Primary health care research & development最新文献

{"title":"Cardiovascular risk evaluation of foreign national incarcerated men in a closed prison in Istanbul, Türkiye.","authors":"Yasemin Doğan Kaya, Bahattin Cenk, Arzu Uzuner","doi":"10.1017/S1463423626101947","DOIUrl":"10.1017/S1463423626101947","url":null,"abstract":"<p><strong>Aim: </strong>This study aims to evaluate the cardiovascular disease risk and related factors among incarcerated individuals in a closed prison.</p><p><strong>Background: </strong>Cardiovascular diseases represent a leading cause of global mortality, among incarcerated individuals facing heightened risks attributable to environmental and lifestyle factors.</p><p><strong>Methods: </strong>This cross-sectional study was conducted with foreign-nationed inmates aged 40-69 at Maltepe No. 3 L-Type Closed Prison in Istanbul, Türkiye, using World Health Organization (WHO) risk assessment tools. Data has been collected from January to March 2023 through in-person interviews, anthropometric assessments, and laboratory tests.</p><p><strong>Findings: </strong>Of the 366 participants, all of them were male, mean age was 47.4 years (±6.2), as ethnic origin 74.6% were Asian. The median cardiovascular risk score was 6% (range: 1-52%), 74.6% classified as low-risk, 21.0% as moderate-risk, and 4.4% as high or very high-risk. Significant predictors of elevated cardiovascular risk included advanced age (p < 0.001), smoking (p < 0.001), systolic/diastolic hypertension (p < 0.001), and abdominal obesity (p = 0.005). Individuals exhibiting high-risk profiles showed increased levels of total cholesterol, LDL-C, HbA1c, and fasting blood glucose (p < 0.001). No correlation was found between incarceration duration and cardiovascular risk.</p><p><strong>Conclusions: </strong>This study emphasises the importance of individual health evaluation including BMI and cardiovascular risk assessment and implementing preventive measures, such as smoking cessation, healthy diet and exercise programmes to protect low-and moderate-risk individuals and to lower the high risk as normal population. These preventive health services can be provided in primary care centres located in prison settlement.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"27 ","pages":"e121"},"PeriodicalIF":1.7,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149083201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Availability and accessibility of Primary Health Care services in a district of Bangladesh with lower health outcomes: a study based on consumer perceptions.","authors":"Masuma Mannan, Trishna M Thakuria, Liaquat Ali","doi":"10.1017/S1463423626101662","DOIUrl":"10.1017/S1463423626101662","url":null,"abstract":"<p><strong>Background: </strong>Consumer perspectives in Primary Health Care (PHC) need further exploration in Bangladesh. The study aimed to explore consumer-perception-based availability and accessibility of PHC services, along with equity, in a lower health outcome district.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in the low-performing district, Moulvibazar. Adult Health Care Consumers (HCCs, <i>n</i> = 417), attending PHC facilities were purposively selected and data were collected through face-to-face interviews. Individual questions were weighted, and Self-Reported Availability Score (SRAvS) and Self-Reported Accessibility Score (SRAcS) were derived (0-100% scale). Equities in availability and accessibility were explored by analysing gender (male-female), location (rural-urban), and Income-Quintiles (InQ).</p><p><strong>Findings: </strong>Proportions of HCCs perceiving availability of services were low: laboratory diagnosis (19%), nutrition-health education (31%), basic emergency (49%), and 'most of the time drug supply' (18%). Of HCCs, 43% visited other facilities. Accessibility was fair (eg, waiting time ≤30 minutes for 86% and <one hour for 11%). Median SRAvS ranged from 42 to 52 with no difference between any of the two gender-, location-, or InQ-based groups. Median SRAcS ranged from 65 to 95 and it was significantly lower among urban vs rural (<i>p</i> < 0.001) subgroups. In the regression analysis, higher age (<i>p</i> = 0.041), female gender (<i>p</i> < 0.001) and urban location (<i>p</i> = 0.049) were found to be significantly associated with lower SRAcS.</p><p><strong>Conclusion: </strong>Comprehensive availability of PHC services is poor in a low-performing district of Bangladesh. Overall accessibility to PHC services is relatively better, but it is lower for urban consumers. Gender, location and socioeconomic status are important factors to modulate inequities in service availability and accessibility.