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Titolo:
A qualitative study of older people's views of out-of-hours services
Autore:
Foster, J; Dale, J; Jessopp, L;
Indirizzi:
Weston Educ Ctr, Guys Kings & St Thomas Sch Med, Dept Gen Practice & Primary Care, Div Primary Care & Publ Hlth Sci, London SE5 9PJ, England Weston Educ Ctr London England SE5 9PJ Hlth Sci, London SE5 9PJ, England Univ Warwick, Ctr Primary Healthcare Studies, Coventry CV4 7AL, W Midlands, England Univ Warwick Coventry W Midlands England CV4 7AL 7AL, W Midlands, England
Titolo Testata:
BRITISH JOURNAL OF GENERAL PRACTICE
fascicolo: 470, volume: 51, anno: 2001,
pagine: 719 - 723
SICI:
0960-1643(200109)51:470<719:AQSOOP>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
GENERAL-PRACTICE; CARE;
Keywords:
out-of-hours care; older people; qualitative study;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
22
Recensione:
Indirizzi per estratti:
Indirizzo: Foster, J Weston Educ Ctr, Guys Kings & St Thomas Sch Med, Dept Gen Practice & Primary Care, Div Primary Care & Publ Hlth Sci, 10 Cutcombe Rd, LondonSE5 9PJ, England Weston Educ Ctr 10 Cutcombe Rd London England SE5 9PJ , England
Citazione:
J. Foster et al., "A qualitative study of older people's views of out-of-hours services", BR J GEN PR, 51(470), 2001, pp. 719-723

Abstract

Background: Out-of-hours primary care services continues to change with the growth of general practitioner (GF) co-operatives and the more recent development of NHS Direct. While older people are more likely to have increased needs for such ser-vices, evidence suggests that they are reluctant usersof GF out-of-hours services. Aim: To explore older people's experiences and perceptions of different models of general practice out-of-hours services. Design of study. Focus group methodology, with qualitative data analysis undertaken using a grounded theory (Framework) approach. Setting: Thirty people aged between 65 and 81 years old from community groups based in south east London. Method: Four focus groups were held, each with between five and 12 participants. Each focus group session lasted 90 minutes and was audiotape-recorded with the permission of the participants. The tapes were transcribed verbatim. Results: Two related themes were identified. First, attitudes to health and healthcare professionals with reference to the use ef health services prior to the establishment of the NHS, a stoical attitude towards health, and not wanting to make excessive demands on health services. Second, the experience of out-of-hours care and the perceived barriers to its use, includingthe use of the telephone and travelling at night. Participants preferred contact with a-familiar doctor and were distrustful of telephone advice, particularly from nurses. Conclusions. older people appear reluctant to make use ef out-of-hours services and are critical of the trend away from out-of-hours care being delivered by a familiar GF with increasing numbers of older people in the population it is important to con sider steps to address their reluctance to use out-of-hours and telephone advice services, particularly those based aroundless personal models of care.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/04/20 alle ore 18:59:21