J Korean Med Assoc.  2017 Feb;60(2):173-182. 10.5124/jkma.2017.60.2.173.

A qualitative study of satisfaction with the Community-based Primary Care Project among primary care patients and its efficacy

Affiliations
  • 1Graduate School of Public Health, Seoul National University, Seoul, Korea.
  • 2Department of Family Medicine, Hallym University College of Medicine, Chuncheon, Korea. threej@hallym.or.kr
  • 3Center for Health Policy, National Medical Center, Seoul, Korea.
  • 4Department of Family Medicine, Seoul National University Hospital, Seoul, Korea.

Abstract

This study aimed to characterize patients experiences as service recipients, and to examine their satisfaction with the Community-based Primary Care Project and its efficacy. To achieve these aims, qualitative data were collected from 13 patients through a semi-structured in-depth interview. Four trained researchers extracted each theme separately and discussed them, at which point they were subjected to thematic analysis. Patient satisfaction was found to be associated with the doctor-patient relationship, comprehensive chronic disease care, face-to-face education, standardized education material, and computer-based education modules. Education allowed patients to strengthen their knowledge and establish their motivations, which brought about behavioral change and improved health conditions. In addition to these effects, patients also reported improved perceptions of the quality of primary care based on experiences with clinical team coordination. The findings of this study emphasize that community-based primary care services should be considered to be an effective chronic disease management strategy.

Keyword

Primary health care; Physician-patient relations; Health promotion; Pateints satisfaction; Chronic disease management

MeSH Terms

Chronic Disease
Education
Health Promotion
Humans
Patient Satisfaction
Physician-Patient Relations
Primary Health Care*

Cited by  1 articles

Current Status and Problems of National Diabetes Care
Seak Ki Yun
J Korean Diabetes. 2020;21(4):173-178.    doi: 10.4093/jkd.2020.21.4.173.


Reference

1. Organization for Economic Cooperation and Development. OECD health care quality review: Korea [Internet]. Paris: Organization for Economic Cooperation and Development;2012. cited 2017 Jan 30. Available from: http://www.oecd.org/korea/49818570.pdf.
2. Lim KJ. Critical review on OECD health care quality report. Health Policy Forum. 2012; 10:93–101.
3. Lee JS. The direction of reform for health care delivery system. J Korean Med Assoc. 2016; 59:248–250.
Article
4. Choi JW, Lee JS, Kim KH, Kang CH, Yum HK, Kim Y, Lee KH, Seo IS, Rim IG, Oh DH, Lee JC, Seo KH, Kim SY. Proposed master plan for reform of the national infectious disease prevention and management system in Korea. J Korean Med Assoc. 2015; 58:723–728.
Article
5. Seog SH. A reexamination of moral hazard in the health insurance. J Risk Manag. 2012; 23:3–25.
Article
6. Ministry of Foreign Affairs. OECD health data 2012: Korea [Internet]. Paris: Ministry of Foreign Affairs;2012. cited 2017 Jan 30. Available from: http://oecd.mofa.go.kr/webmodule/htsboard/template/read/korboardread.jsp?typeID=15&boardid=11077&seqno=934175&c=&t=&pagenum=1&tableName=TYPE_LEGATION&pc=&dc=&wc=&lu=&vu=&iu=&du=.
7. World Health Organization. Innovative care for chronic conditions: building blocks for action [Internet]. Geneva: World Health Organization;2002. cited 2017 Jan 30. Available from: http://www.who.int/chp/knowledge/publications/icccreport/en/.
8. Kim YC. Qualitative research method 1. Seoul: Academic Press;2012.
9. Yoo KW, Jung JW, Kim YS, Kim HB. Understanding of qualitative research method. Seoul: Pakyoungsa;2012.
10. Flick U. An introduction to qualitative research. 4th ed. Los Angeles: Sage;2009.
11. Merriam SB. Qualitative research and case study applications in education. San Francisco: Jossey-Bass Publishers;1998.
12. Peters RS. Authority, responsibility, and education. London: George Allen and Unwin;1959.
13. Lee DW. A conversational analysis of ‘doctor-patient’ communication: in search of the interpersonal communication problems and solutions. Korean J Journal Commun Stud. 2004; 45:232–265.
14. Wagner EH, Austin BT, Davis C, Hindmarsh M, Schaefer J, Bonomi A. Improving chronic illness care: translating evidence into action. Health Aff (Millwood). 2001; 20:64–78.
Article
15. Bloom BS. Taxonomy of educational objectives; the classification of educational goals. 1st ed. New York: Longmans;1956.
16. Farsaei S, Sabzghabaee AM, Zargarzadeh AH, Amini M. Effect of pharmacist-led patient education on glycemic control of type 2 diabetics: a randomized controlled trial. J Res Med Sci. 2011; 16:43–49.
17. Anstiss T. Motivational interviewing in primary care. J Clin Psychol Med Settings. 2009; 16:87–93.
Article
18. Dabbs JM Jr, Leventhal H. Effects of varying the recommendations in a fear-arousing communication. J Pers Soc Psychol. 1966; 4:525–531.
Article
19. Cho JJ, Kwon YJ, Jung SH. Community based health care service design on chronic disease for enhancing primary care and the status of community based primary care project. Korean J Fam Pract. 2015; 5:173–178.
Full Text Links
  • JKMA
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr