With an attack I associate it more with going into hospital: Understandings of asthma and psychosocial stressors; are they related to use of services?

Ahmed, Nilufar

doi:https://doi.org/

Journal article 675 views

With an attack I associate it more with going into hospital: Understandings of asthma and psychosocial stressors; are they related to use of services?

Nilufar Ahmed

Social Science & Medicine, Volume: 66, Issue: 3, Pages: 765 - 775

Swansea University Author: Nilufar Ahmed

Abstract

sthma is still a major cause of morbidity and mortality. Patients who use hospital services frequently tend to have more severe asthma and lack formal support. Attitudes to self-management also tend to differ and qualitative studies of frequent attenders have identified differing views of the approp...

Full description

Published in:	Social Science & Medicine
Published:	2008
URI:	https://cronfa.swan.ac.uk/Record/cronfa24925

first_indexed	2015-11-28T01:58:00Z
last_indexed	2024-11-14T11:26:42Z
id	cronfa24925
recordtype	SURis
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spelling	2023-06-28T14:40:07.7565051 v2 24925 2015-11-27 With an attack I associate it more with going into hospital: Understandings of asthma and psychosocial stressors; are they related to use of services? d8d2587d94adcdf31706b9efe04db909 0000-0003-4274-801X Nilufar Ahmed Nilufar Ahmed true false 2015-11-27 sthma is still a major cause of morbidity and mortality. Patients who use hospital services frequently tend to have more severe asthma and lack formal support. Attitudes to self-management also tend to differ and qualitative studies of frequent attenders have identified differing views of the appropriateness of service use between patients and their physicians. We undertook a qualitative study of patients with severe asthma admitted and not admitted to hospital in a 12-month period in the UK. The aim of the study was to investigate the relationship between perception of life events, psychosocial factors, coping and asthma admission in these two groups of patients. We interviewed 50 patients (aged 16 and over) admitted to two large teaching hospitals in London with asthma exacerbations, 25 patients with similar levels of asthma severity (step 3 or higher of the British Thoracic Society guidelines) sampled in General Practice and 19 general practitioners (GPs). Data were analysed using an adapted framework analysis. Patients admitted to hospital reported high levels of psychosocial problems and life events but tended to make few connections between these and their asthma attacks or their ability to manage their asthma. Patients reporting frequent hospital use tended to value professionals working in hospitals while reporting poor relationships with GPs; views that appeared related to delays in seeking help from primary care. Among GPs, knowledge of patients having attended hospital was generally poor, although they appeared more aware of those who were high users of General Practice (whether they were high attenders at hospital or not). GPs perceived stressful life events in patients with asthma to compound existing dispositions and be related to poor control and poor adherence. These findings suggest that vulnerable patient groups often face poor material circumstances and chaotic lives, impacting on their capacity to manage their illness and on their ability to derive benefit from primary care. Policy interventions aimed at reducing ‘unnecessary’ admissions will need to be tailored to the psychosocial circumstances and health beliefs of vulnerable patient groups Journal Article Social Science & Medicine 66 3 765 775 UK; Asthma; Psychosocial; Chronic illness; Primary care; Use of health services 31 12 2008 2008-12-31 COLLEGE NANME COLLEGE CODE Swansea University 2023-06-28T14:40:07.7565051 2015-11-27T16:44:33.9428480 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Social Work Nilufar Ahmed 0000-0003-4274-801X 1
title	With an attack I associate it more with going into hospital: Understandings of asthma and psychosocial stressors; are they related to use of services?
spellingShingle	With an attack I associate it more with going into hospital: Understandings of asthma and psychosocial stressors; are they related to use of services? Nilufar Ahmed
title_short	With an attack I associate it more with going into hospital: Understandings of asthma and psychosocial stressors; are they related to use of services?
title_full	With an attack I associate it more with going into hospital: Understandings of asthma and psychosocial stressors; are they related to use of services?
title_fullStr	With an attack I associate it more with going into hospital: Understandings of asthma and psychosocial stressors; are they related to use of services?
title_full_unstemmed	With an attack I associate it more with going into hospital: Understandings of asthma and psychosocial stressors; are they related to use of services?
title_sort	With an attack I associate it more with going into hospital: Understandings of asthma and psychosocial stressors; are they related to use of services?
author_id_str_mv	d8d2587d94adcdf31706b9efe04db909
author_id_fullname_str_mv	d8d2587d94adcdf31706b9efe04db909_***_Nilufar Ahmed
author	Nilufar Ahmed
author2	Nilufar Ahmed
format	Journal article
container_title	Social Science & Medicine
container_volume	66
container_issue	3
container_start_page	765
publishDate	2008
institution	Swansea University
college_str	Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id	facultyofmedicinehealthandlifesciences
hierarchy_top_title	Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id	facultyofmedicinehealthandlifesciences
hierarchy_parent_title	Faculty of Medicine, Health and Life Sciences
department_str	School of Health and Social Care - Social Work{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Social Work
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description	sthma is still a major cause of morbidity and mortality. Patients who use hospital services frequently tend to have more severe asthma and lack formal support. Attitudes to self-management also tend to differ and qualitative studies of frequent attenders have identified differing views of the appropriateness of service use between patients and their physicians. We undertook a qualitative study of patients with severe asthma admitted and not admitted to hospital in a 12-month period in the UK. The aim of the study was to investigate the relationship between perception of life events, psychosocial factors, coping and asthma admission in these two groups of patients. We interviewed 50 patients (aged 16 and over) admitted to two large teaching hospitals in London with asthma exacerbations, 25 patients with similar levels of asthma severity (step 3 or higher of the British Thoracic Society guidelines) sampled in General Practice and 19 general practitioners (GPs). Data were analysed using an adapted framework analysis. Patients admitted to hospital reported high levels of psychosocial problems and life events but tended to make few connections between these and their asthma attacks or their ability to manage their asthma. Patients reporting frequent hospital use tended to value professionals working in hospitals while reporting poor relationships with GPs; views that appeared related to delays in seeking help from primary care. Among GPs, knowledge of patients having attended hospital was generally poor, although they appeared more aware of those who were high users of General Practice (whether they were high attenders at hospital or not). GPs perceived stressful life events in patients with asthma to compound existing dispositions and be related to poor control and poor adherence. These findings suggest that vulnerable patient groups often face poor material circumstances and chaotic lives, impacting on their capacity to manage their illness and on their ability to derive benefit from primary care. Policy interventions aimed at reducing ‘unnecessary’ admissions will need to be tailored to the psychosocial circumstances and health beliefs of vulnerable patient groups
published_date	2008-12-31T18:48:21Z
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score	11.1586075

With an attack I associate it more with going into hospital: Understandings of asthma and psychosocial stressors; are they related to use of services?

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