Dataset Information

A qualitative study of GPs' attitudes to self-management of chronic disease.

ABSTRACT:

Background

Improving the quality of care for patients living with a chronic illness is a key policy goal. Alongside systems to ensure care is delivered according to evidence-based guidelines, an essential component of these new models of care is the facilitation of self-management. However, changes to the way professionals deliver care is complex, and it is important to understand the key drivers and barriers that may operate in the primary care setting.

Aim

To explore GPs' perspectives on their involvement in the facilitation of chronic disease self-management.

Design of study

Qualitative study.

Setting

General practices located in two primary care trusts in northern England.

Method

Data were collected through in-depth, semi-structured interviews with a purposive sample of GPs. During analysis, categories of response were organised into themes that relate to Howie's theoretical model for understanding general practice consultations: content, values, context.

Results

The GPs' responses highlighted tensions and trade-offs regarding their role in facilitating self-management. Although GPs valued increased patient involvement in their health care, this was in conflict with other values concerning professional responsibility. Furthermore, contextual factors also limited the degree to which they could assist in encouraging self-management.

Conclusions

Providing GPs with training in consultation skills is required in order to encourage the delivery of effective self-management. In addition, the context in which GPs work also needs to be modified for this to be achieved.

SUBMITTER: Blakeman T

PROVIDER: S-EPMC1839014 | biostudies-literature | 2006 Jun

REPOSITORIES: biostudies-literature

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Publications

A qualitative study of GPs' attitudes to self-management of chronic disease.

Blakeman Tom T Macdonald Wendy W Bower Peter P Gately Claire C Chew-Graham Carolyn C

The British journal of general practice : the journal of the Royal College of General Practitioners 20060601 527

<h4>Background</h4>Improving the quality of care for patients living with a chronic illness is a key policy goal. Alongside systems to ensure care is delivered according to evidence-based guidelines, an essential component of these new models of care is the facilitation of self-management. However, changes to the way professionals deliver care is complex, and it is important to understand the key drivers and barriers that may operate in the primary care setting.<h4>Aim</h4>To explore GPs' perspe ...[more]

PMID: 16762121

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Dataset Information

A qualitative study of GPs' attitudes to self-management of chronic disease.

Background

Aim

Design of study

Setting

Method

Results

Conclusions

Publications

A qualitative study of GPs' attitudes to self-management of chronic disease.

Similar Datasets

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