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

Hdl Handle:
http://hdl.handle.net/10147/264497
Title:
Service Users' and Caregivers' Perspectives on Continuity of Care in Out-of-Hours Primary Care.
Authors:
Gallagher, Niamh; Macfarlane, Anne; Murphy, Andrew W; Freeman, George K; Glynn, Liam G; Bradley, Colin P
Affiliation:
1National University of Ireland, Galway, Ireland.
Citation:
Service Users' and Caregivers' Perspectives on Continuity of Care in Out-of-Hours Primary Care. 2012: Qual Health Res
Journal:
Qualitative health research
Issue Date:
20-Dec-2012
URI:
http://hdl.handle.net/10147/264497
DOI:
10.1177/1049732312470521
PubMed ID:
23258113
Abstract:
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.
Item Type:
Article
Language:
en
ISSN:
1049-7323

Full metadata record

DC FieldValue Language
dc.contributor.authorGallagher, Niamhen_GB
dc.contributor.authorMacfarlane, Anneen_GB
dc.contributor.authorMurphy, Andrew Wen_GB
dc.contributor.authorFreeman, George Ken_GB
dc.contributor.authorGlynn, Liam Gen_GB
dc.contributor.authorBradley, Colin Pen_GB
dc.date.accessioned2013-01-08T15:12:35Z-
dc.date.available2013-01-08T15:12:35Z-
dc.date.issued2012-12-20-
dc.identifier.citationService Users' and Caregivers' Perspectives on Continuity of Care in Out-of-Hours Primary Care. 2012: Qual Health Resen_GB
dc.identifier.issn1049-7323-
dc.identifier.pmid23258113-
dc.identifier.doi10.1177/1049732312470521-
dc.identifier.urihttp://hdl.handle.net/10147/264497-
dc.description.abstractModernization 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.-
dc.languageENG-
dc.language.isoenen
dc.rightsArchived with thanks to Qualitative health researchen_GB
dc.titleService Users' and Caregivers' Perspectives on Continuity of Care in Out-of-Hours Primary Care.en_GB
dc.typeArticleen
dc.contributor.department1National University of Ireland, Galway, Ireland.en_GB
dc.identifier.journalQualitative health researchen_GB

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