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Rural general practice patients' coping with hazards and harm: an interview study.

Martin Bruusgaard Harbitz1, Helen Brandstorp2, Margrete Gaski2

  • 1Department of Community Medicine, University of Tromso, Tromso, Norway martin.b.harbitz@uit.no.

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|October 21, 2019
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Summary
This summary is machine-generated.

Rural general practice patients actively manage hazards and harm using acceptance, confrontation, or problem-solving strategies. Patients can act as a crucial safety barrier, enhancing patient safety in clinical practice.

Keywords:
adverse eventsprimary carequalitative researchquality in health care

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Area of Science:

  • General Practice
  • Patient Safety
  • Qualitative Research

Background:

  • Adverse events in rural general practice pose risks to patient safety.
  • Understanding patient experiences and coping mechanisms is vital for improving care.

Purpose of the Study:

  • To identify and analyze rural general practice patients' experiences of hazards and harm.
  • To explore patients' coping strategies for adverse events in primary care settings.

Main Methods:

  • Qualitative interview study conducted in nine rural Norwegian general practices.
  • Systematic text condensation and coping strategy theory applied in an abductive analysis.
  • Twenty participants (aged 21-79) with recent somatic/psychiatric complaints were interviewed.

Main Results:

  • Patients identified various hazards and harms, employing three main coping strategies: acceptance, confrontation, and planful problem-solving.
  • Patients were more likely to accept harm from regular GPs but confront harm from locum GPs.
  • Planful problem-solving was used for confidentiality breaches, not being taken seriously, and emergencies.

Conclusions:

  • Rural general practice patients actively manage risks and harm through distinct coping strategies.
  • Patients can serve as a significant safety barrier, necessitating recognition of their role in patient safety.
  • Findings should inform future research and clinical practice to enhance patient safety.