ArticleBMC primary care2024
Role of family medicine physicians in providing nutrition support to older patients admitted to orthopedics departments: a grounded theory approach.
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 17 papers.
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Who cites it
17 citing papers in PubMed.
- Article
- Evaluating the effectiveness of the geriatrician-designed "Older Patient Care and Seek Course" for family physicians.Frontiers in medicine · 2026Article
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- Sequential Development of Iliopsoas Hematoma and Abscess in an Elderly Patient With COVID-19: A Case Report.Cureus · 2025Article
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- Progressive Muscle Weakness and Dysphagia in Late-Onset Systemic Lupus Erythematosus: A Case Report.Cureus · 2025Article
- Impact of family doctor contracted services on the health of migrants: a cross-sectional study in China.Scientific reports · 2024Article
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- Article
- Challenges in Managing External Dental Fistula in an Immunocompromised Elderly Patient: A Case Report.Cureus · 2024Article
- Article
- The Quality of Family Medicine Team Conferences Through the Lens of a Director: An Autoethnography.Cureus · 2024Article
- Preoperative Nutrition in Orthopaedic Surgery.JB & JS open accessReview
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4 authors.
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Abstract
backgroundCare of older adults requires comprehensive management and control of systemic diseases, which can be effectively managed by family physicians. Complicated medical conditions in older patients admitted to orthopedic departments (orthopedic patients) necessitate interprofessional collaboration. Nutrition is one of the essential components of management involved in improving the systemic condition of older patients. Nutrition support teams play an important role in nutrition management and can be supported by family physicians. However, the role of family physicians in nutrition support teams is not well documented. This study aimed to investigate the role of family physicians in supporting nutrition management in orthopedic patients.
methodsThis qualitative study was conducted between January and June 2023 using constructivist grounded theory methodology. Eight family medicine physicians, three orthopedic surgeons, two nurses, two pharmacists, four rehabilitation therapists, four nutritionists, and one laboratory technician working in Japanese rural hospitals participated in the research. Data collection was performed through ethnography and semi-structured interviews. The analysis was performed iteratively during the study.
resultsUsing a grounded theory approach, four theories were developed regarding family physicians' role in providing nutrition support to orthopedic patients: hierarchical and relational limitation, delay of onset and detection of the need for geriatric care in orthopedic patients, providing effective family medicine in hospitals, and comprehensive management through the nutrition support team.
conclusionsThe inclusion of family physicians in nutrition support teams can help with early detection of the rapid deterioration of orthopedic patients' conditions, and comprehensive management can be provided by nutrition support teams. In rural primary care settings, family physicians play a vital role in providing geriatric care in community hospitals in collaboration with specialists. Family medicine in hospitals should be investigated in other settings for better geriatric care and to drive mutual learning among healthcare professionals.
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