Multimorbidity, clinical decision making and health care delivery in New Zealand Primary care: a qualitative study.

ABSTRACT:

Background

Multimorbidity is a major issue for primary care. We aimed to explore primary care professionals' accounts of managing multimorbidity and its impact on clinical decision making and regional health care delivery.

Methods

Qualitative interviews with 12 General Practitioners and 4 Primary Care Nurses in New Zealand's Otago region. Thematic analysis was conducted using the constant comparative method.

Results

Primary care professionals encountered challenges in providing care to patients with multimorbidity with respect to both clinical decision making and health care delivery. Clinical decision making occurred in time-limited consultations where the challenges of complexity and inadequacy of single disease guidelines were managed through the use of "satisficin

SUBMITTER: Stokes T 

PROVIDER: S-EPMC5382371 | biostudies-literature | 2017 Apr

REPOSITORIES: biostudies-literature