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"27 ","pages":"e110"},"PeriodicalIF":1.7,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Embedding inclusion health in undergraduate medical education: a curriculum development report from Anglia Ruskin University.","authors":"Elizabeth Louise Field, Jo-Anne Johnson, Sanjiv Ahluwalia, Colin Melville, Margaret Greenfields","doi":"10.1017/S146342362610187X","DOIUrl":"10.1017/S146342362610187X","url":null,"abstract":"<p><strong>Background: </strong>Inclusion health focuses on populations systematically excluded from healthcare including people experiencing homelessness, vulnerable migrants, and those with justice system involvement. Despite political commitments to National Health Service (NHS) equity, inclusion health remains inconsistently embedded in undergraduate medical curricula. This curriculum development report describes an educator workshop undertaken to identify priorities and practical strategies for embedding inclusion health within a medical school curriculum.</p><p><strong>Methods: </strong>A structured workshop was conducted during Anglia Ruskin University School of Medicine's 2025 Annual Educator Day. Multidisciplinary educators from a range of organisations participated. Small-group discussions explored four areas: populations affected by healthcare exclusion, barriers to access and engagement, challenges to student involvement in inclusion health settings, and opportunities for curriculum development. Emerging priorities were shared during a plenary session to confirm resonance with discussions. Subsequent structured thematic synthesis of facilitator notes identified curriculum priorities and implementation strategies.</p><p><strong>Curriculum development outcomes: </strong>Educators described current inclusion health exposure as incidental, fragmented, and insufficiently supported. Key challenges included stigma, mistrust, digital exclusion, limited placement capacity, and a lack of structured student preparation and debriefing. Priorities for curriculum development included longitudinal community-based primary care placements, stronger partnerships with third-sector organizations and people with lived experience, integration of inclusion health across professionalism, leadership and wellbeing teaching, and incorporation of inclusion health competencies into assessment.</p><p><strong>Implications for primary health care education: </strong>Embedding inclusion health within undergraduate medical education requires intentional curriculum design aligned with primary care realities, national policy, and assessment frameworks. Development-focused approaches offer practical routes to strengthening equity-focused competencies across both newly established and long-standing medical schools.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"27 ","pages":"e114"},"PeriodicalIF":1.7,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Universality in daily primary care practice: a qualitative study of mental health management in Italy and Spain.","authors":"Roberto Giosa","doi":"10.1017/S1463423626101923","DOIUrl":"10.1017/S1463423626101923","url":null,"abstract":"<p><strong>Aim: </strong>This article examines how general practitioners (GPs) in Italy and Spain manage patients with mental health needs in daily primary care practice, and how their discretionary choices shape the substantive reach of universal access to care.</p><p><strong>Background: </strong>Modern healthcare systems in Italy and Spain formally guarantee universal access to primary care. However, mental health services in primary care reveals persistent gaps between this normative principle and everyday practice. Drawing on Lipsky's Street-Level Bureaucracy (SLB) theory, GPs are understood as frontline professionals whose discretion operates within, and is shaped by, conditions of resource scarcity, time pressure, and limited access to psychosocial services.</p><p><strong>Methods: </strong>A qualitative cross-national design was employed, including 42 semi-structured interviews with 20 GPs and 22 patients with mental health needs in Spain and Italy, conducted between June and November 2022. Data were analysed through an inductive-deductive coding process.</p><p><strong>Findings: </strong>Two principal patterns of discretionary practice emerged. First, GPs exercise discretion differentially by patient age: investing in psychoeducation, counselling, and motivational support with younger patients, while moving more rapidly towards pharmacological management with older patients. This age-based categorization operates as a coping strategy that shapes patients' candidacy for psychosocial versus pharmacological care. Second, GPs actively normalize psychological distress as a counter-medicalization strategy, primarily with younger patients. Despite significant institutional differences between the two healthcare systems, these patterns converge across Italy and Spain, suggesting they reflect structural features of the SLB role under resource scarcity rather than system-specific dynamics.