SOCIAL CAPITAL AND TRUST IN PRIMARY HEALTH CARE: INSIGHTS FROM USERS' PERSPECTIVES
Main Article Content
Keywords
Primary Health, Qualitative Research, Health Education, Attention
Abstract
Introduction: The paper tries to use Bourdieu's theory on modes of action and his ideas of the habitus and institutions, in order to talk about it from a point where health care users are involved. It uses qualitative research to explore the experiences of users in Basic Health Units of Rio de Janeiro.
Methods: Semi-structured interviews and participant observation were used to collect data from 12 participants. The analysis was organized around three analytical categories--bonding, trust and affection within the social support network; extended healthcare, looking at the symbolic capitals' meanings and tensions that people had when they used these; and autonomy and vulnerability, which gave a tracing back over the social trajectory of agents. Bardin's Content Analysis Framework guided the analysis of the interviews.
Results: The research produced new insights into the perspectives of healthcare system users on primary care health education initiatives. The findings accentuated bonding, trust and affection within social networks of support. Further, it illuminated the subtle and multifold dynamics of extended healthcare including symbolic capitals and tensions experienced by users. Finally, the paper brought out the state between autonomy and vulnerability throughout users' social trajectories.
Conclusion: By synthesizing Bourdieu's sociology of action and health education, this paper provides a more nuanced understanding of users' perspectives on primary care initiatives. Activities together can encourage debate and respect for different views. The study suggests practical and transforming approaches to engage with the dynamics of people's life.
References
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29. McGonigle, D., & Mastrian, K. (2024). Nursing informatics and the foundation of knowledge: Jones & Bartlett Learning.
30. Mora-García, C. A., Pesec, M., & Prado, A. M. (2024). The effect of primary healthcare on mortality: Evidence from Costa Rica. Journal of Health Economics, 93, 102833.
31. Morgan, C., Clarkson, L., Hiscocks, R., Hopkins, I., Berry, K., Tyler, N., . . . Jacobsen, P. (2024). What should inpatient psychological therapies be for? Qualitative views of service users on outcomes. Health Expectations, 27(1), e13889.
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37. Pool, J., Akhlaghpour, S., Fatehi, F., & Burton-Jones, A. (2024). A systematic analysis of failures in protecting personal health data: a scoping review. International Journal of Information Management, 74, 102719.
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42. Sandén, U., Nilsson, F., Thulesius, H., Hägglund, M., Scandurra, I., & Harrysson, L. (2024). A perspective-taking university course for cancer survivors, loved ones and healthcare professionals. Social Sciences & Humanities Open, 9, 100769.
43. Sapkota, S., Rushton, S., van Teijlingen, E., Subedi, M., Balen, J., Gautam, S., . . . Karki, J. K. (2024). Participatory policy analysis in health policy and systems research: reflections from a study in Nepal. Health Research Policy and Systems, 22(1), 1-15.
44. Scott, V. P., & Rhee, K. E. (2024). Using the lens of trauma-informed care to inform pediatric obesity management. Current Opinion in Pediatrics, 36(1), 49-56.
45. Serrano-Guerrero, J., Bani-Doumi, M., Romero, F. P., & Olivas, J. A. (2024). A 2-tuple fuzzy linguistic model for recommending health care services grounded on aspect-based sentiment analysis. Expert Systems with Applications, 238, 122340.
46. Vasiliadis, H.-M., Lamoureux-Lamarche, C., Chapdelaine, A., Provencher, M. D., Norton, P. J., Berbiche, D., & Roberge, P. (2024). Cost-effectiveness of group transdiagnostic cognitive behavioural therapy for anxiety disorders in primary care settings: economic evaluation from the healthcare system perspective over a 1-year time horizon. The Canadian Journal of Psychiatry, 69(1), 43-53.
47. Venkataraman, A., Fatma, N., Edirippulige, S., & Ramamohan, V. (2024). Facilitators and Barriers for Telemedicine Systems in India from Multiple Stakeholder Perspectives and Settings: A Systematic Review. Telemedicine and e-Health.
