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Elderly patients’ participation in emergency medical services when
University of Borås, School of Health Science. (Prehospital akutsjukvård)
2013 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 8Article in journal (Refereed) Published
Abstract [en]

As organizational changes in the healthcare system are in progress, to enhance care quality and reduce costs, it is important to investigate how these changes affect elderly patients’ experiences and their rights to participate in the choice of healthcare. The aim of this study is to describe elderly patients’ lived experience of participating in the choice of healthcare when being offered an alternative care pathway by the emergency medical services, when the individual patient’s medical needs made this choice possible. This study was carried out from the perspective of caring science, and a phenomenological approach was applied, where data were analysed for meaning. Data consist of 11 semi-structured interviews with elderly patients who chose a healthcare pathway to a community-based hospital when they were offered an alternative level of healthcare. The findings show that the essence of the phenomenon is described as ‘‘There was a ray of hope about a caring encounter and about being treated like a unique human being’’. Five meaningful constituents emerged in the descriptions: endurable waiting, speedy transference, a concerned encounter, trust in competence, and a choice based on memories of suffering from care. The conclusion is that patient participation in the choice of a healthcare alternative instead of the emergency department is an opportunity of avoiding suffering from care and being objectified.

Place, publisher, year, edition, pages
Co-Action Publishing , 2013. Vol. 8
Keyword [en]
Caring, Patient participation, lifeworld, lived experiences, choice of healthcare, geriatric, community-based hospital, suffering from care, caring encounter, Ambulanssjukvård
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Research subject
Integrated Caring Science
URN: urn:nbn:se:hb:diva-1645DOI: 10.3402/qhw.v8i0.20014ISI: 000315534200001PubMedID: 23445898Local ID: 2320/12918OAI: diva2:869714

We greatly appreciate the assistance of our research

secretary, Milka Dinevik, in contacting the participants

before the interviews. Our special and grateful

appreciation goes to the participants for their agreement

to participate in this study.

Available from: 2015-11-13 Created: 2015-11-13 Last updated: 2016-03-15

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Wireklint Sundström, Birgitta
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