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Patient Work in Long-Term Conditions.

Silje Bjørnsen Haavaag1, Aud Uhlen Obstfelder2, Ragnhild Hellesø1

  • 1Department of Public Health and Interdisciplinary Health Sciences, Institute of Health and Society, University of Oslo, Oslo, Norway.

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Summary
This summary is machine-generated.

People with long-term conditions actively manage their health by initiating care and monitoring symptoms. Recognizing this patient work is crucial for understanding and improving chronic disease management.

Keywords:
care trajectorylong-term conditionspatient work

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Area of Science:

  • Health Services Research
  • Patient Experience
  • Chronic Disease Management

Background:

  • Long-term conditions cause significant global morbidity and mortality.
  • Fragmented care is common for individuals with chronic diseases.
  • Patient contributions to care processes are often overlooked in integrated care models.

Purpose of the Study:

  • To explore the work undertaken by individuals with long-term conditions.
  • To understand the significance of patient work in care trajectories.
  • To analyze how patients navigate their healthcare journeys.

Main Methods:

  • Semi-structured interviews with patients managing chronic obstructive pulmonary disease and musculoskeletal disorders.
  • Study conducted with home-dwelling participants in Norway.
  • Reflexive thematic analysis guided by Strauss et al.'s theory of work.

Main Results:

  • Patients proactively initiate care and ask questions.
  • Individuals continuously monitor their bodies for changes.
  • Patients engage in deliberative interactions with healthcare providers.
  • Patient actions constitute significant, often invisible, work in managing chronic conditions.

Conclusions:

  • People with long-term conditions perform comprehensive work that shapes their care trajectories.
  • Acknowledging patient work enhances understanding of healthcare utilization.
  • Integrating patient work into care models can improve management of chronic diseases.