A bridge over troubled water? A qualitative study of primary care patients’ experiences of a rehabilitation program

Abstract

Ingmarie Skoglund,1,2 Eva-Lisa Petersson,1,2 Dominique Hange1,2 1Närhälsan Research and Development Primary Health Care, Region Västra Götaland, Sweden; 2Department of Public Health and Community Medicine/Primary Health Care, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden Purpose: The aim of this study was to explore how patients on sick leave experienced and perceived the early collaboration work model (ECM) for rehabilitation. Patients and methods: Data were collected via focus group discussions and individual interviews with 15 patients on sick leave, at nine primary health care centers. The systematic text condensation method described by Malterud was used for thematic analysis of meaning and content of data across cases. Results: The participants perceived that sharing experiences with others in a similar situation was restorative. They described the importance of coordination in the program as well as the efforts of the rehabilitation coordinator, who helped with daily structure and support in the beginning as well as encouragement throughout the sick leave period. Some participants felt ashamed of being on sick leave and of being outside the community. Conclusion: ECM with a rehabilitation coordinator who could share responsibility with the patient during the entire sick leave period was perceived to be of support during rehabilitation. Keywords: coordination, health centers, mental health, sick leave, rehabilitation coordinator

Keywords

• coordination
• health centers
• mental health
• sick-leave
• rehabilitation coordinator