Multimorbidity in primary care: protocol of a national cross-sectional study in Switzerland

Details

Ressource 1Download: 26510730_BIB_C6B608380918.pdf (1183.50 [Ko])
State: Public
Version: Final published version
License: Not specified
Serval ID
serval:BIB_C6B608380918
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Multimorbidity in primary care: protocol of a national cross-sectional study in Switzerland
Journal
Bmj Open
Author(s)
Déruaz-Luyet A. (co-first), N'Goran A.A., Tandjung R., Frey P., Zeller A., Haller D.M., Rosemann T., Burnand B., Bodenmann P., Senn N., Widmer D., Herzig L. (co-last)
ISSN
2044-6055 (Electronic)
ISSN-L
2044-6055
Publication state
Published
Issued date
2015
Peer-reviewed
Oui
Volume
5
Number
10
Pages
e009165
Language
english
Notes
Journal ArticlePublication Status: epublish
Abstract
INTRODUCTION: With the ageing of the population and the general improvement of care, an increasing number of people are living with multiple chronic health conditions or 'multimorbidity'. Multimorbidity often implies multiple medical treatments. As a consequence, the risk of adverse events and the time spent by patients for their treatments increase exponentially. In many cases, treatment guidelines traditionally defined for single conditions are not easily applicable. Primary care for individuals with multimorbidity requires complex patient-centred care and good communication between the patient and the general practitioner (GP). This often includes prioritising among the different chronic conditions.
METHODS AND ANALYSIS: The main objectives of this study are to describe the burden related to multimorbidity (disease-related burden and burden of treatment) in primary care and to identify the factors influencing it. Other objectives include evaluating patients' perception of treatment burden and quality of life, assessing factors influencing that perception, and investigating prioritisation in the management of multimorbidity from the perspectives of GPs and patients. For this cross-sectional study, patient enrolment will take place in GP's private practices across Switzerland. A convenient sample of 100 GPs will participate; overall, 1000 patients with at least three chronic health conditions will be enrolled. Data will be collected as paper-based questionnaires for GPs and delayed telephone interview questionnaires for patients. GPs will provide demographic and practice-related data. In addition, each GP will complete a paper-based questionnaire for each patient that they enrol. Each patient will complete a telephone interview questionnaire.
ETHICS AND DISSEMINATION: This study has been approved by the research ethics committee of Canton Vaud, Switzerland (Protocol 315/14). The results of the study will be reported in international peer-reviewed journals.
Keywords
Adolescent, Adult, Chronic Disease, Communication, Comorbidity, Cost of Illness, Cross-Sectional Studies, Disease Management, General Practice, General Practitioners, Humans, Patient-Centered Care, Physician-Patient Relations, Practice Patterns, Physicians', Primary Health Care, Research Design, Switzerland
Pubmed
Web of science
Open Access
Yes
Create date
15/12/2015 8:55
Last modification date
21/07/2021 5:39
Usage data