Article (Scientific journals)
How do general practitioners recognize the definition of multimorbidity? A European qualitative study.
Le Reste, Jean Yves; Nabbe, Patrice; Lazic, Djurdjica et al.
2016In European Journal of General Practice, p. 1-10
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Keywords :
Multimorbidity; competencies; qualitative research
Abstract :
[en] 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 Wonca's core competencies of general practice, and the dynamics of the doctor-patient relationship for detecting and managing multimorbidity and patient'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.
Disciplines :
Human health sciences: Multidisciplinary, general & others
General & internal medicine
Author, co-author :
Le Reste, Jean Yves
Nabbe, Patrice
Lazic, Djurdjica
Assenova, Radost
Lingner, Heidrun
Czachowski, Slawomir
Argyriadou, Stella
Sowinska, Agnieszka
Lygidakis, Charilaos ;  University of Luxembourg > Faculty of Language and Literature, Humanities, Arts and Education (FLSHASE) > Integrative Research Unit: Social and Individual Development (INSIDE)
Doerr, Christa
Claveria, Ana
Le Floch, Bernard
Derriennic, Jeremy
Van Marwijk, Harm
Van Royen, Paul
More authors (5 more) Less
External co-authors :
yes
Language :
English
Title :
How do general practitioners recognize the definition of multimorbidity? A European qualitative study.
Publication date :
2016
Journal title :
European Journal of General Practice
ISSN :
1751-1402
Publisher :
Taylor & Francis, London, United Kingdom
Pages :
1-10
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBilu :
since 21 June 2016

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