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[Health care for patients with multimorbidity. The perception of professionals].


ABSTRACT:

Objective

To explore the perceptions of health professionals about the characteristics of health care for patients with multimorbidity.

Design

Qualitative study of phenomenological trajectory made between January and September 2015 through 3 group interviews and 15 individual interviews.

Location

Aragonese Health Service.

Participants

Medical and nursing professionals of the Aragon Health Service belonging to various services: Internal Medicine, Primary Care, Emergency and Management. A pharmacist was also included.

Methods

A non-probabilistic intentional sampling was carried out that allowed for the selection of professionals in terms of discourse representation criteria, allowing to know and interpret the phenomenon studied in depth, in its different visions. We interviewed health professionals with different profiles who knew in depth the characteristics of care provided to patients with multimorbidity. The interviews were recorded, transcribed literally and interpreted, through the social analysis of the discourse.

Results

Professional culture oriented to individual pathologies, lack of coordination among professionals, high prevalence of multi-prescriptions, Clinical Practice Guidelines oriented to individual pathologies and specialist training focused on individual diseases.

Conclusions

Both the professional culture and the organization of the healthcare system have been oriented towards the attention to individual pathologies, which results in the difficulty to offer a more integrated care to patients with multimorbidity.

SUBMITTER: Tambo-Lizalde E 

PROVIDER: S-EPMC7752979 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature

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Publications

[Health care for patients with multimorbidity. The perception of professionals].

Tambo-Lizalde Elena E   Febrel Bordejé Mercedes M   Urpí-Fernández Ana María AM   Abad-Díez José María JM  

Atencion primaria 20201026 1


<h4>Objective</h4>To explore the perceptions of health professionals about the characteristics of health care for patients with multimorbidity.<h4>Design</h4>Qualitative study of phenomenological trajectory made between January and September 2015 through 3 group interviews and 15 individual interviews.<h4>Location</h4>Aragonese Health Service.<h4>Participants</h4>Medical and nursing professionals of the Aragon Health Service belonging to various services: Internal Medicine, Primary Care, Emergen  ...[more]

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