General practitioners (GPs) are increasingly treating patients with multimorbidity but report challenges in doing so. Patients describe bad experiences with health systems that treat each of their health conditions individually, resulting in fragmented and uncoordinated care.
For physicians to provide patients with the centralized and coordinated care that patients need and want, research programs and health system structures and guidelines must be adapted to cope with these epidemiological changes. You can also browse this site to know more about general clinicians online.
This systematic review aims to understand whether and how multimorbidity affects the work of general practitioners, what strategies they use to address challenges, and what else they think should be considered to ensure quality patient care.
A systematic review and thematic synthesis of qualitative studies taking into account the experience of general practitioners in the treatment of patients with multimorbidity.
General practitioners have identified three approaches to mitigating these challenges: patient priority and relationship continuity; Rely on the knowledge of patient preferences and special circumstances to personalize care; and structuring consultations to create a sense of time and minimize patient risk.
General practitioners describe the persistent tension between the use of disease guidelines in patients with multimorbidity as protection from uncertainty or punishment and potential harm to patients.
General practitioners explain the need for better guidelines for the management of multimorbidity. Perhaps they also need guidelines and practice models commensurate with the time and space to maintain a credible therapeutic partnership.