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"27 ","pages":"e116"},"PeriodicalIF":1.7,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating life and health care. A qualitative study of the lived experience of complex multimorbidity in Denmark.","authors":"Anne Grøndahl Poulsen, Mia Fredens, Stina Lou, Nasrin Tayyari Dehbarez, Camilla Palmhøj Nielsen, Lotte Groth Jensen","doi":"10.1017/S1463423626101832","DOIUrl":"10.1017/S1463423626101832","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to explore how individuals with complex multimorbidity perceive and experience the management of their health in everyday life and healthcare encounters.</p><p><strong>Background: </strong>Patients with two or more health conditions may be challenging for general practitioners (GPs) who must provide adequate treatment(-s) in a healthcare system structured mainly around single-disease models. For patients, the lived experience of this multimorbidity can be demanding, as it often involves managing multiple appointments, medications, and medical advice alongside everyday life. This situation may be particularly challenging for patients who live with multiple physical and mental health conditions.</p><p><strong>Methods: </strong>Semi-structured individual interviews with eight individuals with complex multimorbidity living in Denmark. Analysis was guided by thematic analysis.</p><p><strong>Findings: </strong>The analysis resulted in two main themes. First, 'Multiple diagnoses - not multimorbidity' describes how the participants did not expect overall continuity <i>across</i> diagnoses but appreciated recognition of the cumulative burden of multimorbidity. They expected continuity <i>within</i> each speciality and developed agentic strategies to achieve this. Some were successful; others were not. Second, 'Managing treatment and illness in everyday life' describes how the participants navigated tensions between medical recommendations and personal priorities as they deliberately pursued valued activities at the expense of their long- or short-term health. A professional lifeline, was a significant support for the participant. This person was often the GP. These findings underscore the active role of patients and the GP's role in recognizing their resources to develop patient-centred care that is responsive to and realistic for the individual patient.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"27 ","pages":"e112"},"PeriodicalIF":1.7,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing the null curriculum: a targeted intervention for public speaking anxiety in family medicine residents.","authors":"Mehmet Kibar, Erhan Şimşek","doi":"10.1017/S1463423626101856","DOIUrl":"10.1017/S1463423626101856","url":null,"abstract":"<p><strong>Aim: </strong>To characterise baseline levels and contextual triggers of public speaking anxiety (PSA) among family medicine residents and to examine whether a theory-driven educational intervention was associated with short-term changes in PSA across cognitive, behavioural, and psychological dimensions.</p><p><strong>Background: </strong>Effective communication is a core competency in primary healthcare. However, while clinical consultation skills are prioritised, academic presentation skills are systematically absent from most family medicine residency curricula. This 'null curriculum' leaves primary care trainees unprepared for professional advocacy, academic leadership, and teaching roles.</p><p><strong>Methods: </strong>A quasi-experimental one-group pre-test-post-test study was conducted involving 199 family medicine residents at a tertiary hospital in Türkiye. A theory-based single-session educational intervention was delivered. PSA was measured using the validated Turkish Public Speaking Anxiety Scale (PSAS). The study was reported in accordance with TREND and CRISP guidelines for primary care research.</p><p><strong>Findings: </strong>Before the intervention, 87.4% of residents had never received formal PSA training. Academic instructors were the most frequently reported source of anxiety (82.9%) compared with patient encounters (4.0%). Following the intervention, total PSAS scores were associated with a statistically significant short-term decrease (<i>p</i> < 0.001). Significant short-term reductions were observed across cognitive (<i>p</i> = 0.005), behavioural (<i>p</i> < 0.001), and psychological (<i>p</i> < 0.001) dimensions. In exploratory subgroup analyses, married residents (<i>p</i> = 0.026) and senior residents (<i>p</i> = 0.002) appeared to experience larger short-term improvements, although these findings should be interpreted cautiously. These findings suggest that structured educational support may be beneficial for a subset of family medicine residents and that academic presentation skills warrant consideration as part of residency training; however, given the mixed individual-level responses and absence of a control group, this recommendation should be treated as preliminary pending controlled longitudinal evidence.