Patients' views on interpersonal continuity in primary care: a sense of security based on four core foundations.
BACKGROUND
A deep and comprehensive understanding of what patients value about having a personal doctor in primary care is lacking.


OBJECTIVE
To acquire a comprehensive understanding of the core values of having a personal doctor in a continuing doctor-patient relationship in primary care among long-term, chronically ill patients.


METHODS
In this qualitative study, 14 chronically ill patients at three primary health care centres were strategically selected. The centres were selected to include patients with experiences from both long-term and short-term doctors. The patients were asked about their views on having a personal doctor in a continuing doctor-patient relationship in primary care compared with having different short-term doctors. Sixteen health care professionals were interviewed about what chronically ill patients convey to them about having a personal doctor in contrast to seeing different short-term locum doctors. The in-depth interviews were transcribed verbatim and analysed by qualitative content analysis.


RESULTS
The core category, i.e. a universal concept that many patients used to describe the impact of having access to a personal doctor, was a sense of security. This was based on four main categories or core foundations which were: feelings of coherence, confidence in care, a trusting relationship and accessibility. In turn, the four main categories emerged from two to four of subcategories.


CONCLUSIONS
The foundations that underpin the value of personal care from the patients' perspective could be based on categories found in this study.
von Bültzingslöwen
Inger
I
Swedish National Board of Health and Welfare, Göteborg, Sweden. inger.von.bultzingslowen@liv.se
Eliasson
Gösta
G
Sarvimäki
Anneli
A
Mattsson
Bengt
B
Hjortdahl
Per
P
D000328:Adult; D000368:Aged; D002908:Chronic Disease; D003266:Continuity of Patient Care; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010361:Patients / Q000523:psychology*; D010817:Physician-Patient Relations; D011320:Primary Health Care; D013222:State Medicine; D013548:Sweden