Cargando…
Patient contributions during primary care consultations for hypertension after self-reporting via a mobile phone self-management support system
OBJECTIVE: 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...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Taylor & Francis
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5901443/ https://www.ncbi.nlm.nih.gov/pubmed/29343156 http://dx.doi.org/10.1080/02813432.2018.1426144 |
_version_ | 1783314616769576960 |
---|---|
author | Bengtsson, Ulrika Kjellgren, Karin Hallberg, Inger Lundin, Mona Mäkitalo, Åsa |
author_facet | Bengtsson, Ulrika Kjellgren, Karin Hallberg, Inger Lundin, Mona Mäkitalo, Åsa |
author_sort | Bengtsson, Ulrika |
collection | PubMed |
description | OBJECTIVE: 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. DESIGN: 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. SETTING: Four primary health care centers in Sweden. SUBJECTS: Patients with hypertension (n = 20) and their health care professional (n = 7). RESULTS: 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. CONCLUSION: 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 KEY POINTS: This study shows that self-reporting as base for follow-up consultations in primary care hypertension management can support patients and professionals to equal participation in clinical consultations. Self-reporting combined with increased patient–health care professional interaction during follow-up consultations can support patients in understanding the blood pressure value in relation to their daily life. These findings implicate that the interactive mobile phone self-management support system has potential to support current transformations of patients as recipients of primary care, to being actively involved in their own health. |
format | Online Article Text |
id | pubmed-5901443 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Taylor & Francis |
record_format | MEDLINE/PubMed |
spelling | pubmed-59014432018-04-23 Patient contributions during primary care consultations for hypertension after self-reporting via a mobile phone self-management support system Bengtsson, Ulrika Kjellgren, Karin Hallberg, Inger Lundin, Mona Mäkitalo, Åsa Scand J Prim Health Care Research Articles OBJECTIVE: 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. DESIGN: 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. SETTING: Four primary health care centers in Sweden. SUBJECTS: Patients with hypertension (n = 20) and their health care professional (n = 7). RESULTS: 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. CONCLUSION: 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 KEY POINTS: This study shows that self-reporting as base for follow-up consultations in primary care hypertension management can support patients and professionals to equal participation in clinical consultations. Self-reporting combined with increased patient–health care professional interaction during follow-up consultations can support patients in understanding the blood pressure value in relation to their daily life. These findings implicate that the interactive mobile phone self-management support system has potential to support current transformations of patients as recipients of primary care, to being actively involved in their own health. Taylor & Francis 2018-01-18 /pmc/articles/PMC5901443/ /pubmed/29343156 http://dx.doi.org/10.1080/02813432.2018.1426144 Text en © 2018 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Articles Bengtsson, Ulrika Kjellgren, Karin Hallberg, Inger Lundin, Mona Mäkitalo, Åsa Patient contributions during primary care consultations for hypertension after self-reporting via a mobile phone self-management support system |
title | Patient contributions during primary care consultations for hypertension after self-reporting via a mobile phone self-management support system |
title_full | Patient contributions during primary care consultations for hypertension after self-reporting via a mobile phone self-management support system |
title_fullStr | Patient contributions during primary care consultations for hypertension after self-reporting via a mobile phone self-management support system |
title_full_unstemmed | Patient contributions during primary care consultations for hypertension after self-reporting via a mobile phone self-management support system |
title_short | Patient contributions during primary care consultations for hypertension after self-reporting via a mobile phone self-management support system |
title_sort | patient contributions during primary care consultations for hypertension after self-reporting via a mobile phone self-management support system |
topic | Research Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5901443/ https://www.ncbi.nlm.nih.gov/pubmed/29343156 http://dx.doi.org/10.1080/02813432.2018.1426144 |
work_keys_str_mv | AT bengtssonulrika patientcontributionsduringprimarycareconsultationsforhypertensionafterselfreportingviaamobilephoneselfmanagementsupportsystem AT kjellgrenkarin patientcontributionsduringprimarycareconsultationsforhypertensionafterselfreportingviaamobilephoneselfmanagementsupportsystem AT hallberginger patientcontributionsduringprimarycareconsultationsforhypertensionafterselfreportingviaamobilephoneselfmanagementsupportsystem AT lundinmona patientcontributionsduringprimarycareconsultationsforhypertensionafterselfreportingviaamobilephoneselfmanagementsupportsystem AT makitaloasa patientcontributionsduringprimarycareconsultationsforhypertensionafterselfreportingviaamobilephoneselfmanagementsupportsystem |