Table 7 Theme: Adopter characteristics
Category | Sub-category | Group | ||
|---|---|---|---|---|
| Â | Â | 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 Ãs, 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) |
| Â | 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) |
| Â | 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) |
| Â | Â | Â | Â | "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) |
| Â | Reluctance to change | Â | "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) |