AI Article Synopsis

  • The study investigates how out-patients at tertiary hospitals exhibit 'inappropriate diagnosed seeking behaviour' and its links to social factors.
  • A qualitative approach was used, incorporating field observations and in-depth interviews with 26 participants across three hospitals in Shanghai.
  • Findings reveal a connection between out-patients' limited knowledge (about policies and health) and their distrust of medical systems, highlighting the need for improved public knowledge and trust in healthcare.

Article Abstract

Aims: This study is designed to present out-patient's 'inappropriate diagnosed seeking behaviour' in tertiary hospitals and interpret its association with some potential social factors.

Methods: A qualitative study based on grounded theory was designed in this paper. The participates were recruited by a two-stage process. The field observation and in-depth interview were adopted for data collection. Multi-round (five rounds) sampling and continuing data analysis were adopted as well.

Results: Totally 26 out-patients from three tertiary hospitals in Shanghai were involved. Four focused codes, including 'limited policy-related knowledge', 'limited health-related knowledge', 'distrust on related policy' and 'distrust on medical networks', were identified. Then, a theoretical model about the association of out-patient's 'limited knowledge' with 'distrust' and its relationship with 'inappropriate first-diagnosed seeking behaviour' in tertiary hospitals was developed.

Conclusion: 'Inappropriate first-diagnosed seeking behaviour' of the out-patients in tertiary hospitals is closely associated with their limited knowledge and related distrust. Great effort on improving publics' knowledge and rebuilding a benign trust relationship with out-patients and the medical networks is found to be essential for guiding publics' appropriate first-diagnosed health behaviour in various levels of medical institutions.

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http://dx.doi.org/10.1002/hpm.3134DOI Listing

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