ArticleBMC health services research2025
Negative experiences with primary care services in Norway expressed in patient and next-of-kin complaints - a qualitative study.
Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Unclear boundaries: Family caregivers' invisible role in home-based palliative care in Norway: an exploratory analysis of secondary data from two previous studies.International journal of nursing studies advances · 2026Article
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Authors and funding
3 authors.
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Abstract
backgroundPrimary health care has been central to achieving universal health coverage. In Norway, there has been increased pressure on primary care services in recent years. Patient complaints offer key insights into care quality, and qualitative analysis of patient complaints can help healthcare professionals reflect on and improve their practices. The aim of this study is to provide an understanding of negative experiences with primary care in Norway, as expressed in complaints to the Health and Social Services Ombudsman (Ombudsman).
methodsAn explorative descriptive qualitative design was employed. Document analysis was used to examine earlier complaints. A total of 221 complaints were analysed via reflexive thematic analysis. The participants consisted of a sample of patients and next of kin who made complaints regarding primary care services to the Ombudsman in Norway in 2019.
resultsFour themes were developed through thematic analysis: 1) the services patients received did not align with their perceived needs; 2) patients experienced disrupted transitions between healthcare services; 3) patients and next of kin encountered substandard case handling; and 4) insufficient services placed a heavy burden on next of kin. These findings were integrated to a patient-centred framework to provide structure and make them more accessible to healthcare providers.
conclusionsThis study highlights the challenges faced by patients and their next of kin related to Norwegian primary care services, pointing to a gap between the expected quality of healthcare services and the services received and to nudging next of kin to provide informal care.
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