Primary care practitioner and patient understanding of the concepts of multimorbidity and self-management: A qualitative study

SAGE Open Medicine
Cassandra KenningPeter A Coventry

Abstract

The aim of this article is to offer insight into how professionals and patients understand and experience multimorbidity and how these accounts differ, and how they affect attitudes and engagement with self-management. Semi-structured interviews with 20 primary healthcare practitioners and 20 patients with at least 2 long-term conditions (including coronary heart disease, diabetes, osteoarthritis, chronic obstructive pulmonary disease and depression). Thematic analysis was used, and themes were identified using an open-coding method. Practitioners associated multimorbidity with complexity and uncertainty in the clinic, leading to emotional strain and 'heart sink'. Patient accounts differed. Some described multimorbidity as problematic when it exacerbated their symptoms and caused emotional and psychological strain. Others did not perceive multimorbidity as problematic. Self-management was seen by practitioners and patients to be a key element of managing multiple conditions, but drivers for prompting and engaging in self-management differed between patients and practitioners. This study suggests that recommendations for clinical practice for multimorbid patients should take into account the gap in perceptions between practition...Continue Reading

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Citations

Nov 7, 2018·Journal of Innovation in Health Informatics·Ian LitchfieldMark Lee
Sep 8, 2017·Journal of Advanced Nursing·Susan WaterworthMerryn Gott
Feb 16, 2019·Health and Quality of Life Outcomes·Michele PetersRay Fitzpatrick
Jul 12, 2021·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Leila PaukkonenHelvi Kyngäs

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