Table 7 |
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Theme: Adopter characteristics |
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Category |
Sub-category |
Group |
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Explicit strategy: adopters (unit I) |
Explicit strategy: non-adopters (units II-III) |
Implicit strategy: non-adopters (units IV-VI) |
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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) |
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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) |
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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) |
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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) |
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"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) |
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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) |
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Quotations supporting the results of the different categories, according to groups based on adoption and implementation strategy. [...], some words left out; ..., hesitation; [ ] author comment. |
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Carlfjord et al. BMC Family Practice 2010 11:60 doi:10.1186/1471-2296-11-60 |
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