In need of percutaneous coronary intervention in an arctic setting- patients' experience of safety and quality of care: a qualitative study.
Anette KraneGunn PettersenKnut Tore LappegårdTove Aminda HanssenPublished in: International journal of circumpolar health (2023)
Patients with coronary heart disease need timely treatment for survival and optimum prognosis. There is limited research exploring patients' experience regarding distance to percutaneous coronary intervention. The aim was to explore patients' experiences of aspects contributing to safety and quality of care regarding health services following percutaneous coronary intervention in Northern Norway. A qualitative explorative design was used, and 15 patients participated in individual semi-structured interviews 9-16 months after treatment. The reflexive thematic analysis revealed two main themes: (1) being part of a safe system and (2) adapting to new everyday life. Feeling safe and experiencing quality care depended on whether the participants were heard within the system upon first contact, whether help was available when needed, the travel time for treatment, sufficient information, the competency of care provided by healthcare professionals, and how follow-up services were organised when adapting to everyday life. To conclude, patients undergoing percutaneous coronary intervention in an arctic context perceived healthcare services as safe when the system delivered continuous care throughout all levels. Consistent optimisation of transport time and distance to treatment, especially for rural patients, and extensively focusing on follow-up services, can contribute to improving safety and quality of care.
Keyphrases
- healthcare
- percutaneous coronary intervention
- end stage renal disease
- ejection fraction
- palliative care
- quality improvement
- chronic kidney disease
- patients undergoing
- primary care
- acute myocardial infarction
- mental health
- acute coronary syndrome
- coronary artery disease
- heart failure
- st elevation myocardial infarction
- affordable care act
- depressive symptoms
- coronary artery bypass grafting
- antiplatelet therapy
- single cell
- physical activity
- multidrug resistant
- chronic pain
- health information
- infectious diseases
- free survival