In this chapter, the authors analyze patient perspectives gathered through a series of surveys fielded by the Larry A. Green Center during the pandemic. The purpose of these surveys was to identify patient perspectives about what mattered most in primary care during the pandemic. The authors analyze free-text responses to an open-ended question in the survey that was intended to capture comments about patients’ needs, experiences, and expectations of primary care. Relationship science is used as the lens to help frame patients’ words in analysis and interpretation of findings. Patient expectations and needs, both met and unmet, coalesced around the following specific themes: (1) personal relationship, connection with clinician, (2) clinician as someone to turn to, (3) mutual care/reciprocity, (4) appreciative/adaptive/flexible. Notably, patients’ comments revealed that the pandemic experience prompted unanticipated vulnerability both individually and collectively. The patient perspectives in this chapter speak to the essence of primary care—the importance of having a relationship with a doctor/clinician—especially in times of vulnerability. The authors conclude the chapter by outlining key strategies for assuring a positive future for primary care, powered by patients and clinicians seeking to restore purpose and meaning in primary care.

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Patient Experiences During the Pandemic Highlight the Value of Established Relationships with Primary Care and Identify a Focus for the Future of Primary Care

  • Ashley P. Duggan,
  • Rebecca S. Etz,
  • Martha M. Gonzalez,
  • Sarah R. Reves,
  • Bernard Ewigman

摘要

In this chapter, the authors analyze patient perspectives gathered through a series of surveys fielded by the Larry A. Green Center during the pandemic. The purpose of these surveys was to identify patient perspectives about what mattered most in primary care during the pandemic. The authors analyze free-text responses to an open-ended question in the survey that was intended to capture comments about patients’ needs, experiences, and expectations of primary care. Relationship science is used as the lens to help frame patients’ words in analysis and interpretation of findings. Patient expectations and needs, both met and unmet, coalesced around the following specific themes: (1) personal relationship, connection with clinician, (2) clinician as someone to turn to, (3) mutual care/reciprocity, (4) appreciative/adaptive/flexible. Notably, patients’ comments revealed that the pandemic experience prompted unanticipated vulnerability both individually and collectively. The patient perspectives in this chapter speak to the essence of primary care—the importance of having a relationship with a doctor/clinician—especially in times of vulnerability. The authors conclude the chapter by outlining key strategies for assuring a positive future for primary care, powered by patients and clinicians seeking to restore purpose and meaning in primary care.