Evidence map›Paper›PMID 42647104›Full record

ArticleThe European journal of general practice2026

Understanding competencies to manage multimorbidity in primary care: A focus group study with professionals and patients.

Leslie J Michielsen, Lena H A Raaijmakers, Miranda Laurant, Erik Bischoff, Geert M Rutten, Tjard R Schermer

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Article in The European journal of general practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Leslie J MichielsenSchool of Health Studies, HAN University of Applied Sciences, Nijmegen, The Netherlands.ORCID 0009-0001-0518-1168
Lena H A RaaijmakersDepartment of Primary and Community Care, Radboudumc Research Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, The Netherlands.
Miranda LaurantSchool of Health Studies, HAN University of Applied Sciences, Nijmegen, The Netherlands.
Erik BischoffDepartment of General Practice, Erasmus MC University Medical Centre, Rotterdam, The Netherlands.
Geert M RuttenSchool of Health Studies, HAN University of Applied Sciences, Nijmegen, The Netherlands.
Tjard R SchermerDepartment of Primary and Community Care, Radboudumc Research Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0002-1391-2995

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic conditions often occur as multimorbidity, where patients experience multiple chronic conditions simultaneously. Many developed countries have implemented disease management programmes (DMP) in primary care to address these complex needs, but their success largely depends on the competencies of healthcare professionals. Equipping primary care professionals with the competencies required for person-centred integrated care (PC-IC) is therefore essential.

aimThis study aims to 1(1) identify the competencies primary care professionals consider essential for providing PC-IC to patients with chronic conditions and multimorbidity and examine their alignment with patient preferences, and 2(2) explore professionals' training needs.

methodsThis qualitative study used focus group interviews to explore perspectives on PC-IC. A convenience sample included 14 primary care professionals (general practitioners and practice nurses) and a purposive sample included 10 patients with one or more chronic conditions.

resultsPrimary care professionals identified person-centred attitudes, communication skills and interprofessional collaboration as essential competencies for delivering person-centred integrated care. Patients similarly valued being heard, understood, and actively involved in decision-making, while additionally emphasising continuity and coordinated care. Professionals also emphasised ongoing training, reflective practice groups, case discussions, and practical communication tools as important for developing these competencies.

conclusionsSuccessful implementation of PC-IC requires more than disease-specific expertise. It depends on individual competencies, effective interprofessional collaboration, and organisational conditions that support coordinated, person-centred care. Ongoing professional development may help strengthen these competencies in primary care.

Indexed as

Clinical CompetenceMultimorbidityPrimary Health CareAdultAgedAttitude of Health PersonnelChronic DiseaseCommunicationDelivery of Health Care, IntegratedFemaleFocus GroupsHumansInterprofessional RelationsMaleMiddle AgedPatient-Centered Carechronic diseasecompetenciesinterprofessional collaborationPerson-centred integrated careprimary care

Identifiers

PMID42647104
PMCPMC13520867

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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.