Patient experiences of information-sharing and patient-centred care across the broad landscape of primary care practice and provision: a nationally representative survey of Australian adults.
- Publisher:
- BMC
- Publication Type:
- Journal Article
- Citation:
- BMC Prim Care, 2024, 25, (1), pp. 151
- Issue Date:
- 2024-05-04
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Field | Value | Language |
---|---|---|
dc.contributor.author |
Steel, A |
|
dc.contributor.author | Foley, H | |
dc.contributor.author | Graham, K | |
dc.contributor.author | Harnett, J | |
dc.contributor.author |
Adams, J |
|
dc.date.accessioned | 2024-08-01T04:34:25Z | |
dc.date.available | 2024-04-01 | |
dc.date.available | 2024-08-01T04:34:25Z | |
dc.date.issued | 2024-05-04 | |
dc.identifier.citation | BMC Prim Care, 2024, 25, (1), pp. 151 | |
dc.identifier.issn | 2731-4553 | |
dc.identifier.issn | 2731-4553 | |
dc.identifier.uri | http://hdl.handle.net/10453/179942 | |
dc.description.abstract | BACKGROUND: Australian government strategies and frameworks have been developed in recent years to encourage the integration and coordination of primary care delivery; including patient-centred approaches to clinical and preventative care, and health promotion. This study aims to explore patient experiences of information-sharing and patient-centred care across various primary care clinical settings, with a particular focus on clinical encounters with GPs, naturopaths, osteopaths and acupuncturists. METHODS: Data about healthcare utilisation and experiences from a 63-item cross-sectional survey obtained from a nationally representative sample of Australian adults aged ≥ 18 years were analysed. Chi-square and Kruskal-Wallis H tests were used to explore differences in the experiences of knowledge and information sharing during GP consultations among those who also consulted with a naturopath, osteopath or acupuncturist, compared those who had not. Logistic regression was used to investigate correlations between participants perceptions about GP consultation outcomes, and the GP's information-sharing behaviour or perceived experience of patient-centredness. RESULTS: Across 2354 participants, verbal explanation (76.3%) and/or individualised handouts (16.8%) were the most common type of information shared in GP consultations. Individuals who consulted with a GP and a naturopath, an osteopath, or an acupuncturist reported a lower rate of receiving a verbal explanation from their GP but higher rate of receiving other types of information sources including handouts. Over one quarter of study participants who visited a GP did not discuss any of their health information with their GP. Information sharing was lower for individuals who also visited a naturopath, osteopath or acupuncturist. Participants scored their consultations with a GP as patient-centred, but these scores were lower among participants who also consulted with at least one other primary care practitioner type included in the study. CONCLUSIONS: Public health and health services researchers, policymakers and leaders of primary care professions have a role and responsibility to ensure practitioners are confident and competent in sharing health information with their patients that considers their health literacy needs, and the importance of patient-centred care. Research focussed on a more in-depth understanding of the differences and relationships observed across the primary care landscape in this study is recommended. | |
dc.format | Electronic | |
dc.language | eng | |
dc.publisher | BMC | |
dc.relation | http://purl.org/au-research/grants/arc/FT220100610 | |
dc.relation.ispartof | BMC Prim Care | |
dc.relation.isbasedon | 10.1186/s12875-024-02359-8 | |
dc.rights | info:eu-repo/semantics/openAccess | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Patient-Centered Care | |
dc.subject.mesh | Female | |
dc.subject.mesh | Male | |
dc.subject.mesh | Primary Health Care | |
dc.subject.mesh | Australia | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Cross-Sectional Studies | |
dc.subject.mesh | Middle Aged | |
dc.subject.mesh | Information Dissemination | |
dc.subject.mesh | Aged | |
dc.subject.mesh | Young Adult | |
dc.subject.mesh | Adolescent | |
dc.subject.mesh | Physician-Patient Relations | |
dc.subject.mesh | Patient Satisfaction | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Cross-Sectional Studies | |
dc.subject.mesh | Information Dissemination | |
dc.subject.mesh | Physician-Patient Relations | |
dc.subject.mesh | Adolescent | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Aged | |
dc.subject.mesh | Middle Aged | |
