Convenience, quality and choice: patient and service-provider perspectives for treating primary care complaints in urgent care settings
Journal article
Sturgeon, D. 2017. Convenience, quality and choice: patient and service-provider perspectives for treating primary care complaints in urgent care settings. International Emergency Nursing. https://doi.org/10.1016/j.ienj.2017.06.005
Authors | Sturgeon, D. |
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Abstract | Aim: To investigate why patients chose to attend two, nurse-led, minor injury units (MIUs) to access primary healthcare services rather than attend their GP practice. Background: Since the 1980’s, healthcare organisations in the UK and elsewhere have implemented an increasingly consumer-orientated model of healthcare provision. As a result, patients with non-urgent presentations are attending Emergency Departments (EDs) and other urgent care facilities in growing numbers. Methods: A comparative case study approach was adopted and between October 2014 and May 2015 the researcher was embedded as a participant observer as part of the emergency nurse practitioner team at two, nurse-led, MIUs (site A and B). During this time, 40 patients, 17 service-providers and 1 senior manager were interviewed. Results: Patients and service-providers at both sites identified convenience and quality of care as the principle reasons patients presented for primary healthcare services at MIUs rather than their GP practice. Service-providers were aware that by providing treatment, they established a precedent and a sense of expectation for future care. Conclusion: Patients are acting rationally and predictably in response to healthcare policy promises regarding choice, expectation created by service-providers, and local demographic factors. |
Year | 2017 |
Journal | International Emergency Nursing |
Publisher | Elsevier |
Digital Object Identifier (DOI) | https://doi.org/10.1016/j.ienj.2017.06.005 |
Publication dates | |
Online | 14 Aug 2017 |
Publication process dates | |
Deposited | 17 Aug 2017 |
Accepted | 24 Jun 2017 |
Accepted author manuscript | |
Output status | Published |
https://repository.canterbury.ac.uk/item/884v3/convenience-quality-and-choice-patient-and-service-provider-perspectives-for-treating-primary-care-complaints-in-urgent-care-settings
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