48. Verma, H., Hasegawa, D., Tepper, D. L., Burger, A. P., & Weissman, M. A. (2024). Patient satisfaction with telehealth at an academic medical center primary care clinic. Telemedicine and e-Health, 30(1), 103-107.
49. Wang, B., Asan, O., & Zhang, Y. (2024). Shaping the future of chronic disease management: Insights into patient needs for AI-based homecare systems. International Journal of Medical Informatics, 181, 105301.
50. Williams, M., Carek, S. M., Mainous, A. G., Malaty, J., Naous, J., & Carek, P. J. (2024). Advanced practice providers in departments of family medicine: status, supervision, and services. The Journal of the American Board of Family Medicine, 36(6), 1058-1061.
51. Younis, H. A., Eisa, T. A. E., Nasser, M., Sahib, T. M., Noor, A. A., Alyasiri, O. M., . . . Younis, H. A. (2024). A Systematic Review and Meta-Analysis of Artificial Intelligence Tools in Medicine and Healthcare: Applications, Considerations, Limitations, Motivation and Challenges. Diagnostics, 14(1), 109.
52. Zhao, R., Fairley, C. K., Cook, A. R., Phanuphak, N., He, S., Tieosapjaroen, W., . . . Wei, Y. (2024). Optimizing HIV pre-exposure prophylaxis and testing strategies in men who have sex with men in Australia, Thailand, and China: a modelling study and cost-effectiveness analysis. The Lancet Global Health, 12(2), e243-e256.
2. Adibhatla, S., Lurie, T., Betz, G., Palmer, J., Raffman, A., Andhavarapu, S., . . . Gingold, D. B. (2024). A systematic review of methodologies and outcome measures of mobile integrated health-community paramedicine programs. Prehospital Emergency Care, 28(1), 168-178.
3. Adyas, A., Alamin, A. J., & Thabrany, H. (2024). Perspective Chapter: Including the Private Sector to Achieve Universal Health Coverage.
4. Ahmed, S. F., Alam, M. S. B., Afrin, S., Rafa, S. J., Rafa, N., & Gandomi, A. H. (2024). Insights into the Internet of Medical Things (IoMT): Data fusion, security issues and potential solutions. Information Fusion, 102, 102060.
5. Atef, H. (2024). The Impact of Digital Health on Excellence in Health Care Organizations (A Field Study by Application onBaheyaFoundation for Early Detection &Treatment of Breast Cancer). المجلة العربية للإدارة.
6. Bhardwaj, N., Pierre, G. S., Halloran, A. P., Alexander, T. C., Leung, S. H., Lu, Y., & Campbell, K. M. (2024). Failure to participate in sports: an evaluation of preparticipation physicals in a local school district. The Journal of the American Board of Family Medicine, 36(6), 1033-1037.
7. Brazeau, C. M., Chen, P.-H., Morley, C. P., & Olson, K. (2024). Impact of COVID-19 on American family physicians’ intent to retreat from clinical care. The Journal of the American Board of Family Medicine, 36(6), 905-915.
8. Buning, G. E., James, T. G., Richards, B., & McKee, M. M. (2024). Self-reported accommodation needs for patients with disabilities in primary care. The Joint Commission Journal on Quality and Patient Safety, 50(1), 59-65.
9. Chen, Y., & Lee, S. (2024). User-generated physician ratings and their effects on patients’ physician choices: Evidence from Yelp. Journal of Marketing, 88(1), 77-96.
10. Chidambaram, S., Jain, B., Jain, U., Mwavu, R., Baru, R., Thomas, B., . . . Rojo, M. (2024). An introduction to digital determinants of health. PLOS Digital Health, 3(1), e0000346.
11. Connolly, E., Mohan, S., Twea, P., Msuku, T., Kees, A., Sharma, L., . . . Manthalu, G. (2024). Revision of Malawi's Health Benefits Package: a critical policy formulation and implementation analysis. Value in Health Regional Issues, 39, 84-94.
12. Crosland, P., Ho, N., Hosseini, S. H., Vacher, C., Skinner, A., Natsky, A. N., . . . Song, Y. J. C. (2024). Cost-effectiveness of system-level mental health strategies for young people in the Australian Capital Territory: a dynamic simulation modelling study. The Lancet Psychiatry, 11(2), 123-133.
