ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2010
GPs' and pharmacists' experiences of managing multimorbidity: a 'Pandora's box'.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers, 6 of them syntheses that pooled it.
What it found
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The trial behind it
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Who cites it
81 citing papers in PubMed, 6 syntheses or guidelines pooled it, 146 citations in OpenAlex.
- Total uncertainty: a systematic review and thematic synthesis of experiences of uncertainty in older people with advanced multimorbidity, their informal carers and health professionals.Age and ageing · 2022Pooled it
- Understanding GPs' clinical reasoning processes involved in managing patients suffering from multimorbidity: A systematic review of qualitative and quantitative research.International journal of clinical practice · 2021Pooled it
- General practitioner strategies for managing patients with multimorbidity: a systematic review and thematic synthesis of qualitative research.BMC family practice · 2020Pooled it
- Health care professionals' attitudes towards deprescribing in older patients with limited life expectancy: A systematic review.British journal of clinical pharmacology · 2019Pooled it
- Underlying mechanisms of complex interventions addressing the care of older adults with multimorbidity: a realist review.BMJ open · 2019Pooled it
- Managing patients with multimorbidity: systematic review of interventions in primary care and community settings.BMJ (Clinical research ed.) · 2012Pooled it
- Exercise therapy and self-management support for individuals with multimorbidity: a randomized and controlled trial.Nature medicine · 2025Trial
- Trial
- Improving the management of multimorbidity in general practice: protocol of a cluster randomised controlled trial (The 3D Study).BMJ open · 2016Trial
- What is important, what needs treating? How GPs perceive older patients' multiple health problems: a mixed method research study.BMC research notes · 2012Trial
- Training needs and curricular priorities for managing multimorbidity in Spanish primary care: findings from a national exploratory online survey.BMC primary care · 2026Article
- Multimorbidity patterns, sociodemographic characteristics, and mortality: Data science insights from low-resource settings.American journal of epidemiology · 2026Article
- The perceptions of Dutch general practitioners on the implementation of a proactive integrated care approach for patients with complex needs: a pilot survey.BMC primary care · 2026Article
- How do pharmacists navigate clinical uncertainty when reviewing polypharmacy? A critical literature review.BMC primary care · 2025Review
- Individual and Comorbid Influences of Chronic Stress and a Western Diet on Allostatic Loads and Cardiac Resilience, Adaptation and Proteome Profiles in Male Mice.Comprehensive Physiology · 2025Article
- Comorbidity profiles in chronic obstructive pulmonary disease: a multicohort study.ERJ open research · 2025Article
- Chronic Care in Primary Care: Exploring the Role and Impact of General Practice Pharmacists in Managing Long-Term Conditions in Northern Ireland.International journal of environmental research and public health · 2025Article
- Healthcare providers' perspectives on the organization of health services to manage people with multiple long-term conditions in primary care settings in Kerala, India: a qualitative exploratory study.Frontiers in public health · 2025Article
- Patient pathways in primary health care - an interview study across various health care personnel in a Canadian and a Norwegian county.BMC health services research · 2024Article
- Reviews for multimorbidity risk in people with inflammatory conditions: a qualitative study.BJGP open · 2024Article
21 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMultimorbidity is defined as the occurrence of two or more chronic diseases in one individual. Patients with multimorbidity generally have poorer health and functioning and higher rates of attendance in primary care and specialty settings.
aimTo explore the views and attitudes of GPs and pharmacists managing patients with multimorbidity in primary care. DESIGN OF STUDY: Qualitative study using focus groups.
settingPrimary care in Ireland.
methodThree focus groups were held in total, involving 13 GPs and seven pharmacists. Focus groups were recorded, transcribed, and analysed using the 'framework' approach.
resultsThe predominant themes to emerge from the focus groups were: 1) the concept of multimorbidity and the link to polypharmacy and ageing; 2) health systems issues relating to lack to time, inter-professional communication difficulties, and fragmentation of care; 3) individual issues from clinicians relating to professional roles, clinical uncertainty, and avoidance; 4) patient issues; and 5) potential management solutions.
conclusionThis study provides information on the significant impact of multimorbidity from a professional perspective. It highlights potential elements of an intervention that could be designed and tested to achieve improvements in the management of multimorbidity, outcomes for individuals affected, and the experiences of those providing healthcare.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.