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Patient contributions during primary care consultations for hypertension after self-reporting via a mobile phone self-management support system.

Artikel i vetenskaplig tidskrift
Författare Ulrika Bengtsson
Karin I Kjellgren
Inger Hallberg
Mona Lundin
Åsa Mäkitalo
Publicerad i Scandinavian Journal of Primary Health Care
Volym 36
Nummer/häfte 1
Sidor 70-79
ISSN 0281-3432
Publiceringsår 2018
Publicerad vid Linnécentret for forskning om lärande (LinCS)
Centrum för personcentrerad vård vid Göteborgs universitet (GPCC)
Institutionen för pedagogik, kommunikation och lärande
Institutionen för vårdvetenskap och hälsa
Sidor 70-79
Språk en
Länkar https://doi.org/10.1080/02813432.20...
Ämnesord Blood pressure; cellular phone; communication; counseling; life-style; person-centered care; self-report
Ämneskategorier Hälsovetenskaper, Pedagogik, Lärande, Mänsklig interaktion med IKT

Sammanfattning

This paper reports on how the clinical consultation in primary care is performed under the new premises of patients’ daily self-reporting and self-generation of data. The aim was to explore and describe the structure, topic initiation and patients’ contributions in follow-up consultations after eight weeks of self-reporting through a mobile phone-based hypertension self-management support system. A qualitative, explorative study design was used, examining 20 audio- (n = 10) and video-recorded (n = 10) follow-up consultations in primary care hypertension management, through interaction analysis. Clinical trials registry: ClinicalTrials.gov NCT01510301. The consultations comprised three phases: opening, examination and closing. The most common topic was blood pressure (BP) put in relation to self-reported variables, for example, physical activity and stress. Topic initiation was distributed symmetrically between parties and BP talk was lifestyle-centered. The patients’ contributed to the interpretation of BP values by connecting them to specific occasions, providing insights to the link between BP measurements and everyday life activities. Patients’ contribution through interpretations of BP values to specific situations in their own lives brought on consultations where the patient as a person in context became salient. Further, the patients’ and health care professionals’ equal contribution during the consultations showed actively involved patients. The mobile phone-based self-management support system can thus be used to support patient involvement in consultations with a person-centered approach in primary care hypertension management

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Denna text är utskriven från följande webbsida:
http://www.gu.se/forskning/publikation/?publicationId=263999
Utskriftsdatum: 2019-10-16