Home > Do we all agree what "good health care" looks like? Views from those who are "seldom heard" in health research, policy and service improvement.

Ryan, Sara and Hislop, Jenny and Ziebland, Sue . (2017) Do we all agree what "good health care" looks like? Views from those who are "seldom heard" in health research, policy and service improvement. Health Expectations, 20 (5)

URL: http://onlinelibrary.wiley.com/doi/10.1111/hex.125...

Context: The aim of this study was to ask whether there are shared ideas about what good health care looks like that apply across different populations and conditions. Do priorities among "seldom heard" groups differ from mainstream views and, if so, how might we understand these differences?

Design: Focus groups were recruited with the help of our study patient representatives. Participants discussed and prioritized a set of eight "core components" of good care. We recorded and transcribed the data for thematic analysis.

Setting and participants: We recruited people who are seldom heard in health and policy research for separate focus group discussions (one each with illegal drug users, Irish Travellers, migrant workers, young men and learning disabled people). We also ran a reference group of educated, older adults and an online group with people with long-term conditions.

Results: There were few differences in what participants thought was important in health care but considerable differences in their expectations that they might personally receive good care. Differences related to participants' previous experiences. The drug users group reported particularly poor experiences and low expectations of good care.

Discussion: Differences in what is regarded as an entitlement or privilege in health care underline the persistence of structural and relational differences in how services are experienced. While we can be reassured that core aspects of care are similarly prioritized across different patient groups, including those who are seldom heard, a more intractable challenge remains: how to provide equitable health care for marginalized groups in an unequal society.


Item Type:Evidence resource
Drug Type:Alcohol or other drugs in general
Intervention Type:AOD disorder, AOD disorder treatment method, Psychosocial treatment method, Rehabilitation/Recovery
Date:2017
Page Range:pp. 878-885
Volume:20
Number:5
EndNote:View
Subjects:J Health care, prevention and rehabilitation > Patient care management
J Health care, prevention and rehabilitation > Treatment and maintenance > Patient attitude toward treatment
J Health care, prevention and rehabilitation > Care by type of problem > Mental health care
J Health care, prevention and rehabilitation > Health care delivery
J Health care, prevention and rehabilitation > Health care administration > Health care quality control
T Demographic characteristics > Substance user
T Demographic characteristics > Substance or health care worker
T Demographic characteristics > Doctor
T Demographic characteristics > Nurse
VA Geographic area > Europe > United Kingdom

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