ArticleHealth expectations : an international journal of public participation in health care and health policy2016
Trust, temporality and systems: how do patients understand patient safety in primary care? A qualitative study.
Article in Health expectations : an international journal of public participation in health care and health policy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
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Who cites it
32 citing papers in PubMed.
- The Contribution of Patient, Primary Care Physician, and Primary Care Clinic Factors to Good Bone Health Care.The Permanente journal · 2021Trial
- Continuity of care in UK primary care: a scoping review of measures, challenges, and future interventions.Primary health care research & development · 2026Article
- Coproducing data-driven organizational safety with patients: development and cognitive testing of a multisetting patient-reported safety concern tool.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025Article
- Retention of doctors in remote, rural and First Nations communities using distributed general practice education: a scalable solution.Frontiers in medicine · 2025Article
- Validation in the Greek Language of the Patients' Perception of the Surgical Safety Questionnaire.Cureus · 2024Article
- Towards understanding and improving medication safety for patients with mental illness in primary care: A multimethod study.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Exploring the experiences and preferences of South Asian patients' of primary care in England since COVID-19.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Article
- Patients' Perceptions of Safety in Primary Healthcare Settings: A Cross-Sectional Study in the Qassim Region of Saudi Arabia.Healthcare (Basel, Switzerland) · 2023Article
- Using Mobile Phone Apps to Deliver Rural General Practitioner Services: Critical Review Using the Walkthrough Method.JMIR formative research · 2022Article
- Co-designing an Adaption of a Mobile App to Enhance Communication, Safety, and Well-being Among People Living at Home With Early-Stage Dementia: Protocol for an Exploratory Multiple Case Study.JMIR research protocols · 2021Article
- Nature and type of patient-reported safety incidents in primary care: cross-sectional survey of patients from Australia and England.BMJ open · 2021Article
- Protocol for a non-randomised feasibility study evaluating a codesigned patient safety guide in primary care.BMJ open · 2021Article
- Exploring the experiences of changes to support access to primary health care services and the impact on the quality and safety of care for homeless people during the COVID-19 pandemic: a study protocol for a qualitative mixed methods approach.International journal for equity in health · 2021Article
- ASK ME!-Routine measurement of patient experience with patient safety in ambulatory care: A mixed-mode survey.PloS one · 2021Article
- A Patient Safety Toolkit for Family Practices.Journal of patient safety · 2020Article
- A qualitative exploration of mental health service user and carer perspectives on safety issues in UK mental health services.Health expectations : an international journal of public participation in health care and health policy · 2020Article
- Article
- Exploring public attitudes towards the new Faster Diagnosis Standard for cancer: a focus group study with the UK public.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019Article
- Enacting person-centredness in integrated care: A qualitative study of practice and perspectives within multidisciplinary groups in the care of older people.Health expectations : an international journal of public participation in health care and health policy · 2018Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPatient safety research has tended to focus on hospital settings, although most clinical encounters occur in primary care, and to emphasize practitioner errors, rather than patients' own understandings of safety.
objectiveTo explore patients' understandings of safety in primary care.
methodsQualitative interviews were conducted with patients recruited from general practices in northwest England. Participants were asked basic socio-demographic information; thereafter, topics were largely introduced by interviewees themselves. Transcripts were coded and analysed using NVivo10 (qualitative data software), following a process of constant comparison.
resultsThirty-eight people (14 men, 24 women) from 19 general practices in rural, small town and city locations were interviewed. Many of their concerns (about access, length of consultation, relationship continuity) have been discussed in terms of quality, but, in the interviews, were raised as matters of safety. Three broad themes were identified: (i) trust and psycho-social aspects of professional-patient relationships; (ii) choice, continuity, access, and the temporal underpinnings of safety; and (iii) organizational and systems-level tensions constraining safety. DISCUSSION: Conceptualizations of safety included common reliance on a bureaucratic framework of accreditation, accountability, procedural rules and regulation, but were also individual and context-dependent. For patients, safety is not just a property of systems, but personal and contingent and is realized in the interaction between doctor and patient. However, it is the systems approach that has dominated safety thinking, and patients' individualistic and relational conceptualizations are poorly accommodated within current service organization.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.