But what do we mean by “health”? A critical perspective on the concept of health in the adolescent transition program of a Norwegian university hospital

BMC Health Services Research

Research Article

Vegard B. B. Wyller¹  Kjersti J. Ø. Fløtten²  Anne Lee Solevåg³  Isabelle Aujoulat⁴ 

[1] Department for Paediatric and Adolescent Medicine, Akershus University Hospital, Lørenskog, Norway;Institute for Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway;Department of integrated care and health promotion, Akershus University Hospital, P.O. Box 1000, 1478, Lørenskog, Norway;Department for Paediatric and Adolescent Medicine, Akershus University Hospital, Lørenskog, Norway;Institute for Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway;Division of Paediatric and Adolescent Medicine, Oslo University Hospital, Oslo, Norway;UCLouvain, Institute of Health & Society, Brussels, Belgium;

关键词: Adolescent;    Chronic illness;    Transition;    Patient education;    Qualitative research;   

DOI  :  10.1186/s12913-022-08903-5

 received in 2022-07-18, accepted in 2022-11-28,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundTo understand better what influences the practice of our transition program, we wanted to explore the underlying theory of health.MethodsWe performed a qualitative content analysis of the written material that guides the program, comprising a quality system guideline, two checklists, a guide to health professionals and managers, and three patient brochures.ResultsThe analysis resulted in the formulation of three themes; “Being on top of medical management”, “Ability to promote own health” and “Awareness of own goals and expectations”.ConclusionOur analysis indicates that the program content revolves mainly around medical management and that other dimensions of health are not emphasised. We question what the goals of the program are and if these goals are explicit and shared among the program stakeholders. An explicit program theory is vital and needs to be evident in material supporting transition programs.

【 授权许可】

CC BY   
© The Author(s) 2022