Table 7

Theme: Adopter characteristics

Category

Sub-category

Group


Explicit strategy: adopters (unit I)

Explicit strategy: non-adopters (units II-III)

Implicit strategy: non-adopters (units IV-VI)


Opinions about lifestyle issues in PHC

Importance

"All of society has changed. We are to work preventively now, that's a fact. Practically nothing was said about it 5 or 10 years ago." (Nurse, unit I)

"Yes, but I think people are more aware of how important prevention ís, I think it pervades health care in a completely different way than it did 20 years ago." (GP, unit III)

"So - if we could get everyone to exercise, eat sensibly and not smoke, we could just pack up and leave. That, I believe, is the way to a healthier population."

(GP, unit II)

"Yes, but it is amongst the most important jobs we have, in fact." (Nurse, unit IV)

"Because it is, of course, important for many illnesses or generally speaking it's a question of our lifestyle." (Nurse, unit VI)

Possibilities

"Yes, we have such a lifestyle team here at the primary health care unit, where we work with different problems. Some work with overweight, some with blood pressure ... I'm to work with tobacco-related problems." (Others, unit I)

"We have, of course, a health coordinator working with lifestyle so that ... doctors refer, of course, to them [...] they take it all." (Others, unit II)

"Everything that brings things into the light, that creates discussion and that gets patients to mention something about it or have seen it in the corridor - I think in some way increases everyone's awareness." (GP, unit V)

Obstacles

"Healthcare has become so very heavy, I mean, primary health care has become extremely heavy the last 25 years, and I believe still that many had visions ... you lose focus and it just ... but you have to do the most important things ..." (Nurse, unit I)

"We have, I suppose, had a lack of resources ever since we got involved in this ... health project. Actually we don't have ... we were promised more, but nothing came of it." (Nurse, unit III)

"If it is a sleep problem, where it would, perhaps, take less time to write a prescription than to talk about, I don't know ... about exercise ..." (Others, unit IV)

Opinions about innovations, new routines and change

Positive to change

"You want to keep up with the latest news so it is, of course, very good for the primary health care unit." (Others, unit I)

"No, but I have the feeling that openness for testing new ideas is considerably large." (GP, unit III)

"Fantastic "go" in this work group, for everything new ... if something new turns up again, that seems interesting I don't think there would be any difficulties ..." (Nurse, unit V)

"But this sort of thing that really doesn't demand too much work effort from us ... that is pretty easy to accept ..." (Nurse, unit VI)

Reluctance to change

"That sort of thing takes both time and energy from us, always something new, new, new to be updated ..." (Others, unit II)

"Yes, we are afraid that changes will cause us even more work ... and that is the reason we have ... a reason that we ..." (GP, unit IV)


Quotations supporting the results of the different categories, according to groups based on adoption and implementation strategy.

[...], some words left out; ..., hesitation; [ ] author comment.

Carlfjord et al. BMC Family Practice 2010 11:60   doi:10.1186/1471-2296-11-60

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