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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

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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
Subjects: R Medicine > RA Public aspects of medicine
R Medicine > RM Therapeutics. Pharmacology
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)
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:
DateEvent
August 2014Published
29 July 2013Available
21 June 2013Accepted
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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