Lived experiences of multimorbidity: An interpretative meta-synthesis of patients', general practitioners' and trainees' perceptions

Chronic Illness
Elizabeth Cottrell, Sarah Yardley

Abstract

Multimorbidity is an increasing challenge. Better understanding of lived experiences of patients, general practitioners and trainees, may advance patient care and medical education. This interpretative meta-synthesis sought to (i) understand lived experiences of patients, general practitioners and trainees regarding multimorbidity, (ii) identify how similarities and differences in experiences should shape future solutions. Empirical studies containing qualitative data and pertaining to lived experiences from our recent realist synthesis (PROSPERO 2013:CRD42013003862) were included. Following quality assessment, data were extracted from key studies to build an integrated analytic framework. Data from remaining studies were utilised to expand and refine the framework through thematic analysis of concepts within and between perspectives. Twenty-one papers were included in the meta-synthesis. Analysis of 70 concepts produced five themes: (1) goals of care and decision making, (2) complexity, (3) meeting expectations, (4) logistics and (5) interpersonal dynamics. The complexities of multimorbidity lead to shared feelings of vulnerability, uncertainty and enforced compromises. Barriers to optimal care-education included system constr...Continue Reading

References

Sep 24, 2004·Health and Quality of Life Outcomes·Martin FortinDanielle Maltais
Feb 17, 2005·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Polly Hitchcock NoëlJacqueline A Pugh
Jun 2, 2005·Annals of Family Medicine·Martin FortinLise Lapointe
Sep 28, 2006·Annals of Family Medicine·Martin FortinJosé Almirall
Jul 25, 2007·International Journal of Psychiatry in Medicine·Martin FortinLise Lapointe
Dec 6, 2007·Journal of General Internal Medicine·Polly Hitchcock NoëlJacqueline A Pugh
Feb 7, 2008·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Benedicte CarlsenCatherine Pope
Mar 12, 2008·Annals of Family Medicine·Grant RussellJacques Lemelin
Jul 17, 2008·Family Practice·Elizabeth A BaylissDeborah S Main
Sep 6, 2008·Journal of the American Geriatrics Society·Terri R FriedMary E Tinetti
Mar 21, 2009·Journal of Health Services Research & Policy·Luke CowieMartin Gulliford
Jul 2, 2010·Journal of Health Services Research & Policy·Martin GullifordMyfanwy Morgan
Jul 3, 2010·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Susan M SmithTom O'Dowd
Dec 29, 2010·Advances in Health Sciences Education : Theory and Practice·J van der ZwetA J J A Scherpbier
Sep 16, 2011·Medical Education·Sarah Yardley
Feb 9, 2012·Health & Social Work·Shiraz I MishraRamothea L Webster
Apr 24, 2012·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Emma F FranceStewart W Mercer
Jun 22, 2012·BMJ : British Medical Journal·Stewart W MercerJulian Tudor Hart
Jul 12, 2012·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Hilde D LuijksTjard R Schermer
Jul 13, 2012·BMJ : British Medical Journal·Iona Heath
Aug 8, 2012·BMC Medical Education·Margaretha H SagasserCees P M van der Vleuten
Oct 6, 2012·BMJ : British Medical Journal·Bruce GuthrieStewart W Mercer
Nov 29, 2012·BMC Medical Research Methodology·Allison TongJonathan Craig

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Citations

Sep 25, 2016·BMC Health Services Research·Kasey R BoehmerVictor M Montori
Jan 20, 2017·Nursing Inquiry·Kim van WissenRachel Page
Oct 16, 2015·Chronic Illness·Carolynne WhiteLouise Farnworth
Jan 24, 2018·Journal of Comorbidity·Sidsel M Runz-JørgensenUlla Christensen
Mar 14, 2018·Journal of Primary Health Care·Eileen McKinlayMeredith Perry
Sep 21, 2018·International Journal of Mental Health Nursing·Cheng ChengSally Wai-Chi Chan
Feb 18, 2019·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Sigrid Mueller-SchotteNienke Bleijenberg
Nov 5, 2016·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Ashley HodgsonJessica Bestrashniy
Apr 7, 2018·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Marja-Leena KristofferzonAnnika Nilsson
Jul 28, 2016·BMC Family Practice·Bjarne AustadAnne-Sofie Helvik
Mar 24, 2016·Journal of Comorbidity·Aline Ramond-Roquin, Martin Fortin
Aug 24, 2021·Journal of Comorbidity·Francisca Leiva-FernándezUNKNOWN MULTIPAP Group

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