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Problems and challenges in relation to the treatment of patients with multimorbidity: General practitioners' views and attitudes.

S√łndergaard E, Willadsen TG, Guassora AD, Vestergaard M, Tomasdottir MO, Borgquist L, Holmberg-Marttila D, Olivarius Nde F, Reventlow S - Scand J Prim Health Care (2015)

Bottom Line: A total of 180 GPs and researchers.The participants supported the development of a future research strategy to improve the treatment of patients with multimorbidity.Four main areas were identified, which need to be investigated further to improve care for this steadily growing patient group.

View Article: PubMed Central - PubMed

Affiliation: The Research Unit for General Practice and Section of General Practice, Department of Public Health, University of Copenhagen , Copenhagen , Denmark.

ABSTRACT

Objective: To explore views and attitudes among general practitioners (GPs) and researchers in the field of general practice towards problems and challenges related to treatment of patients with multimorbidity.

Setting: A workshop entitled Patients with multimorbidity in general practice held during the Nordic Congress of General Practice in Tampere, Finland, 2013.

Subjects: A total of 180 GPs and researchers.

Design: Data for this summary report originate from audio-recorded, transcribed verbatim plenary discussions as well as 76 short questionnaires answered by attendees during the workshop. The data were analysed using framework analysis.

Results: (i) Complex care pathways and clinical guidelines developed for single diseases were identified as very challenging when handling patients with multimorbidity; (ii) insufficient cooperation between the professionals involved in the care of multimorbid patients underlined the GPs' impression of a fragmented health care system; (iii) GPs found it challenging to establish a good dialogue and prioritize problems with patients within the timeframe of a normal consultation; (iv) the future role of the GP was discussed in relation to diminishing health inequality, and current payment systems were criticized for not matching the treatment patterns of patients with multimorbidity.

Conclusion: The participants supported the development of a future research strategy to improve the treatment of patients with multimorbidity. Four main areas were identified, which need to be investigated further to improve care for this steadily growing patient group.

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Related in: MedlinePlus

The data collection embedded in the workshop.
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Figure 1: The data collection embedded in the workshop.

Mentions: All participants were invited to complete short, open-ended questionnaires with their reflections and thoughts on the themes of the workshop in relation to the key question (see web appendix). Of the 180 participants, 76 (42%) filled in the questionnaire and 69 of them provided information on their professional background. Of these, 62 (90%) were GPs or GP trainees. The material for our analysis consisted of the short questionnaires, recorded and transcribed plenary discussions, and notes, which were taken by two rapporteurs during the discussions (Figure 1).


Problems and challenges in relation to the treatment of patients with multimorbidity: General practitioners' views and attitudes.

S√łndergaard E, Willadsen TG, Guassora AD, Vestergaard M, Tomasdottir MO, Borgquist L, Holmberg-Marttila D, Olivarius Nde F, Reventlow S - Scand J Prim Health Care (2015)

The data collection embedded in the workshop.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4834499&req=5

Figure 1: The data collection embedded in the workshop.
Mentions: All participants were invited to complete short, open-ended questionnaires with their reflections and thoughts on the themes of the workshop in relation to the key question (see web appendix). Of the 180 participants, 76 (42%) filled in the questionnaire and 69 of them provided information on their professional background. Of these, 62 (90%) were GPs or GP trainees. The material for our analysis consisted of the short questionnaires, recorded and transcribed plenary discussions, and notes, which were taken by two rapporteurs during the discussions (Figure 1).

Bottom Line: A total of 180 GPs and researchers.The participants supported the development of a future research strategy to improve the treatment of patients with multimorbidity.Four main areas were identified, which need to be investigated further to improve care for this steadily growing patient group.

View Article: PubMed Central - PubMed

Affiliation: The Research Unit for General Practice and Section of General Practice, Department of Public Health, University of Copenhagen , Copenhagen , Denmark.

ABSTRACT

Objective: To explore views and attitudes among general practitioners (GPs) and researchers in the field of general practice towards problems and challenges related to treatment of patients with multimorbidity.

Setting: A workshop entitled Patients with multimorbidity in general practice held during the Nordic Congress of General Practice in Tampere, Finland, 2013.

Subjects: A total of 180 GPs and researchers.

Design: Data for this summary report originate from audio-recorded, transcribed verbatim plenary discussions as well as 76 short questionnaires answered by attendees during the workshop. The data were analysed using framework analysis.

Results: (i) Complex care pathways and clinical guidelines developed for single diseases were identified as very challenging when handling patients with multimorbidity; (ii) insufficient cooperation between the professionals involved in the care of multimorbid patients underlined the GPs' impression of a fragmented health care system; (iii) GPs found it challenging to establish a good dialogue and prioritize problems with patients within the timeframe of a normal consultation; (iv) the future role of the GP was discussed in relation to diminishing health inequality, and current payment systems were criticized for not matching the treatment patterns of patients with multimorbidity.

Conclusion: The participants supported the development of a future research strategy to improve the treatment of patients with multimorbidity. Four main areas were identified, which need to be investigated further to improve care for this steadily growing patient group.

Show MeSH
Related in: MedlinePlus