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Patient needs from general practice following a traumatic injury: a qualitative study using narrative interviews with British service personnel.

Abstract：

OBJECTIVES:To explore the first period of sick leave in military patients following a traumatic battle injury, and the role of primary care. To identify if and where patients perceived difficulties. METHOD:Participants were recruited from The Defence Medical Rehabilitation Centre (DMRC) Headley Court on their second admission. Purposive sampling was used to access a range of different injuries and experiences. Nine patients were interviewed at DMRC where they were asked to recount their stories throughout rehabilitation. Thematic and structural analysis of the narrative accounts was applied. RESULTS:The majority of problems encountered by the participants occurred during their initial period of sick leave between Royal Centre for Defence Medicine (RCDM), Queen Elizabeth Hospital, Birmingham, and DMRC. Participants often had difficulty identifying who to contact if they had a problem on sick leave, with many ringing secondary care directly. Time spent travelling to medical reviews was identified as affecting the quality of leave. CONCLUSIONS:There is a need for greater patient understanding regarding whom to contact should they develop problems while on sick leave. A patient passport containing all discharge documentation and simplified contact details may help reduce patient confusion regarding whom to contact. GPs require greater awareness and understanding of the complexity of these patients' injuries and the need for early secondary care review to prevent delayed or inappropriate admissions. Most problems that patients face will occur on their first period of sick leave. Reducing the time spent on sick leave before admission to DMRC would limit the likelihood of problems occurring at this high-risk time.

journal_name

J R Army Med Corps

journal_title

Journal of the Royal Army Medical Corps

authors

Bailey TR

doi

10.1136/jramc-2013-000055

subject

Has Abstract

pub_date

2014-03-01 00:00:00

pages

46-51

issue

eissn

0035-8665

issn

2052-0468

pii

jramc-2013-000055

journal_volume

160

pub_type

杂志文章

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Patient needs from general practice following a traumatic injury: a qualitative study using narrative interviews with British service personnel.