What research agenda could be generated from the European General Practice Research Network concept of Multimorbidity in Family Practice?

BMC Family Practice

Research Article

C. Doerr¹  C. Lygidakis²  H. Lingner³  A. Sowinska⁴  S. Czachowski⁵  R. Assenova⁶  D. Kasuba Lazic⁷  P. Van Royen⁸  C. Lietard⁹  JY Le Reste^1,10  T. Jan^1,10  B. Le Floch^1,10  M. Odorico^1,10  P. Barraine^1,10  E. Melot^1,10  J. Deriennic^1,10  P. Nabbe^1,10  M. Munoz^1,11  J. Valderas^1,12  H. Van Marwijk^1,13  S. Argyriadou^1,14 

[1] Allgemein Medizin Hochschule Göttingen, Göttingen, Germany;Associazione Italiana Medici di Famiglia (AIMEF), Bologna, Italy;Centre for Public Health and Healthcare, Hannover Medical School, Hannover, Germany;Department of English, Nicolaus Copernicus University, Torun, Poland;Department of Family Doctor, University Nicolaus Copernicus, Torun, Poland;Department of General Practice, University of Plovdiv, Plovdiv, Bulgaria;Department of General Practice, University of Zagreb, Zagreb, Croatia;Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, Universiteit Antwerpen, Antwerpen, Belgium;Department of Public Health, Université de Bretagne Occidentale, Brest, France;ERCR SPURBO, Department of General Practice, Université de Bretagne Occidentale, Brest, France;IDIAP Jordi GOL Unitat de Support a la Recerca, Barcelona, Spain;Patient Centred Care Lead, University of Exeter Collaboration for Academic Primary Care (APEx), University of Exeter Medical School, Exeter, UK;Primary Care Research Center, Williamson Building, Oxford Road, Manchester, UK;The Greek Association of General Practitioners (ELEGEIA), Thessaloniki, Greece;

关键词: Research Agenda;    Core Competency;    Family Practice;    Biopsychosocial Model;    Nominal Group Technique;   

DOI  :  10.1186/s12875-015-0337-3

 received in 2015-05-09, accepted in 2015-09-07,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundMultimorbidity is an intuitively appealing, yet challenging, concept for Family Medicine (FM). An EGPRN working group has published a comprehensive definition of the concept based on a systematic review of the literature which is closely linked to patient complexity and to the biopsychosocial model. This concept was identified by European Family Physicians (FPs) throughout Europe using 13 qualitative surveys. To further our understanding of the issues around multimorbidity, we needed to do innovative research to clarify this concept. The research question for this survey was: what research agenda could be generated for Family Medicine from the EGPRN concept of Multimorbidity?MethodsNominal group design with a purposive panel of experts in the field of multimorbidity. The nominal group worked through four phases: ideas generation phase, ideas recording phase, evaluation and analysis phase and a prioritization phase.ResultsFifteen international experts participated. A research agenda was established, featuring 6 topics and 11 themes with their corresponding study designs. The highest priorities were given to the following topics: measuring multimorbidity and the impact of multimorbidity. In addition the experts stressed that the concept should be simplified. This would be best achieved by working in reverse: starting with the outcomes and working back to find the useful variables within the concept.ConclusionThe highest priority for future research on multimorbidity should be given to measuring multimorbidity and to simplifying the EGPRN model, using a pragmatic approach to determine the useful variables within the concept from its outcomes.

【 授权许可】

CC BY   
© Le Reste et al. 2015