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"27 ","pages":"e113"},"PeriodicalIF":1.7,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How are community participation and empowerment processes shaped and fostered in practice in community health centres in Emilia-Romagna, Italy? A qualitative study.","authors":"Daniela Rosalba Luisi, Kerstin Hämel","doi":"10.1017/S1463423626101777","DOIUrl":"10.1017/S1463423626101777","url":null,"abstract":"<p><strong>Aim: </strong>This study examines how community participation and empowerment processes are shaped and fostered in practice in the context of community health centres (CHCs) in Emilia-Romagna, Italy.</p><p><strong>Background: </strong>European health care systems are encouraged to make their primary health care more people centred. With the introduction of CHCs, Italy is promoting this development. In this context, community participation and empowerment represent important features.</p><p><strong>Methods: </strong>This qualitative study draws on the experiences of practitioners and stakeholders working in the field of community participation and empowerment in CHCs. We conducted 19 in-depth interviews and our interviewees provided descriptions from 14 good-practice CHCs. The examples were organized according to different levels of participation, thus highlighting four themes: a) connecting with the community by informing, meeting, and proposing activities; b) consulting with the community to identify its needs; c) collaborating with the community (including prior consultation); and d) the community as the leader of the process.</p><p><strong>Findings: </strong>In terms of the four themes and the extent of involvement, we identified a variety of processes aimed at supporting community participation and empowerment and provided various examples. We described the different goals of community participation and empowerment (e.g., the appropriateness, accessibility and visibility of CHC services; improved health; the mobilization of community resources; the construction of supportive networks; and the creation of spaces for capacity-building), the interviewees' reported potential benefits; the community participation methods used (e.g., world cafés, workshops) and the different target groups addressed (e.g., specific disadvantaged groups or entire local community).</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"27 ","pages":"e111"},"PeriodicalIF":1.7,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perspectives on standardized screening for social needs in primary care: a qualitative study.","authors":"Aaron Switzer-Rodriguez, Jinfan Qiang, Barjot Gill, Natricha Levy McFarlane, Ellah San Antonio, Dana Howse, Itunuoluwa Adekoya, Alannah Delahunty-Pike, Leanne Kosowan, Abigail Zita Seshie, Eunice Abaga, Marjeiry Robinson, Alexander Zsager, Dorothy Senior, Kris Aubrey-Bassler, Emily Gard Marshall, Nazeem Muhajarine, Cory Neudorf, Stephanie Garies, Andrew D Pinto","doi":"10.1017/S1463423626101467","DOIUrl":"10.1017/S1463423626101467","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to explore patient perspectives on standardized screening for social needs within the context of primary care in Canada.</p><p><strong>Background: </strong>Social determinants of health significantly influence patient health outcomes. While standardized screening for patient social needs has gained momentum, patient perspectives on the utility of said screening, particularly within the Canadian context, remains underexplored.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with participants aged 18 and older (n = 195), recruited from a larger multi-site study, using purposive maximum-variation sampling across four Canadian provinces (Ontario, Manitoba, Saskatchewan, and Newfoundland and Labrador). Questions asked during the interviews focused on financial well-being (ability to afford basic needs), housing status, social well-being, transportation, ability to afford utilities, and employment status. These interviews followed another study component where participants were asked to complete a short social needs questionnaire (the SPARK tool). Data was analysed using a thematic content analysis. Five themes were generated, including (1) openness to screening for social needs, (2) value in healthcare providers knowing patients' social needs, (3) overall scepticism and trust/distrust in the healthcare system and professionals; (4) potential for harm; (5) meaningful engagement and provider training on social needs.</p><p><strong>Findings: </strong>Participants were generally comfortable being asked about their social needs but stressed the importance of privacy, especially regarding financial well-being (ability to afford basic needs and extended health-care related expenses), as well as clear usefulness of the data and building physician-patient trust. Participants were generally open to social needs screening, though discomfort emerged when discussing race, employment, housing, and financial well-being, largely driven by concerns about privacy, trust, and data use. These findings highlight the importance of transparent communication, robust data governance, and explicit informed consent to support acceptable and effective implementation of social needs data collection.