Primary care practitioner and patient understanding of the concepts of multimorbidity and self-management: A qualitative study:

SAGE Open Medicine

CassandraKenning¹ 

关键词: Multimorbidity;    patient views;    practitioner views;    primary care;    self-management;   

DOI  :  10.1177/2050312113510001

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Objectives:The aim of this article is to offer insight into how professionals and patients understand and experience multimorbidity and how these accounts differ, and how they affect attitudes and engagement with self-management.Methods:Semi-structured interviews with 20 primary healthcare practitioners and 20 patients with at least 2 long-term conditions (including coronary heart disease, diabetes, osteoarthritis, chronic obstructive pulmonary disease and depression). Thematic analysis was used, and themes were identified using an open-coding method.Results:Practitioners associated multimorbidity with complexity and uncertainty in the clinic, leading to emotional strain and ‘heart sink’. Patient accounts differed. Some described multimorbidity as problematic when it exacerbated their symptoms and caused emotional and psychological strain. Others did not perceive multimorbidity as problematic. Self-management was seen by practitioners and patients to be a key element of managing multiple conditions, but d...

【 授权许可】

CC BY