AI Article Synopsis

  • - The study investigated how long-term and short-term frequent attendees perceive patient-centered care in Finland’s primary healthcare system, focusing on differences in their experiences.
  • - Researchers surveyed 495 frequent attenders and analyzed the data using various statistical methods to assess their perceptions of care factors like coordination, emotional support, and access to information.
  • - Findings showed that long-term frequent attenders had poorer perceptions of patient-centeredness compared to short-term attenders, suggesting a need to reconsider how healthcare services address their unique needs.

Article Abstract

Aim: The study aimed to compare long- and short-term frequent attenders' (FAs) perceptions of patient-centredness and to assess the equivalence of the factor structure of patient-centred primary care (PCPC) instrument for long- and short-term FAs.

Methods: A cross-sectional survey of long-term (n = 234) and short-term (n = 261) FAs within the primary healthcare of one city in Finland. The data collected in January-July 2020 via 'the 36-item PCPC instrument' were analysed using Pearson's chi-squared test, Mann-Whitney U-test, Cronbach's alpha, and multigroup confirmatory factor analysis (MGCFA).

Results: Long-term FAs had worse perceptions of patient-centredness than short-term FAs across all subscales: patients' preferences, physical comfort, coordination of care, continuity and transition, emotional support, access to care, information and education, and family and friends. The MGCFA indicated a good fit for the predicted eight-factor model.

Conclusions: Long-term FAs' care needs are currently not being met, indicating the need for considering how the way healthcare services are arranged and care is provided affects prolonged and high care needs. Various dimensions of patient-centredness need to be addressed when developing not only FAs' care but also wider service paths. A distinction should be made between long- and short-term frequent attendance when identifying and addressing FAs' service needs.

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Source
http://dx.doi.org/10.1111/scs.13256DOI Listing

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