Exploring opportunities for general practice registrars to manage older patients with chronic disease: A qualitative study
| Autor: | Andrew D Bonney, Emily Hansen, Michael D. Bentley, Rohan Kerr, Parker Magin, Fiona Scott |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male health care facilities manpower and services media_common.quotation_subject General Practice education Interviews as Topic Older patients Nursing health services administration Medical Staff Hospital Humans Competence (human resources) Qualitative Research media_common Focus Groups Middle Aged Focus group Negotiation Chronic disease Geriatrics Chronic Disease General practice Female Thematic analysis Family Practice Psychology geographic locations Qualitative research |
| Zdroj: | Australian Journal of General Practice. 48:451-456 |
| ISSN: | 2208-794X |
| Popis: | Background General practice registrars see fewer older patients with chronic disease than established general practitioners (GPs). Furthermore, registrars have fewer opportunities to be involved in continuity of care for older patients. Objective The aim of this study was to explore the experiences of general practice supervisors and registrars when providing in-practice care for older patients with chronic disease. Methods Three focus groups and 21 interviews (18 supervisors, 17 registrars) were conducted, recorded and transcribed. The main themes were derived using thematic analysis. Results Three main themes were reported: context influences registrars’ exposure to older patients; opportunities for continuity of care need ongoing negotiation and communication; registrars are competent – trust and confidence follows. Discussion Developing tailored models of shared patient care that suit different practices and supervisors will require ongoing negotiation and communication. This study confirms the need to enhance exposure for general practice registrars in ways that build on the competence of registrars and the trust in registrars by older patients and supervisors. |
| Databáze: | OpenAIRE |
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