ArticleBMC family practice2018
The impact of chronic disease management on primary care doctors in Switzerland: a qualitative study.
Article in BMC family practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Perspectives of healthcare providers on osteoporosis, falls and fracture risk: a systematic review and thematic synthesis of qualitative studies.Archives of osteoporosis · 2024Pooled it
- From quality indicator to quality measurement: design and implementation of an automated audit and feedback tool for chronic kidney disease in Belgian primary care.BMJ health & care informatics · 2026Article
- Mapping behavior change techniques and health data combinations in virtual agents for chronic condition management: A systematic scoping review.PLOS digital health · 2026Article
- Optimization of the multimorbidity management model for older adults: a study on the mediating effect of health literacy on self-efficacy and health status.BMC geriatrics · 2026Article
- Article
- The Role of Artificial Intelligence in Shaping the Doctor-Patient Relationship: A Narrative Review.Healthcare (Basel, Switzerland) · 2026Review
- Satisfaction with primary health care services among patients with chronic diseases: a qualitative study.Frontiers in medicine · 2026Article
- Lower Healthcare Access and Its Association With Individual Factors and Health-Related Quality of Life in Adults With Rare Diseases in Switzerland.International journal of public health · 2024Article
- Service providers' perspectives on hoarding management in the community in Singapore.Singapore medical journal · 2022Article
- The Significance of Three-Dimensional Team Management in the Medical Community Model for Patients with Hypertension and Diabetes.Journal of healthcare engineering · 2022Article
- The determinants of the quality of clinical management among diabetic and hypertensive patients in a context of fragility: A cross-sectional survey from Lebanon.Frontiers in public health · 2022Article
- A mixed methods study on medicines information needs and challenges in New Zealand general practice.BMC family practice · 2021Article
- Issues and Challenges in Implementing Care Coordinator in Primary Healthcare in Malaysia: A Qualitative Study.Journal of primary care & community healthArticle
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatient-centeredness and therapeutic relationship are widely explored as a means to address the challenge of chronic disease and multi-morbidity management, however research focusing on the perspective of doctors is still rare. In this study, we aimed to explore the impact of the patient's chronic disease(s) on their healthcare provider.
methodsA qualitative approach was taken using semi-structured interviews with general practitioners working in outpatient clinics either in individual practices or in a hospital setting in Geneva, Switzerland. Codes were developed through an iterative process and using grounded theory an inductive coding scheme was performed to identify the key themes. Throughout the analysis process the research team reviewed the analysis and refined the coding scheme.
resultsTwenty interviews, 10 in each practice type, allowed for saturation to be reached. The following themes relevant to the impact of managing chronic diseases emerge around the issue of feeling powerless as a doctor; facing the patient's socio-economic context; guidelines versus the reality of the patient; time; and taking on the patient's burden. Primary care practitioners face an emotional burden linked with their powerlessness and work conditions, but also with the empathetic bond with their patients and their circumstances. Doctors seem poorly prepared for this emotional strain. The health system is also not facilitating this with time constraints and guidelines unsuitable for the patient's reality.
conclusionsChronic disease and multi-morbidity management is a challenge for healthcare providers. This has its roots in patient characteristics, the overall health system and healthcare providers themselves. Structural changes need to be implemented at different levels: medical education; health systems; adapted guidelines; leading to an overall environment that favors the development of the therapeutic relationship.
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