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Annals of Family Medicine 3:537-544 (2005)
© 2005 Annals of Family Medicine, Inc.
doi: 10.1370/afm.346
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How Experiencing Preventable Medical Problems Changed Patients’ Interactions With Primary Health Care

Nancy C. Elder, MD, MSPH1, C. Jeffrey Jacobson, PhD1, Therese Zink, MD, MPH2 and Lora Hasse, PhD3

1 Department of Family Medicine, University of Cincinnati, Cincinnati, Ohio
2 Department of Research, Olmstead Medical Center, Rochester, Minn
3 Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio



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  		Figure 1. Solicitation of local primary care patients to participate in the semistructured interviews.

 


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  		Figure 2. Model of behavioral responses relating to trust.

A proposed model of patients’ behavioral responses relating to trust in the health care system. Those who describe avoidance or advocacy behaviors after experiencing preventable problems were more likely to express loss of trust in aspects of health care.

 


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  		Figure 3. Model of behavioral responses relating to potential impact.

A proposed model of patients’ behavioral responses relating to their potential impact on health care practice. Those who described anticipation or advocacy behaviors after experiencing a preventable medical problem may be more likely to impact the practice of health care.

 




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