13. Crowe, C., Liu, L., Bagnarol, N., & Fried, L. (2024). Loneliness prevention and the role of the Public Health system. Perspectives in public health, 144(1), 31-38.
14. De Guzman, K. R., Snoswell, C. L., Caffery, L. J., & Smith, A. C. (2024). Economic evaluations of videoconference and telephone consultations in primary care: A systematic review. Journal of Telemedicine and Telecare, 30(1), 3-17.
15. Dubowitz, H., & Barth, R. P. (2024). We Have More Tools to Support At-Risk Families Than Just Child Protective Services With Mandated Reporting—Reply. JAMA pediatrics, 178(1), 96-97.
16. Elayan, S., Bei, E., Ferraris, G., Fisher, O., Zarzycki, M., Angelini, V., . . . von Kutzleben, M. (2024). Cohort profile: The ENTWINE iCohort study, a multinational longitudinal web-based study of informal care. PLoS ONE, 19(1), e0294106.
17. Garg, M. (2024). Mental disturbance impacting wellness dimensions: Resources and open research directions. Asian Journal of Psychiatry, 92, 103876.
18. Gillner, S. (2024). We're implementing AI now, so why not ask us what to do?–How do AI providers perceive and navigate the spread of diagnostic AI in complex healthcare systems? Social Science & Medicine, 340, 116442.
19. Holland, D., White, L. C., Pantelic, M., & Llewellyn, C. (2024). The experiences of transgender and nonbinary adults in primary care: A systematic review. European Journal of General Practice, 30(1), 2296571.
20. Kirkbride, J. B., Anglin, D. M., Colman, I., Dykxhoorn, J., Jones, P. B., Patalay, P., . . . Wright, T. (2024). The social determinants of mental health and disorder: evidence, prevention and recommendations. World psychiatry, 23(1), 58.
21. Kubota, S., Ando, M., Murray, J., Khambounheuang, S., Theppanya, K., Nanthavong, P., . . . Asai, D. (2024). A regulatory gap analysis of midwifery to deliver essential reproductive, maternal, newborn, child and adolescent health services in Lao People’s Democratic Republic. The Lancet Regional Health–Western Pacific, 43.
22. Langford, A. V., Bero, L., Lin, C.-W. C., Blyth, F. M., Doctor, J. N., Holliday, S., . . . Nielsen, S. (2024). Context matters: using an Evidence to Decision (EtD) framework to develop and encourage uptake of opioid deprescribing guideline recommendations at the point of care. Journal of Clinical Epidemiology, 165, 111204.
23. Latvis, L. A., Fick, J. W., & Dishman, L. (2024). What executive leadership competencies matter most to patient experience: A national qualitative inquiry. Psychology of Leaders and Leadership.
24. Lazarevic, B., Casola, A. R., & Chambers, C. V. (2024). COVID-19 mRNA vaccination trends among immunocompromised patients. The Journal of the American Board of Family Medicine, 36(6), 927-932.
25. Lieneck, C., Pacheco, G., Cole, M., Hipp, L., Leal, G., Matamoros, K., . . . Torres, C. (2024). Patient Co-Creation Initiatives in the Ambulatory Care Setting during COVID-19: A Systematic Review. Medicina, 60(1), 111.
26. Lin, Q., Li, X., Cai, K., Prakash, M., & Paulraj, D. (2024). Secure Internet of Medical Things (IoMT) based on ECMQV-MAC authentication protocol and EKMC-SCP blockchain networking. Information Sciences, 654, 119783.
27. Madandola, O. O., Bjarnadottir, R. I., Yao, Y., Ansell, M., Dos Santos, F., Cho, H., . . . Keenan, G. M. (2024). The relationship between electronic health records user interface features and data quality of patient clinical information: an integrative review. Journal of the American Medical Informatics Association, 31(1), 240-255.
28. Malhotra, N., & Dave, K. (2024). Dimensions and drivers of medical tourism industry: a systematic review of qualitative evidence. International Journal of Business and Globalisation.
