ArticleBMC family practice2015
Reasons for disagreement regarding illnesses between older patients with multimorbidity and their GPs - a qualitative study.
Article in BMC family practice, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 6 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Decision-making and related outcomes of patients with complex care needs in primary care settings: a systematic literature review with a case-based qualitative synthesis.BMC primary care · 2022Pooled it
- Impact of hearing loss on clinical interactions between older adults and health professionals: a systematic review.European geriatric medicine · 2020Pooled it
- General practitioner strategies for managing patients with multimorbidity: a systematic review and thematic synthesis of qualitative research.BMC family practice · 2020Pooled it
- Pooled it
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- Underlying mechanisms of complex interventions addressing the care of older adults with multimorbidity: a realist review.BMJ open · 2019Pooled it
- Roles and experiences of informal caregivers of older adults in community and healthcare system navigation: a scoping review.BMJ open · 2023Article
- Assessing multidimensional complexity in home care: congruencies and discrepancies between patients and nurses.BMC nursing · 2022Article
- Primary Care Physician Perspectives on the Influence of Patient Values, Health Priorities, and Preferences on Clinical Decision-Making for Complex Patients with Multimorbidity: A Qualitative Study.Risk management and healthcare policy · 2022Article
- General practitioners' perceptions of treatment of chronically ill patients managed in general practice: An interview study.The European journal of general practice · 2021Article
- Assessed and perceived oral health of older people who visit the dental practice, an exploratory cross-sectional study.PloS one · 2021Article
- How older patients prioritise their multiple health problems: a qualitative study.BMC geriatrics · 2019Article
- Health-related preferences of older patients with multimorbidity: the protocol for an evidence map.BMJ open · 2019Article
- Identifying and understanding the health and social care needs of older adults with multiple chronic conditions and their caregivers: a scoping review.BMC geriatrics · 2018Article
- Patient-provider concordance in the perception of illness and disease: a cross-sectional study among multimorbid patients and their general practitioners in Switzerland.Patient preference and adherence · 2017Article
- Use of a Retrospective Methodology to Examine the Process of Care Surrounding Serious Medical Events in HIV-Positive Patients: A Feasibility Study.Journal of the International Association of Providers of AIDS CareArticle
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Authors and funding
5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundChronic conditions are the most common themes in doctor-patient communication, especially for older patients with multimorbidity and their GPs. Former quantitative studies identified a variety of socio-demographic and health-related factors which were associated with the (dis-)agreement between medical records and patient self-reported diseases. The aim of this qualitative study was to identify reasons for disagreement regarding illnesses between patients and their GPs.
methodsWe conducted three focus groups with GPs (n = 15) and three focus groups with multimorbid patients aged 65 to 85 (n = 21). The participants were recruited from the MultiCare Cohort Study. Focus groups were audiotaped and transcribed verbatim. The transcripts of the focus groups were analysed using the qualitative content analysis according to Mayring. Categories were determined deductively and inductively.
resultsThe analysis revealed seven themes concerning reasons for disagreement regarding illnesses between patients and their GPs: problems with communication and cooperation between health care professionals, disease management by the GP and the patient, the documentation behaviour of the GP, communication challenges between GP and patient, differences in the understanding of a disease between GP and patient, the prioritization and rating of diseases by GP and patient and obliviousness, repression and avoidance by the patient.
conclusionsFor older patients with multimorbidity, our study demonstrated that there is a need to enhance the cooperation between GPs, specialists and outpatient care, a demand to improve doctor-patient communication and a need for interventions to increase patients' knowledge of diseases.
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