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Case typologies, chronic illness and primary health care
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Griffiths, Frances, Lindenmeyer , Antje, Borkan , Jeffrey M., Donner Banzhoff , Norbert, Lamb, S. E. (Sallie E.), Parchman , Michael and Sturt, Jackie (2014) Case typologies, chronic illness and primary health care. Journal of Evaluation in Clinical Practice, Volume 20 (Number 4). pp. 513-521. doi:10.1111/jep.12070
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Official URL: http://dx.doi.org/10.1111/jep.12070
Abstract
Rationale and aims and objectives:
When assessing patients, clinicians use typologies developed through their idiosyncratic clinical experience. Our aim was to develop a typology, based on the patient’s perspective and not specific to one illness, with the potential to enhance person-centred clinical follow up of those living with chronic illness.
Methods:
We applied the qualitative comparative method to interview data from 37 people living with type 2 diabetes or with chronic back pain, recruited from UK General Practices. Informed by theory on time and complexity, analysis focused on the on-going adjustments made by individuals living with chronic illness (their dynamic) in current time. Health professionals (n=20) and people living with diabetes or living with back pain (n=14) refined and validated the typology in five focus groups.
Results:
We identified the following types of dynamic: Past Reminders, Stuck and Struggling, Becalmed, and Submerged. Among interviewees who provided data at different time points, we found some transformed from one dynamic type to another.
Conclusion:
This typology may aid personalization of treatment decisions and could be extended to other chronic illness.
| Item Type: | Journal Article | ||||||||
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| Subjects: | R Medicine > RA Public aspects of medicine R Medicine > RM Therapeutics. Pharmacology |
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| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School Faculty of Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH) |
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| Library of Congress Subject Headings (LCSH): | Chronic diseases, Chronically ill, Chronically ill -- Care, Diabetes -- Research, Backache, Back -- Diseases, Physician and patient, Diagnosis, Diseases -- Treatment | ||||||||
| Journal or Publication Title: | Journal of Evaluation in Clinical Practice | ||||||||
| Publisher: | Wiley-Blackwell Publishing Ltd. | ||||||||
| ISSN: | 1356-1294 | ||||||||
| Official Date: | August 2014 | ||||||||
| Dates: |
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| Volume: | Volume 20 | ||||||||
| Number: | Number 4 | ||||||||
| Number of Pages: | 30 | ||||||||
| Page Range: | pp. 513-521 | ||||||||
| DOI: | 10.1111/jep.12070 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||||
| Funder: | Economic and Social Research Council (Great Britain) (ESRC) | ||||||||
| Grant number: | RES-000-22-2654 |
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