29. McGonigle, D., & Mastrian, K. (2024). Nursing informatics and the foundation of knowledge: Jones & Bartlett Learning.
30. Mora-García, C. A., Pesec, M., & Prado, A. M. (2024). The effect of primary healthcare on mortality: Evidence from Costa Rica. Journal of Health Economics, 93, 102833.
31. Morgan, C., Clarkson, L., Hiscocks, R., Hopkins, I., Berry, K., Tyler, N., . . . Jacobsen, P. (2024). What should inpatient psychological therapies be for? Qualitative views of service users on outcomes. Health Expectations, 27(1), e13889.
32. Nadhan, A. S., & Jacob, I. J. (2024). Enhancing healthcare security in the digital era: Safeguarding medical images with lightweight cryptographic techniques in IoT healthcare applications. Biomedical Signal Processing and Control, 88, 105511.
33. Nakase-Richardson, R., Cotner, B. A., Martin, A. M., Agtarap, S. D., Tweed, A., Esterov, D., . . . Hanks, R. A. (2024). Provider perspectives of facilitators and barriers to reaching and utilizing chronic pain healthcare for persons with traumatic brain injury: a qualitative NIDILRR and VA TBI Model Systems Collaborative Project. The Journal of Head Trauma Rehabilitation, 39(1), E15-E28.
34. Nambisan, P., & Kreps, G. (2024). Designing for and Assessing Learning in Digital Health Apps and Platforms: Case Study of a Comprehensive Digital Self-care Support System (CDSSS-myHESTIA) for the Aging.
35. Ospelt, E., Hardison, H., Rioles, N., Noor, N., Weinstock, R. S., Cossen, K., . . . Ebekozien, O. (2024). Understanding providers’ readiness and attitudes toward autoantibody screening: a mixed-methods study. Clinical Diabetes, 42(1), 17-26.
36. Pan, Y.-H., Nomah, D. K., Montoro-Fernandez, M., Moreno-Fornés, S., Díaz, Y., Aceitón, J., . . . Imaz, A. (2024). The impact of the COVID-19 pandemic on healthcare services utilization among people living with HIV in Catalonia, Spain: a population-based cohort study. Enfermedades infecciosas y microbiologia clinica (English ed.).
37. Pool, J., Akhlaghpour, S., Fatehi, F., & Burton-Jones, A. (2024). A systematic analysis of failures in protecting personal health data: a scoping review. International Journal of Information Management, 74, 102719.
38. Probst, Y., Luscombe, M., Hilfischer, M., Guan, V., & Houston, L. (2024). Exploring factors to interpretation of targeted nutrition messages for people living with multiple sclerosis. Patient Education and Counseling, 119, 108039.
39. Rangel, J. C., & Humphrey‐Murto, S. (2024). Social Studies of Science and Technology: New ways to illuminate challenges in training for health information technologies utilization. Medical Education, 58(1), 27-35.
40. Roberts, R. L., Mohan, D. P., Cherry, K. D., Sanky, S., Huffman, T. R., Lukasko, C., . . . Fofanova, T. Y. (2024). Deployment of a digital advance care planning platform at an accountable care organization. The Journal of the American Board of Family Medicine, 36(6), 966-975.
41. Sach, T. H., Onoja, M., Clarke, H., Santer, M., Muller, I., Becque, T., . . . Wilczynska, S. (2024). Cost-effectiveness of two online interventions supporting self-care for eczema for parents/carers and young people. The European Journal of Health Economics, 1-12.
42. Sandén, U., Nilsson, F., Thulesius, H., Hägglund, M., Scandurra, I., & Harrysson, L. (2024). A perspective-taking university course for cancer survivors, loved ones and healthcare professionals. Social Sciences & Humanities Open, 9, 100769.
43. Sapkota, S., Rushton, S., van Teijlingen, E., Subedi, M., Balen, J., Gautam, S., . . . Karki, J. K. (2024). Participatory policy analysis in health policy and systems research: reflections from a study in Nepal. Health Research Policy and Systems, 22(1), 1-15.
44. Scott, V. P., & Rhee, K. E. (2024). Using the lens of trauma-informed care to inform pediatric obesity management. Current Opinion in Pediatrics, 36(1), 49-56.
