Programme no. 548-OP
Quality Improvement
What’s the doctor´s part when medicines have played out their role? -A qualitative study about the GPs’ experience of work at nursing homes in Sweden
Beata Borgström Bolmsjö*1, Patrik Midlöv2, Eva Lena Strandberg3, Annika Brorsson4
1Department of clinical Sciences in Malmö,Lund University,Malmö,Sweden, 2Department of clinical Sciences in Malmö,Lund University,Malmö,Sweden, 3Department of clinical Sciences in Malmö,Lund University,Malmö,Sweden, 4Department of clinical Sciences in Malmö,Lund University,Malmö,Sweden
* = Presenting author
Objectives: This study aims to illuminate the GPs’ experience of the work with elderly living in nursing homes.
Background: Nursing homes in Sweden have a limited capacity, and only 5.2 % of Swedish residents aged 65 and over live permanently in nursing homes. Hence, elderly subjects living in nursing homes in Sweden represent the part of the elderly population that is most frail and in most need of care.
In Sweden in general, a General Practitioner (GP) takes care of all subjects living in the nursing home, and pays weekly visits.
Research from nursing homes show that the residents seldom have adequate pharmacological treatment according to diagnose, often have poly-pharmacy and/or inappropriate medical treatment in concerns of declining renal function.
What complicates optimal care for elderly may be lack of knowledge, lack of time or insufficient economic resources.
The GPs´ experience of the work with nursing homes in Sweden is not yet studied.
Results: The picture that emanates in the preliminary analysis is that the work at nursing homes is enjoyable but time consuming for the GPs. The work load could be facilitated if there was more staff at the nursing home. A better collegial dialogue among the GPs working with nursing homes could improve the quality of the GPs work. The team work with the staff is important for the GP and the care of the patient is enhanced if the team is consistent.
Material/Methods: This qualitative study is based on individual semi-structured interviews and a follow up focus group discussion.
In total 12 GPs were interviewed. They had been working in primary health care during between 2 and 38 years. The GPs worked at nursing homes situated in different cities as well as in the countryside in the southern part of Sweden.
The interviews were recorded digitally and transcribed verbatim. Further the written text was systematically analyzed with content analysis, with the process leading to identify categories and themes.
Thereafter the themes will be discussed among the participating GPs in a focus group interview. The written text from the focus group discussion will be analyzed stepwise by the authors to develop the themes further.
Conclusion: Through this study we present the GPs’ experience of elderly care to provide input on how the care for the elderly can be improved, as well as to identify obstacles for good quality of care.
Points for discussion: The GPs role in the patient care at Nursing Homes

The need for continuous education and collegial dialogue for GPs involved in elderly care