GPs' experiences and perceptions of early detection of liver disease : a qualitative study in primary care
© British Journal of General Practice 2018..
BACKGROUND: The incidence of liver disease is increasing in the UK and primary care is a key setting where improvement in the detection and management of liver disease is required. Little is known about GPs' understanding and confidence in detecting liver disease.
AIM: To explore GPs' experiences of liver disease with a focus on early detection and interpretation of liver function tests (LFTs).
DESIGN AND SETTING: A qualitative study employing semi-structured interviews of a purposive sample of GPs from five UK primary care study sites.
METHOD: Telephone and face-to-face interviews of GPs were undertaken. Data were analysed thematically, using a constant comparative approach.
RESULTS: From a total of 25 GP interviews (N = 25), four themes were identified from the data: test-requesting behaviour, confidence and challenges in diagnosing disease, access to specialist tests, and guidance and education. Participants' descriptions of how they request and interpret LFTs varied widely. Concern over missing diagnoses was a common reason for requesting blood tests; patients with mildly abnormal LFTs and those at risk of non-alcoholic fatty liver disease (NAFLD) were a particular cause of concern. GPs saw themselves as generalists, with a reluctance to take on specialist investigations. Guidelines promoted confidence for some clinicians, but others felt that liver disease was too complex to be amenable to simple instructions. Most felt that they did not have access to relevant, focused education on liver disease.
CONCLUSION: Liver disease is not perceived as a priority in primary care. If GPs are to take on a greater role in identification and management of liver disease, support is needed to promote awareness, knowledge, and confidence.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2018 |
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| Erschienen: |
2018 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:68 |
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| Enthalten in: |
The British journal of general practice : the journal of the Royal College of General Practitioners - 68(2018), 676 vom: 24. Nov., Seite e743-e749 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Standing, Holly C [VerfasserIn] |
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| Links: |
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| Themen: |
Early diagnosis |
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| Anmerkungen: |
Date Completed 14.10.2019 Date Revised 08.04.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.3399/bjgp18X699377 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
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| 500 | |a Date Revised 08.04.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © British Journal of General Practice 2018. | ||
| 520 | |a BACKGROUND: The incidence of liver disease is increasing in the UK and primary care is a key setting where improvement in the detection and management of liver disease is required. Little is known about GPs' understanding and confidence in detecting liver disease | ||
| 520 | |a AIM: To explore GPs' experiences of liver disease with a focus on early detection and interpretation of liver function tests (LFTs) | ||
| 520 | |a DESIGN AND SETTING: A qualitative study employing semi-structured interviews of a purposive sample of GPs from five UK primary care study sites | ||
| 520 | |a METHOD: Telephone and face-to-face interviews of GPs were undertaken. Data were analysed thematically, using a constant comparative approach | ||
| 520 | |a RESULTS: From a total of 25 GP interviews (N = 25), four themes were identified from the data: test-requesting behaviour, confidence and challenges in diagnosing disease, access to specialist tests, and guidance and education. Participants' descriptions of how they request and interpret LFTs varied widely. Concern over missing diagnoses was a common reason for requesting blood tests; patients with mildly abnormal LFTs and those at risk of non-alcoholic fatty liver disease (NAFLD) were a particular cause of concern. GPs saw themselves as generalists, with a reluctance to take on specialist investigations. Guidelines promoted confidence for some clinicians, but others felt that liver disease was too complex to be amenable to simple instructions. Most felt that they did not have access to relevant, focused education on liver disease | ||
| 520 | |a CONCLUSION: Liver disease is not perceived as a priority in primary care. If GPs are to take on a greater role in identification and management of liver disease, support is needed to promote awareness, knowledge, and confidence | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a United Kingdom | |
| 650 | 4 | |a early diagnosis | |
| 650 | 4 | |a general practice | |
| 650 | 4 | |a liver diseases | |
| 650 | 4 | |a liver function tests | |
| 700 | 1 | |a Jarvis, Helen |e verfasserin |4 aut | |
| 700 | 1 | |a Orr, James |e verfasserin |4 aut | |
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| 700 | 1 | |a Hudson, Mark |e verfasserin |4 aut | |
| 700 | 1 | |a Kaner, Eileen |e verfasserin |4 aut | |
| 700 | 1 | |a Hanratty, Barbara |e verfasserin |4 aut | |
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