Programme no. 554-P
Professional Development
General Practitioners’ perceptions and assessments of Self-Care Ability in Patients with Multimorbidity and difficulties in Disease Management
Mads Toft Kristensen*1, Bibi Hølge-Hazelton2, Ann Dorrit Guassora3, Frans Boch Waldorff4
1The Research Unit and Section of General Practice,Department of Public Health, University of Copenhagen,Copenhagen,Denmark, 2Roskilde/Koege Hospitals,Roskilde,Denmark;The Research Unit and Section of General Practice,Department of Public Health, University of Copenhagen,Copenhagen,Denmark, 3The Research Unit and Section of General Practice,Department of Public Health, University of Copenhagen,Copenhagen,Denmark, 4The Research Unit of General Practice,Department of Public Health, University of Southern Denmark,Odense,Denmark;The Research Unit and Section of General Practice,Department of Public Health, University of Copenhagen,Copenhagen,Denmark
* = Presenting author
Objectives: To explore GPs’ perceptions of and experiences with assessment of self-care ability in patients with multimorbidity and difficulties in disease management in relation to stratification.
Background: Disease Management Programs (DMPs) have been developed for the major chronic diseases in Denmark. They include a description of the entire treatment process, evidence-based recommendations, a precise description of task responsibility and coordination among all involved actors. A cornerstone in the DMPs is stratification of the patients upon disease complexity and self-care ability. It is performed by the responsible physician, who thereby determines how and where the treatment should take place. There is only sparse knowledge about the General Practitioners’ (GPs’) perceptions of assessing self-care ability according to the DMPs and how it is managed in patients with multimorbidity.
Results: Preliminary results of the analysis of interviews will be presented.
Material/Methods: The experiences are collected by individual, semi-structured interviews with 10-15 GPs reflecting on patient cases. The interviews will be analyzed using a combination of data driven methods and theory.
Conclusion: Our preconception is that GPs’ evaluation of self-care ability in stratification is unsystematic because self-care is not defined in the DMPs We do, however, expect that GPs make their own evalutations of self-care and a suggestion for a general practice model of self-care will be made.
Points for discussion: How should GPs assess self-care in patients with multimorbidity and difficulties in disease management? Is current care for patients with multimorbidity and low self-care ability adequate?