Relation between illness representation and self-reported degree-of-worry in patients calling out-of-hours services: a mixed-methods study in Copenhagen, Denmark
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Relation between illness representation and self-reported degree-of-worry in patients calling out-of-hours services : a mixed-methods study in Copenhagen, Denmark. / Thilsted, Sita LeBlanc; Egerod, Ingrid; Lippert, Freddy Knudsen; Gamst-Jensen, Hejdi.
I: BMJ Open, Bind 8, Nr. 9, e020401, 2018, s. 1-7.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Relation between illness representation and self-reported degree-of-worry in patients calling out-of-hours services
T2 - a mixed-methods study in Copenhagen, Denmark
AU - Thilsted, Sita LeBlanc
AU - Egerod, Ingrid
AU - Lippert, Freddy Knudsen
AU - Gamst-Jensen, Hejdi
N1 - © Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
PY - 2018
Y1 - 2018
N2 - OBJECTIVES: To examine the relation between patients' illness representations, presented in telephone consultation to out-of-hours (OOH) services, and self-reported degree-of-worry (DOW), as a measure of self-evaluated urgency. If a clear relation is found, incorporating DOW during telephone triage could aid the triage process, potentially increasing patient safety.DESIGN: A convergent parallel mixed methods design with quantitative data; DOW and qualitative data from recorded telephone consultations. Thematic analysis of the qualitative data was used to explore the content of the quantitatively scaled DOW, using the Common-Sense Model of Self-Regulation (CSM).SETTING: A convenience sampling of calls to the OOH services in Copenhagen, Denmark, during 3 days was included in the study.PARTICIPANTS: Calls from adults (≥15 years of age) concerning somatic illness during the data collection period were eligible for inclusion. Calls made on behalf of another person, calls concerning perceived life-threatening illness or calls regarding logistical/practical problems were excluded, resulting in analysis of 180 calls.RESULTS: All five components of the CSM framework, regardless of DOW, were present in the data. All callers referred to identity and timeline and were least likely to refer to consequence (37%). Through qualitative analysis, themes were defined. Callers with a strong identity, illness duration of less than 24 hours, clear cause and solution for cure/control seemed to present a lower DOW. Callers with a medium identity, illness duration of more than 24 hours and a high consequence seemed to present a higher DOW.CONCLUSION: This study suggests a relation between a patient's illness representation and self-evaluation of urgency. Incorporating a patient's DOW during telephone triage could aid the triage process in determining urgency and type of healthcare needed, potentially increasing patient safety. Research on patient outcome after DOW-assisted triage is needed before implementation of the DOW scale is recommended.
AB - OBJECTIVES: To examine the relation between patients' illness representations, presented in telephone consultation to out-of-hours (OOH) services, and self-reported degree-of-worry (DOW), as a measure of self-evaluated urgency. If a clear relation is found, incorporating DOW during telephone triage could aid the triage process, potentially increasing patient safety.DESIGN: A convergent parallel mixed methods design with quantitative data; DOW and qualitative data from recorded telephone consultations. Thematic analysis of the qualitative data was used to explore the content of the quantitatively scaled DOW, using the Common-Sense Model of Self-Regulation (CSM).SETTING: A convenience sampling of calls to the OOH services in Copenhagen, Denmark, during 3 days was included in the study.PARTICIPANTS: Calls from adults (≥15 years of age) concerning somatic illness during the data collection period were eligible for inclusion. Calls made on behalf of another person, calls concerning perceived life-threatening illness or calls regarding logistical/practical problems were excluded, resulting in analysis of 180 calls.RESULTS: All five components of the CSM framework, regardless of DOW, were present in the data. All callers referred to identity and timeline and were least likely to refer to consequence (37%). Through qualitative analysis, themes were defined. Callers with a strong identity, illness duration of less than 24 hours, clear cause and solution for cure/control seemed to present a lower DOW. Callers with a medium identity, illness duration of more than 24 hours and a high consequence seemed to present a higher DOW.CONCLUSION: This study suggests a relation between a patient's illness representation and self-evaluation of urgency. Incorporating a patient's DOW during telephone triage could aid the triage process in determining urgency and type of healthcare needed, potentially increasing patient safety. Research on patient outcome after DOW-assisted triage is needed before implementation of the DOW scale is recommended.
U2 - 10.1136/bmjopen-2017-020401
DO - 10.1136/bmjopen-2017-020401
M3 - Journal article
C2 - 30224387
VL - 8
SP - 1
EP - 7
JO - BMJ Open
JF - BMJ Open
SN - 2044-6055
IS - 9
M1 - e020401
ER -
ID: 222163579