2011
Qualitative study of high-cost patients in an urban primary care centre
Sledge WH, Wieland M, Sells D, Walden D, Holmberg C, Zhenqiu Lin, Davidson L. Qualitative study of high-cost patients in an urban primary care centre. Chronic Illness 2011, 7: 107-119. PMID: 21273219, DOI: 10.1177/1742395310388673.Peer-Reviewed Original ResearchConceptsPrimary care patientsCare patientsCare giversUrban primary care centerResource-poor neighborhoodsPrimary care centersMultiple chronic illnessesMedical service costsHigh-cost patientsUrban clinicCare centerDoctor-patient relationshipChronic illnessExperience of illnessPatientsCost patientsPatients' accountsIllnessHealthcare systemCareRecent studiesQualitative studyMaladaptive consequencesGiversClinic
2009
Cascading crises, resilience and social support within the onset and development of multiple chronic conditions
Sells D, Sledge WH, Wieland M, Walden D, Flanagan E, Miller R, Davidson L. Cascading crises, resilience and social support within the onset and development of multiple chronic conditions. Chronic Illness 2009, 5: 92-102. PMID: 19474232, DOI: 10.1177/1742395309104166.Peer-Reviewed Original ResearchConceptsSocial supportMultiple chronic conditionsMultiple chronic illnessesAvailable social supportChronic conditionsPersonal resilienceIllness onsetChronic illnessRetrospective accountsPersonal identityPatterns of adaptationAdult responsesSemi-structured interviewsUrban primary care clinicParticipants' responsesPrimary care clinicsCare clinicsNeeds of personsSubsequent adaptationQualitative studyResilienceCascading crisesDistinct patternsSupportIllness