Multimorbidity: can general practitioners identify the health conditions most important to their patients? Results from a national cross-sectional study in Switzerland

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Serval ID
serval:BIB_CDCC02E60D4B
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Multimorbidity: can general practitioners identify the health conditions most important to their patients? Results from a national cross-sectional study in Switzerland
Journal
BMC family practice
Author(s)
Déruaz-Luyet A. (co-first), N'Goran A.A., Pasquier J., Burnand B., Bodenmann P., Zechmann S., Neuner-Jehle S., Senn N., Widmer D., Streit S., Zeller A., Haller D.M., Herzig L. (co-last)
ISSN
1471-2296 (Electronic)
ISSN-L
1471-2296
Publication state
Published
Issued date
17/05/2018
Peer-reviewed
Oui
Volume
19
Number
1
Pages
66
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Faced with patients suffering from more than one chronic condition, or multimorbidity, general practitioners (GPs) must establish diagnostic and treatment priorities. Patients also set their own priorities to handle the everyday burdens associated with their multimorbidity and these may be different from the priorities established by their GP. A shared patient-GP agenda, driven by knowledge of each other's priorities, would seem central to managing patients with multimorbidity. We evaluated GPs' ability to identify the health condition most important to their patients.
Data on 888 patients were collected as part of a cross-sectional Swiss study on multimorbidity in family medicine. For the main analyses on patients-GP agreement, data from 572 of these patients could be included. GPs were asked to identify the two conditions which their patient considered most important, and we tested whether either of them agreed with the condition mentioned as most important by the patient. In the main analysis, we studied the agreement rate between GPs and patients by grouping items medically-related into 46 groups of conditions. Socio-demographic and clinical variables were fitted into univariate and multivariate models.
In 54.9% of cases, GPs were able to identify the health condition most important to the patient. In the multivariate model, the only variable significantly associated with patient-GP agreement was the number of chronic conditions: the higher the number of conditions, the less likely the agreement.
GPs were able to correctly identify the health condition most important to their patients in half of the cases. It therefore seems important that GPs learn how to better adapt treatment targets and priorities by taking patients' perspectives into account.
Keywords
Adult, Aged, Attitude of Health Personnel, Attitude to Health, Cost of Illness, Cross-Sectional Studies, Female, General Practice/methods, General Practice/standards, General Practitioners/psychology, General Practitioners/standards, Humans, Male, Middle Aged, Multimorbidity, Patient Care Management/organization & administration, Patient Preference, Physician-Patient Relations, Practice Patterns, Physicians', Switzerland, Family medicine, Patient–provider agreement
Pubmed
Web of science
Open Access
Yes
Create date
24/05/2018 18:15
Last modification date
21/07/2021 6:39
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