Limited knowledge and distrust are important social factors of out‐patient’ s ‘inappropriate diagnosed seeking behaviour’: a qualitative research in Shanghai

Yuhui Ruan, Chenyang Zhuang, Weisin Chen, Jinyu Xie, Yaodong Zhao, Lufa Zhang and Hong Lin

International Journal of Health Planning and Management, 2021, vol. 36, issue 3, 847-865

Abstract: Aims This study is designed to present out‐patient's ‘inappropriate diagnosed seeking behaviour’ in tertiary hospitals and interpret its association with some potential social factors. Methods A qualitative study based on grounded theory was designed in this paper. The participates were recruited by a two‐stage process. The field observation and in‐depth interview were adopted for data collection. Multi‐round (five rounds) sampling and continuing data analysis were adopted as well. Results Totally 26 out‐patients from three tertiary hospitals in Shanghai were involved. Four focused codes, including ‘limited policy‐related knowledge’, ‘limited health‐related knowledge’, ‘distrust on related policy’ and ‘distrust on medical networks’, were identified. Then, a theoretical model about the association of out‐patient's ‘limited knowledge’ with ‘distrust’ and its relationship with ‘inappropriate first‐diagnosed seeking behaviour’ in tertiary hospitals was developed. Conclusion ‘Inappropriate first‐diagnosed seeking behaviour’ of the out‐patients in tertiary hospitals is closely associated with their limited knowledge and related distrust. Great effort on improving publics' knowledge and rebuilding a benign trust relationship with out‐patients and the medical networks is found to be essential for guiding publics' appropriate first‐diagnosed health behaviour in various levels of medical institutions.

Date: 2021
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