{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T06:04:45Z","timestamp":1767852285789,"version":"3.49.0"},"reference-count":39,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,11,19]],"date-time":"2015-11-19T00:00:00Z","timestamp":1447891200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100007212","name":"V\u00e4stra G\u00f6talandsregionen","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007212","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Scandinavian Caring Sciences"],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:p>Studies indicate that the time from onset of symptoms to medical treatment has decreased in acute myocardial infarction (AMI). However, there are still variations indicating that women wait longer than men before making the decision to seek medical care. Multidimensional factors hindering and facilitating the decision have been identified in previous studies, though few have fully explored how social context affects women's expectations, interpretations and actions and so influences the decision\u2010making process. The aim of this study was therefore to identify how women's experiences interacted and influenced the decision to seek medical care at their first <jats:styled-content style=\"fixed-case\">AMI<\/jats:styled-content>. Seventeen women, aged 38\u201375 years, were interviewed, at home or in the hospital, between <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>une 2011 and <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>ay 2012. Grounded theory was used as a method, and data collection and analysis were carried out simultaneously. The results showed that before deciding to seek medical care, these women went through three defined but interrelated processes that together hindered their normal activities and made them act according to existential needs. The women's experiences of the progression of the disease, in terms of both symptoms and time, were very different, so they sought medical care at different times, sometimes life\u2010threateningly late and sometimes before developing an AMI. Three mechanisms had to coincide if the women were to receive medical care. First, the women had to acknowledge their symptoms as something more than common bodily changes. Second, the healthcare system had to be accessible when the women made their decision to seek care. Third, the women must have come into contact with healthcare providers when the heart muscle had taken enough damage to measure.<\/jats:p>","DOI":"10.1111\/scs.12286","type":"journal-article","created":{"date-parts":[[2015,11,19]],"date-time":"2015-11-19T06:52:49Z","timestamp":1447915969000},"page":"670-677","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Women's help\u2010seeking behaviour during a first acute myocardial infarction"],"prefix":"10.1111","volume":"30","author":[{"given":"Anna","family":"Gyberg","sequence":"first","affiliation":[{"name":"Institute of Health and Care Sciences University of Gothenburg Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lena","family":"Bj\u00f6rck","sequence":"additional","affiliation":[{"name":"Institute of Health and Care Sciences University of Gothenburg Gothenburg Sweden"},{"name":"Department of Molecular and Clinical Medicine Sahlgrenska Academy University of Gothenburg Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susanne","family":"Nielsen","sequence":"additional","affiliation":[{"name":"Department of Molecular and Clinical Medicine Sahlgrenska Academy University of Gothenburg Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sylvia","family":"M\u00e4\u00e4tt\u00e4","sequence":"additional","affiliation":[{"name":"Institute of Health and Care Sciences University of Gothenburg Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristin","family":"Falk","sequence":"additional","affiliation":[{"name":"Institute of Health and Care Sciences University of Gothenburg Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,11,19]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2261-14-9"},{"key":"e_1_2_10_3_1","unstructured":"AllenderS ScarboroughP PetoV RaynerM LealJ Luengo\u2010FernandezR GrayA.European cardiovascular disease statistics. 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