dc.subject.mesh | Patient Satisfaction | |
dc.subject.mesh | Patient-Centered Care | |
dc.subject.mesh | Primary Health Care | |
dc.subject.mesh | Australia | |
dc.subject.mesh | Female | |
dc.subject.mesh | Male | |
dc.subject.mesh | Young Adult | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Patient-Centered Care | |
dc.subject.mesh | Female | |
dc.subject.mesh | Male | |
dc.subject.mesh | Primary Health Care | |
dc.subject.mesh | Australia | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Cross-Sectional Studies | |
dc.subject.mesh | Middle Aged | |
dc.subject.mesh | Information Dissemination | |
dc.subject.mesh | Aged | |
dc.subject.mesh | Young Adult | |
dc.subject.mesh | Adolescent | |
dc.subject.mesh | Physician-Patient Relations | |
dc.subject.mesh | Patient Satisfaction | |
dc.title | Patient experiences of information-sharing and patient-centred care across the broad landscape of primary care practice and provision: a nationally representative survey of Australian adults. | |
dc.type | Journal Article | |
utslib.citation.volume | 25 | |
utslib.location.activity | England | |
pubs.organisational-group | University of Technology Sydney | |
pubs.organisational-group | University of Technology Sydney/Faculty of Health | |
pubs.organisational-group | University of Technology Sydney/Strength - CHSP - Health Services and Practice | |
pubs.organisational-group | University of Technology Sydney/Faculty of Health/Public Health | |
pubs.organisational-group | University of Technology Sydney/Strength - ARCCIM - Australian Research Centre in Complementary & Integrative Medicine | |
pubs.organisational-group | University of Technology Sydney/All Manual Groups | |
pubs.organisational-group | University of Technology Sydney/All Manual Groups/UTS Ageing Research Collaborative (UARC) | |
utslib.copyright.status | open_access | * |
dc.rights.license | This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/ | |
dc.date.updated | 2024-08-01T04:34:23Z | |
pubs.issue | 1 | |
pubs.publication-status | Published online | |
pubs.volume | 25 | |
utslib.citation.issue | 1 |
Abstract:
BACKGROUND: Australian government strategies and frameworks have been developed in recent years to encourage the integration and coordination of primary care delivery; including patient-centred approaches to clinical and preventative care, and health promotion. This study aims to explore patient experiences of information-sharing and patient-centred care across various primary care clinical settings, with a particular focus on clinical encounters with GPs, naturopaths, osteopaths and acupuncturists. METHODS: Data about healthcare utilisation and experiences from a 63-item cross-sectional survey obtained from a nationally representative sample of Australian adults aged ≥ 18 years were analysed. Chi-square and Kruskal-Wallis H tests were used to explore differences in the experiences of knowledge and information sharing during GP consultations among those who also consulted with a naturopath, osteopath or acupuncturist, compared those who had not. Logistic regression was used to investigate correlations between participants perceptions about GP consultation outcomes, and the GP's information-sharing behaviour or perceived experience of patient-centredness. RESULTS: Across 2354 participants, verbal explanation (76.3%) and/or individualised handouts (16.8%) were the most common type of information shared in GP consultations. Individuals who consulted with a GP and a naturopath, an osteopath, or an acupuncturist reported a lower rate of receiving a verbal explanation from their GP but higher rate of receiving other types of information sources including handouts. Over one quarter of study participants who visited a GP did not discuss any of their health information with their GP. Information sharing was lower for individuals who also visited a naturopath, osteopath or acupuncturist. Participants scored their consultations with a GP as patient-centred, but these scores were lower among participants who also consulted with at least one other primary care practitioner type included in the study. CONCLUSIONS: Public health and health services researchers, policymakers and leaders of primary care professions have a role and responsibility to ensure practitioners are confident and competent in sharing health information with their patients that considers their health literacy needs, and the importance of patient-centred care. Research focussed on a more in-depth understanding of the differences and relationships observed across the primary care landscape in this study is recommended.
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