), George Freeman (0009-0001-7096-517X, Imperial College London), Liam G Glynn (Ollscoil na Gaillimhe – University of Galway), Liam Glynn (0000-0002-6153-9363, Ollscoil na Gaillimhe – University of Galway), Colin P Bradley (University College Cork, Cork, Ireland), Colin Bradley (0000-0002-3595-9567, University College Cork)
Año2013
Volumen23
Número3
Páginas407-421
Fecha de publicación2013-03-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaQualitative Health Research (JOURNAL)
Identificadores de la revistaISSN: 1049-7323 • E-ISSN: 1552-7557
EditorialSAGE Publications Inc (PUBLISHER)
DOI10.1177/1049732312470521
PMID23258113
OpenAlexW2112678034
IdiomaEN
Citas recibidas5
Referencias citadas51

Modernization policies in primary care, such as the introduction of out-of-hours general practice cooperatives, signify a marked departure from many service users' traditional experiences of continuity of care. We report on a case study of accounts of service users with chronic conditions and their caregivers of continuity of care in an out-of-hours general practice cooperative in Ireland. Using Strauss and colleagues' Chronic Illness Trajectory Framework, we explored users' and caregivers' experiences of continuity in this context. Whereas those dealing with "routine trajectories" were largely satisfied with their experiences, those dealing with "problematic trajectories" (characterized by the presence of, for example, multimorbidity and complex care regimes) had considerable concerns about continuity of experiences in this service. Results highlight that modernization policies that have given rise to out-of-hours cooperatives have had a differential impact on service users with chronic conditions and their caregivers, with serious consequences for those who have "problematic" trajectories

Business · Continuity of care · Family medicine · Health care · Political science · Primary care · Geriatric Care and Nursing Homes · Healthcare Policy and Management · Medicine · Nursing · Primary Care and Health Outcomes · Psychology

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Obras citantes distintas5
Citas por año0,42
Intervalo de citas2014 - 2025 (12)
Velocidad de citaciónrecent
Altamente citadoNo
Tipos de citaNeutras: 5
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