[Approaches of general practitioners and patients to multimorbidity. Qualitative study]

Z Gerontol Geriatr. 2015 Jul;48(5):452-6. doi: 10.1007/s00391-014-0820-9. Epub 2014 Oct 7.
[Article in German]

Abstract

Background: For general practioners (GP) the treatment of patients suffering from multimorbidity is an everyday challenge. For these patients guidelines which each focus on a specific chronic disease cannot be applied comprehensively and equally; therefore, it is necessary to prioritize.

Objective: Given this situation the study aimed at analyzing how GPs and patients deal with this challenge and what their priorities are.

Material and methods: Narrative interviews were conducted with 9 GPs and 19 of their multimorbid patients. The data were analyzed by means of content analysis.

Results: The majority of interviewed patients felt well or very well cared for by their GPs; however, GPs and multimorbid patients often had relatively different priorities. Whereas GPs mostly focused on the management of diseases that could lead to life-threatening situations, patients put an emphasis on maintaining autonomy and a social life.

Conclusion: The results of this study suggest that there is room for development in the way GPs and multimorbid patients communicate with each other, particularly as far as shared priority setting is concerned.

Publication types

  • English Abstract

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Comorbidity*
  • Female
  • General Practice / organization & administration*
  • General Practitioners / organization & administration*
  • General Practitioners / psychology
  • Germany
  • Humans
  • Male
  • Middle Aged
  • Narration
  • Patient Care Planning / organization & administration
  • Patient Participation / methods*
  • Patient Participation / psychology
  • Patient Satisfaction*
  • Physician-Patient Relations*
  • Young Adult