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"27 ","pages":"e109"},"PeriodicalIF":1.7,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"General practitioners' and radiologists' expectations of ankle radiography for chronic complaints - a focus group study.","authors":"Sabine Kloprogge, Mirna Chamoro, Dieuwke Schiphof, Nienke Katier, Patrick Bindels, Sita Bierma-Zeinstra, Marienke van Middelkoop","doi":"10.1017/S1463423626101418","DOIUrl":"10.1017/S1463423626101418","url":null,"abstract":"<p><strong>Aim: </strong>To explore general practitioners' and radiologists' expectations of ankle radiography for chronic complaints.</p><p><strong>Background: </strong>Ankle complaints are a frequent reason for general practitioner (GP) consultations and ±20% of ankle radiography requests are for chronic complaints. It is unknown what GPs and radiologists expect from ankle radiography for chronic complaints.</p><p><strong>Methods: </strong>A qualitative study was conducted with GPs and radiologists. Semi-structured focus group discussions were held online or live until data saturation was reached. The topic guide included: reasons for radiography, content of requests and reports, and the impact of results on patient management. The recorded interviews were transcribed and subsequently coded inductively in Max-QDA.</p><p><strong>Findings: </strong>Five focus groups with 24 GPs and 3 focus groups with 11 radiologists were held. Radiologists focussed more on urgent diagnoses that were less considered by GPs for their rareness. GPs indicated to request ankle radiography more often for patient-, physician-related and organizational reasons than for medical indications. Radiologists expect requests to include a specific question accompanied by applicable clinical information including a specific pain location. GPs in their turn expect a short conclusion of the report answering their question.</p><p><strong>Conclusions: </strong>GPs and radiologists have different expectations of radiography for chronic ankle complaints. Important in GPs' rationale behind requesting ankle radiography for chronic complaints are non-medical factors and prevalence of ankle disorders, while radiologists also focus on more rare diagnoses than GPs. More research on the added value and accuracy of ankle radiography for chronic complaints in primary care settings is necessary.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"27 ","pages":"e108"},"PeriodicalIF":1.7,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149070640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Finding their voice: how do consumers experience a community-based transition care programme?","authors":"Michelle M Shannon, Alesha M Sayner, Judith B Goroncy, Naomi S Jones, Catherine M Said","doi":"10.1017/S1463423626101716","DOIUrl":"10.1017/S1463423626101716","url":null,"abstract":"<p><strong>Background: </strong>Community-based programmes exist to support older people and their caregivers remaining out of hospital on discharge. Little is known about how consumers of a community-based programme perceive the different components provided during community TCP.</p><p><strong>Aim: </strong>To explore how older people and caregivers perceive how a transition care programme (community-based TCP) influenced older people staying at home following hospital discharge. Secondly, to assess if experience of TCP could be explained by the person-centred care model (PCC).</p><p><strong>Methods: </strong>Both (i) older people and (ii) caregivers were interviewed at a single metropolitan health setting. Experiences leaving hospital, the challenges, and the TCP components identified that supported or hindered consumers to remain at home were explored. Thematic content analysis was used to examine the two consumer groups separately. Secondarily, a mapping exercise assessed if PCC could be identified during analysis.</p><p><strong>Findings: </strong>Fifteen interviews (older people (<i>n</i> = 8), caregivers (<i>n</i> = 7)) were conducted between April 2019 and January 2021. There were <i>seven older people themes</i> including, (i) Limited understanding of TCP content, (ii) Things are different once home, (iii) Developing action plans for continence care, (v) Developing action plans for walking. <i>Three caregiver themes</i> including, (i) Challenges with the discharge home on many fronts, (ii) Getting the right resources in the right way, were found. Most thematic sub-groups could be mapped to PCC constructs (6/9 (67%) caregiver, 5/9 (56%) older people). Health and social care resources are acknowledged, particularly equipment and information access, however gaps exist in how TCP fully aligns with PCC, according to consumers.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"27 ","pages":"e105"},"PeriodicalIF":1.7,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}