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Developing a Multilevel Understanding of Heart Disease: An Interview Study of MONICA Participants in an Australian Center

Centre for Clinical Epidemiology and Biostatistics at the University of Newcastle

This study explored the experiences of people hospitalized with heart disease at each of four levels: personal, interpersonal, organizational, and societal. Twenty patients (and 13 family members) who were in the hospital during 1994 with heart problems and who were recruited to a large epidemiologic project were interviewed. The interviews were audiotaped and the transcriptions subjected to qualitative analysis to identify emergent themes at each of the four levels and links between the levels. Results of this study can be used to examine (a) prevention messages, (b) techniques to enhance the therapeutic impact of the doctor-patient relationship in light of patients' etiological beliefs, and (c) patients' evaluation of the medical profession in light of the financial impact of heart disease. This study demonstrates how a multilevel analysis of patients' health and illness experiences can be used to better equip health care providers and educators in their exchanges with future heart disease patients.

Qualitative Health Research, Vol. 7, No. 4, 468-486 (1997)
DOI: 10.1177/104973239700700403


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