Self-management perspectives of elderly patients with multimorbidity and practitioners - status, challenges and further support needed?
© 2021. The Author(s)..
BACKGROUND: Patients with multimorbidity (here defined as three or more chronic conditions) require constant treatment and care. Furthermore, they have to manage their health and diseases in daily life. Offering support to patients' medical self-management is an important task of primary care. The aim of this study was to explore, what further support is needed from the perspective of patients' and primary care practitioners.
METHODS: A qualitative study using individual semi-structed interviews with 17 patients with multimorbidity and 7 practitioners (4 primary care physicians and 3 practice assistants) was conducted in Germany. Data were audio-recorded, pseudonymised and transcribed verbatim. Data analysis was performed using qualitative content analysis to structure data into themes and subthemes. All data were managed and organised in MAXQDA.
RESULTS: The three broad themes: current status, challenges and further support emerged. Patients reported on unfulfilled needs regarding role or emotional management, like coping with loneliness, loss of independence and, changing habits. The importance of social contact was highlighted by patients and practitioners. Patients articulated further support from their primary care practitioners on coping with the disease. Practitioners' wished for further support in aspects of social participation, public transport, and community resources.
CONCLUSION: Challenges regarding self-management of elderly patients with multimorbidity may be addressed by harnessing social support and community initiatives.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:22 |
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| Enthalten in: |
BMC family practice - 22(2021), 1 vom: 26. Nov., Seite 238 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Breckner, Amanda [VerfasserIn] |
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| Links: |
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| Themen: |
Journal Article |
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| Anmerkungen: |
Date Completed 06.12.2021 Date Revised 14.12.2021 published: Electronic Citation Status MEDLINE |
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| doi: |
10.1186/s12875-021-01584-9 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM333736273 |
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| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2021. The Author(s). | ||
| 520 | |a BACKGROUND: Patients with multimorbidity (here defined as three or more chronic conditions) require constant treatment and care. Furthermore, they have to manage their health and diseases in daily life. Offering support to patients' medical self-management is an important task of primary care. The aim of this study was to explore, what further support is needed from the perspective of patients' and primary care practitioners | ||
| 520 | |a METHODS: A qualitative study using individual semi-structed interviews with 17 patients with multimorbidity and 7 practitioners (4 primary care physicians and 3 practice assistants) was conducted in Germany. Data were audio-recorded, pseudonymised and transcribed verbatim. Data analysis was performed using qualitative content analysis to structure data into themes and subthemes. All data were managed and organised in MAXQDA | ||
| 520 | |a RESULTS: The three broad themes: current status, challenges and further support emerged. Patients reported on unfulfilled needs regarding role or emotional management, like coping with loneliness, loss of independence and, changing habits. The importance of social contact was highlighted by patients and practitioners. Patients articulated further support from their primary care practitioners on coping with the disease. Practitioners' wished for further support in aspects of social participation, public transport, and community resources | ||
| 520 | |a CONCLUSION: Challenges regarding self-management of elderly patients with multimorbidity may be addressed by harnessing social support and community initiatives | ||
| 650 | 4 | |a Journal Article | |
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| 700 | 1 | |a Glassen, Katharina |e verfasserin |4 aut | |
| 700 | 1 | |a Wensing, Michel |e verfasserin |4 aut | |
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