Family practitioners' top medical priorities when managing patients with multimorbidity: a cross-sectional study.

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_38A4E4292878
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Family practitioners' top medical priorities when managing patients with multimorbidity: a cross-sectional study.
Journal
BJGP open
Author(s)
Herzig L., Mueller Y., Haller D.M., Zeller A., Neuner-Jehle S., Déruaz-Luyet A., Cohidon C., Streit S., Burnand B., Zuchuat J.C.
ISSN
2398-3795 (Electronic)
ISSN-L
2398-3795
Publication state
Published
Issued date
04/2019
Peer-reviewed
Oui
Volume
3
Number
1
Pages
bjgpopen18X101622
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Managing multiple chronic and acute conditions in patients with multimorbidity requires setting medical priorities. How family practitioners (FPs) rank medical priorities between highly, moderately, or rarely prevalent chronic conditions (CCs) has never been described. The authors hypothesised that there was no relationship between the prevalence of CCs and their medical priority ranking in individual patients with multimorbidity.
To describe FPs' medical priority ranking of conditions relative to their prevalence in patients with multimorbidity.
This cross-sectional study of 100 FPs in Switzerland included patients with ≥3 CCs on a predefined list of 75 items from the International Classification of Primary Care 2 (ICPC-2); other conditions could be added. FPs ranked all conditions by their medical priority.
Priority ranking and distribution were calculated for each condition separately and for the top three priorities together.
The sample contained 888 patients aged 28-98 years (mean 73), of which 48.2% were male. Included patients had 3-19 conditions (median 7; interquantile range [IQR] 6-9). FPs used 74/75 CCs from the predefined list, of which 27 were highly prevalent (>5%). In total, 336 different conditions were recorded. Highly prevalent CCs were only the top medical priority in 66%, and the first three priorities in 33%, of cases. No correlation was found between prevalence and the ranking of medical priorities.
FPs faced a great diversity of different conditions in their patients with multimorbidity, with nearly every condition being found at nearly every rank of medical priority, depending on the patient. Medical priority ranking was independent of the prevalence of CCs.
Keywords
chronic disease, epidemiology, multimorbidity, primary care, prioritisation
Pubmed
Open Access
Yes
Create date
15/05/2019 12:11
Last modification date
20/08/2019 13:28
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