{"id":754,"date":"2013-09-27T07:43:20","date_gmt":"2013-09-27T12:43:20","guid":{"rendered":"http:\/\/crmcspl-blog.recherche.usherbrooke.ca\/?p=754"},"modified":"2013-09-27T07:46:16","modified_gmt":"2013-09-27T12:46:16","slug":"gps%e2%80%99-perspectives-on-the-management-of-patients-with-multimorbidity","status":"publish","type":"post","link":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/?p=754","title":{"rendered":"GPs\u2019 perspectives on the management of patients with multimorbidity"},"content":{"rendered":"<p>By Carol Sinnott<\/p>\n<p><a href=\"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/wp-content\/uploads\/Carol-Sinnott.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-755\" title=\"Carol Sinnott\" src=\"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/wp-content\/uploads\/Carol-Sinnott.jpg\" alt=\"\" width=\"104\" height=\"122\" \/><\/a><\/p>\n<p>Our research group has recently published a systematic review of the existing published literature on the perceptions of general practitioners (GPs) or their equivalent on the clinical management of multimorbidity [1].<\/p>\n<p>Article focus:<br \/>\n\u2022 Patients with multiple morbidities present unique challenges to healthcare providers. An awareness of these challenges is needed to direct research efforts and intervention design in this field.<br \/>\n\u2022 Qualitative studies have explored GPs perceptions of the management of multimorbid patients, but to date these studies have not been systematically reviewed or synthesized.<\/p>\n<p>Key messages:<br \/>\n\u2022 This systematic review shows that the problem areas for GPs in the management of multimorbidity may be classified into four domains: disorganization and fragmentation of health care; the inadequacy of guidelines and evidence based medicine; challenges in delivering patient centred care; and barriers to shared decision making.<br \/>\n\u2022 These domains may be useful targets to guide the development of interventions that will assist and improve the provision of care to multimorbid patients.<\/p>\n<p>Strengths and limitations:<br \/>\n\u2022 The meta-ethnographic approach used in this review gave a broader understanding of the challenges of multimorbidity than any single study, while still preserving the context of included studies.<br \/>\n\u2022 We focused on the GPs\u2019 perspective on multimorbidity \u2013 an understanding of the challenges experience by patients is also required to inform the development of effective interventions.\u00a0<\/p>\n<p>The complete article can be accessed at:<br \/>\n<a href=\"http:\/\/bmjopen.bmj.com\/cgi\/content\/full\/bmjopen-2013-003610\" target=\"_blank\">http:\/\/bmjopen.bmj.com\/cgi\/content\/full\/bmjopen-2013-003610<\/a><\/p>\n<p><span style=\"font-size: small; font-family: Calibri;\"><span style=\"font-size: small; font-family: Calibri;\">\u00a0<br \/>\n[1] Sinnott C, Mc Hugh S, Browne J, Bradley C. GPs&#8217; perspectives on the management of patients with multimorbidity: systematic review and synthesis of qualitative research. <em>BMJ Open. <\/em>2013;3(9):e003610.<\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Carol Sinnott Our research group has recently published a systematic review of the existing published literature on the perceptions of general practitioners (GPs) or their equivalent on the clinical management of multimorbidity [1]. Article focus: \u2022 Patients with multiple morbidities present unique challenges to healthcare providers. An awareness of these challenges is needed to <a href=\"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/?p=754\"> read more <span class=\"meta-nav\">&raquo;<\/span><\/a><\/p>\n","protected":false},"author":30,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_s2mail":"yes","footnotes":""},"categories":[4],"tags":[],"class_list":["post-754","post","type-post","status-publish","format-standard","hentry","category-others"],"_links":{"self":[{"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=\/wp\/v2\/posts\/754","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=\/wp\/v2\/users\/30"}],"replies":[{"embeddable":true,"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=754"}],"version-history":[{"count":6,"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=\/wp\/v2\/posts\/754\/revisions"}],"predecessor-version":[{"id":762,"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=\/wp\/v2\/posts\/754\/revisions\/762"}],"wp:attachment":[{"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=754"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=754"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=754"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}