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How do general practitioners recognize the definition of multimorbidity? A European qualitative study

journal contribution
posted on 2023-06-09, 11:32 authored by Jean Yves Le Reste, Patrice Nabbe, Patrice Lazic, Radost Assenova, Heidrun Lingner, Slawomir Czachowski, Stella Argyriadou, Agnieszka Sowinska, Charilaos Lygidakis, Christa Doerr, Ana Claveria, Bernard Le Floch, Jeremy Derriennic, Harm van MarwijkHarm van Marwijk, Paul Van Royen
Background: Multimorbidity is a challenging concept for general practice. An EGPRN working group has published a comprehensive definition of the concept of multimorbidity. As multimorbidity could be a way to explore complexity in general practice, it was of importance to explore whether European general practitioners (GPs) recognize this concept and whether they would change it. Objectives: To investigate whether European GPs recognize the EGPRN concept of multimorbidity and whether they would change it. Methods: Focus group meetings and semi-structured interviews as data collection techniques with a purposive sample of practicing GPs from every country. Data collection continued until saturation was reached in every country. The analysis was undertaken using a grounded theory based method. In each national team, four independent researchers, working blind and pooling data, carried out the analysis. To ensure the internationalization of the data, an international team of 10 researchers pooled the axial and selective coding of all national teams to check the concept and highlight emerging themes. Results: The maximal variation and saturation of the sample were reached in all countries with 211 selected GPs. The EGPRN definition was recognized in all countries. Two additional ideas emerged, the use of Woncaâ??s core competencies of general practice, and the dynamics of the doctorâ??patient relationship for detecting and managing multimorbidity and patientâ??s complexity. Conclusion: European GPs recognized and enhanced the EGPRN concept of multimorbidity. These results open new perspectives regarding the management of complexity using the concept of multimorbidity in general practice. Key Messages European general practitioners recognize the EGPRN enhanced, comprehensive concept of multimorbidity. They add the use of Woncaâ??s core competencies and the patientâ??doctor relationship dynamics for detecting and managing multimorbidity. The EGPRN concept of multimorbidity leads to new perspectives for the management of complexity. © 2016 WONCA Europe (the European Society of General Practice/Family Medicine).

History

Publication status

  • Published

File Version

  • Published version

Journal

European Journal of General Practice

ISSN

1381-4788

Publisher

Taylor & Francis

Issue

3

Volume

22

Page range

159-168

Department affiliated with

  • Primary Care and Public Health Publications

Full text available

  • No

Peer reviewed?

  • Yes

Legacy Posted Date

2018-01-11

First Compliant Deposit (FCD) Date

2018-01-11

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