45. Serrano-Guerrero, J., Bani-Doumi, M., Romero, F. P., & Olivas, J. A. (2024). A 2-tuple fuzzy linguistic model for recommending health care services grounded on aspect-based sentiment analysis. Expert Systems with Applications, 238, 122340.
46. Vasiliadis, H.-M., Lamoureux-Lamarche, C., Chapdelaine, A., Provencher, M. D., Norton, P. J., Berbiche, D., & Roberge, P. (2024). Cost-effectiveness of group transdiagnostic cognitive behavioural therapy for anxiety disorders in primary care settings: economic evaluation from the healthcare system perspective over a 1-year time horizon. The Canadian Journal of Psychiatry, 69(1), 43-53.
47. Venkataraman, A., Fatma, N., Edirippulige, S., & Ramamohan, V. (2024). Facilitators and Barriers for Telemedicine Systems in India from Multiple Stakeholder Perspectives and Settings: A Systematic Review. Telemedicine and e-Health.
48. Verma, H., Hasegawa, D., Tepper, D. L., Burger, A. P., & Weissman, M. A. (2024). Patient satisfaction with telehealth at an academic medical center primary care clinic. Telemedicine and e-Health, 30(1), 103-107.
49. Wang, B., Asan, O., & Zhang, Y. (2024). Shaping the future of chronic disease management: Insights into patient needs for AI-based homecare systems. International Journal of Medical Informatics, 181, 105301.
50. Williams, M., Carek, S. M., Mainous, A. G., Malaty, J., Naous, J., & Carek, P. J. (2024). Advanced practice providers in departments of family medicine: status, supervision, and services. The Journal of the American Board of Family Medicine, 36(6), 1058-1061.
51. Younis, H. A., Eisa, T. A. E., Nasser, M., Sahib, T. M., Noor, A. A., Alyasiri, O. M., . . . Younis, H. A. (2024). A Systematic Review and Meta-Analysis of Artificial Intelligence Tools in Medicine and Healthcare: Applications, Considerations, Limitations, Motivation and Challenges. Diagnostics, 14(1), 109.
52. Zhao, R., Fairley, C. K., Cook, A. R., Phanuphak, N., He, S., Tieosapjaroen, W., . . . Wei, Y. (2024). Optimizing HIV pre-exposure prophylaxis and testing strategies in men who have sex with men in Australia, Thailand, and China: a modelling study and cost-effectiveness analysis. The Lancet Global Health, 12(2), e243-e256.
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May 15, 2024
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Saleemullah, Reem Falah Alshammari, Muhammad Javed, Huma Tahir, Rayed Humaid Alreshidi, Islam Mohamed Ahmed Salih, & Ygor Rocha Fernandes. (2024). SOCIAL CAPITAL AND TRUST IN PRIMARY HEALTH CARE: INSIGHTS FROM USERS’ PERSPECTIVES. Journal of Population Therapeutics and Clinical Pharmacology, 31(5), 778–790. https://doi.org/10.53555/jptcp.v31i5.6238
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Author Biographies
Saleemullah
Associate Professor, Department of Community Medicine, Quetta Institute of Medical Sciences, Quetta, Balochistan
Reem Falah Alshammari
Assistant professor, Department of Family and Community Medicine, College of Medicine, University of Ha’il
Muhammad Javed
M. Phil Scholar, Department of Chemistry, Superior University Lahore, Pakistan,
Huma Tahir
Assistant Professor, Community Dentistry, Avicena Dental College, Lahore, Pakistan,
Rayed Humaid Alreshidi
Lecturer, MBBS, MMed, Department of Medical Education, College of Medicine, University of Hail, Hail, Saudi Arabia, ORCID: https://orcid.org/0000-0002-2358-2213
Islam Mohamed Ahmed Salih
Community Health Nursing, Faculty of Nursing, University of Health Science, Sudan,
Ygor Rocha Fernandes
MD, Digestive Endoscopy Resident, Center of Digestive Endoscopy (CEDIR), Federal University of São Paulo (UNIFESP), São Paulo, Brazil,