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Title: | General practitioners' perceptions about their role in current and future heart failure care: an exploratory qualitative study | Authors: | Smeets, Miek Zervas, Sofia Leben, Hanne Vermandere, Mieke Janssens, Stefan MULLENS, Wilfried Aertgeerts, Bert Vaes, Bert |
Issue Date: | 2019 | Publisher: | BMC | Source: | BMC HEALTH SERVICES RESEARCH, 19 (Art N° 432) | Abstract: | BackgroundA comprehensive disease management programme (DMP) with a central role for general practitioners (GPs) is needed to improve heart failure (HF) care. However, previous research has shown that GPs have mixed experiences with multidisciplinary HF care. Therefore, in this study, we explore the perceptions that GPs have regarding their role in current and future HF care, prior to the design of an HF disease management programme.MethodsThis was a qualitative semi-structured interview study with Belgian GPs until data saturation was reached. The QUAGOL method was used for data analysis.ResultsIn general, GPs wanted to assume a central role in HF care. Current interdisciplinary collaboration with cardiologists was perceived as smooth, partly because of the ease of access. In contrast, due to less well-established communication and the variable knowledge of nurses regarding HF care, collaboration with home care nurses was perceived as suboptimal. With regard to the future organization of HF care, all GPs confirmed the need for a structured chronic care approach and envisioned this as a multidisciplinary care pathway: flexible, patient-centred, without additional administration and with appropriate delegation of some critical tasks, including education and monitoring. GPs considered all-round general practice nurses as the preferred partner to delegate tasks to in HF care and reported limited experience in collaborating with specialist HF nurses.ConclusionGPs expressed the need for a protocol-driven care pathway in chronic HF care. However, in contrast to the existing care trajectories, this pathway should be flexible, without additional administrative burdens and with a central role for GPs. | Notes: | [Smeets, Miek; Zervas, Sofia; Leben, Hanne; Vermandere, Mieke; Aertgeerts, Bert; Vaes, Bert] Katholieke Univ Leuven, Dept Publ Hlth & Primary Care, Kapucijnenvoer 33,Blok J Bus 7001, B-3000 Leuven, Belgium. [Janssens, Stefan] Katholieke Univ Leuven, Univ Ziekenhuis Gasthuisberg, Dept Cardiovasc Dis, Leuven, Belgium. [Mullens, Wilfried] Univ Hasselt, Biomed Res Inst, Fac Med & Life Sci, Hasselt, Belgium. [Mullens, Wilfried] Ziekenhuis Oost Limburg, Dept Cardiol, Genk, Belgium. [Vaes, Bert] Catholic Univ Louvain, Inst Hlth & Soc, Brussels, Belgium. | Keywords: | Heart failure; General practice; Disease management; Qualitative research;Heart failure; General practice; Disease management; Qualitative research | Document URI: | http://hdl.handle.net/1942/29674 | e-ISSN: | 1472-6963 | DOI: | 10.1186/s12913-019-4271-2 | ISI #: | 000473141600001 | Rights: | This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2020 |
Appears in Collections: | Research publications |
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