Evidence map›Paper›PMID 38519880›Full record

ArticleBMC primary care2024

General practitioners' experiences of providing somatic care for patients with severe mental illness: a qualitative study.

Alexandra Brandt Ryborg Jønsson, John Brandt Brodersen, Susanne Reventlow, Christina Svanholm, Anne Møller, Marius Brostrøm Kousgaard

Open access · goldAbstract read
In one paragraph

Article in BMC primary care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
16.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Alexandra Brandt Ryborg JønssonCenter for General Practice, University of Copenhagen, Copenhagen, Denmark. ajoensson@ruc.dk.
John Brandt BrodersenCenter for General Practice, University of Copenhagen, Copenhagen, Denmark.
Susanne ReventlowCenter for General Practice, University of Copenhagen, Copenhagen, Denmark.
Christina SvanholmCenter for General Practice, University of Copenhagen, Copenhagen, Denmark.
Anne MøllerCenter for General Practice, University of Copenhagen, Copenhagen, Denmark.
Marius Brostrøm KousgaardCenter for General Practice, University of Copenhagen, Copenhagen, Denmark.
University of Copenhagen · DKRegion Zealand · DK

Funding

Novo Nordisk Fonden NNF16OC0022038
6 · The paper itself

Abstract

backgroundPatients dealing with severe mental illnesses (SMI) often face suboptimal clinical outcomes and higher mortality rates due to a range of factors, including undetected physical health conditions. The provision of care for individuals with SMI is frequently disjointed, as they engage with diverse healthcare providers. Despite this fragmentation, primary care, particularly general practitioners (GPs), assumes a pivotal role in the care of SMI patients. Our study aimed to delve into the first-hand experiences of GPs in delivering somatic care to SMI patients, concentrating on the challenges they encounter and the strategies they employ to navigate these difficulties.

methodsWe conducted in-depth interviews with fifteen GPs, utilizing a semi-structured interview guide, supplemented by ethnographic observations during clinical consultations in general practice. Through inductive coding, interview transcripts and observational field notes were systematically analysed using interpretative phenomenological analysis (IPA). The findings were then deliberated upon within the author group.

resultsGPs revealed that managing the chronic somatic care of SMI patients posed significant challenges. These challenges encompassed the multifaceted needs of patients, their behavior tied to symptoms, a lack of care continuity, and overarching time constraints. To tackle these challenges, the GPs had devised various strategies. However, all participants underscored the critical importance of having adequate time to properly prepare for, conduct, and follow up on consultations.

conclusionThe GPs' interactions with SMI patients brought numerous challenges, although treating these patients were concurrently acknowledged as vital and fulfilling. The findings suggest that increased allocated time in general practice consultations for patients with SMI is important to support the somatic treatment requirements of this patient group.

Indexed as

General PracticeGeneral PractitionersMental DisordersPersons with Psychiatric DisordersHumansQualitative ResearchConsultationsGeneral practiceSMISomatic care

Identifiers

PMID38519880
PMCPMC10958876
OpenAlexW4393088085

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.