Wishes and needs of community-dwelling older persons concerning general practice: A qualitative study
Community-dwelling older persons often experience hindering health complaints that disturb daily activities. If general practitioners (GPs) are unaware of such complaints, this could lead to a mismatch in provided care and needed or expected care. In this qualitative study with community-dwelling ol...
Gespeichert in:
| Veröffentlicht in: | PloS one 2018-07, Vol.13 (7), p.e0200614-e0200614 |
|---|---|
| Hauptverfasser: | , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | e0200614 |
|---|---|
| container_issue | 7 |
| container_start_page | e0200614 |
| container_title | PloS one |
| container_volume | 13 |
| creator | van Blijswijk, Sophie C E de Waard, Claudia S van Peet, Petra G Keizer, Dagmar von Faber, Margaret de Waal, Margot W M den Elzen, Wendy P J Gussekloo, Jacobijn Blom, Jeanet W |
| description | Community-dwelling older persons often experience hindering health complaints that disturb daily activities. If general practitioners (GPs) are unaware of such complaints, this could lead to a mismatch in provided care and needed or expected care. In this qualitative study with community-dwelling older persons we investigated how older persons experience hindering health complaints, how they deal with them, and what they expect from their GP.
Participants (aged ≥80 years) with pain and/or problems with walking/standing were invited to participate in a (group)interview about hindering health problems and expectations from general practice. Data were analysed using the framework method and results were discussed with a client panel.
Participants experienced various hindering health complaints in addition to pain and/or problems with walking/standing. Complaints affecting social activities were experienced as the most hindering. Participants actively tried to remain independent and, to achieve this, GPs were expected to be involved and be easily accessible. However, they did not expect specific help from their GP for pain or problems with walking/standing. Suggestions for improvement of care from GPs included optimisation of accessibility (continuous availability by telephone), a yearly check including medication review, open communication, and empathy and support during major life events.
According to older persons with hindering health complaints, GPs could improve their accessibility/relationship with patients by: 1) continuous telephonic availability, 2) initiating regular contact with medication reviews, and 3) initiating support during major life events. This might lower the reported barriers to contact the GP for hindering health complaints. |
| doi_str_mv | 10.1371/journal.pone.0200614 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_plos_</sourceid><recordid>TN_cdi_plos_journals_2071153023</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A546778768</galeid><doaj_id>oai_doaj_org_article_e91a0a2e507a4e44aa99d1cb64bcc662</doaj_id><sourcerecordid>A546778768</sourcerecordid><originalsourceid>FETCH-LOGICAL-c692t-1746a783724b8ffae76e5a2015b86e7725d781638df88b1a266559eca40f88383</originalsourceid><addsrcrecordid>eNqNk12L1DAUhoso7rr6D0QLgujFjEnTJu1eCMPix8DCgp-X4TQ97WRok9mkXZ1_b-p0l6nsheQi4eQ5b3Le5ETRc0qWlAn6bmsHZ6Bd7qzBJUkI4TR9EJ3SgiULnhD28Gh9Ej3xfktIxnLOH0cnjBDKGc9PI_yp_QZ9DKaKDWLlY1vHynbdYHS_X1S_sG21aWLbVujiHTpvjQ-AUejMuNGgQQdtvHOgeq3wPF7F1wO0uode32Ds-6HaP40e1dB6fDbNZ9H3jx--XXxeXF59Wl-sLheKF0m_oCLlIHImkrTM6xpQcMwgITQrc45CJFkl8nDxvKrzvKSQcJ5lBSpISQiwnJ1FLw-6u9Z6OTnkZUIEpRkjCQvE-kBUFrZy53QHbi8taPk3YF0jwYU6WpRYUCCQYEYEpJimAEVRUVXytFSK8yRovZ9OG8oOK4WmD07MROc7Rm9kY28kJ2lRkDQIvJkEnL0e0Pey014Fx8GgHQ73zgSjZKzs1T_o_dVNVAOhAG1qG85Vo6hcZSkXIhd81FreQ4VRYafD02KtQ3yW8HaWEJgef_cNDN7L9dcv_89e_Zizr4_YDULbb7xth16HTzYH0wOonPXeYX1nMiVy7IZbN-TYDXLqhpD24viB7pJuvz_7A76zBOg</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2071153023</pqid></control><display><type>article</type><title>Wishes and needs of community-dwelling older persons concerning general practice: A qualitative study</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><source>Public Library of Science (PLoS)</source><creator>van Blijswijk, Sophie C E ; de Waard, Claudia S ; van Peet, Petra G ; Keizer, Dagmar ; von Faber, Margaret ; de Waal, Margot W M ; den Elzen, Wendy P J ; Gussekloo, Jacobijn ; Blom, Jeanet W</creator><creatorcontrib>van Blijswijk, Sophie C E ; de Waard, Claudia S ; van Peet, Petra G ; Keizer, Dagmar ; von Faber, Margaret ; de Waal, Margot W M ; den Elzen, Wendy P J ; Gussekloo, Jacobijn ; Blom, Jeanet W</creatorcontrib><description>Community-dwelling older persons often experience hindering health complaints that disturb daily activities. If general practitioners (GPs) are unaware of such complaints, this could lead to a mismatch in provided care and needed or expected care. In this qualitative study with community-dwelling older persons we investigated how older persons experience hindering health complaints, how they deal with them, and what they expect from their GP.
Participants (aged ≥80 years) with pain and/or problems with walking/standing were invited to participate in a (group)interview about hindering health problems and expectations from general practice. Data were analysed using the framework method and results were discussed with a client panel.
Participants experienced various hindering health complaints in addition to pain and/or problems with walking/standing. Complaints affecting social activities were experienced as the most hindering. Participants actively tried to remain independent and, to achieve this, GPs were expected to be involved and be easily accessible. However, they did not expect specific help from their GP for pain or problems with walking/standing. Suggestions for improvement of care from GPs included optimisation of accessibility (continuous availability by telephone), a yearly check including medication review, open communication, and empathy and support during major life events.
According to older persons with hindering health complaints, GPs could improve their accessibility/relationship with patients by: 1) continuous telephonic availability, 2) initiating regular contact with medication reviews, and 3) initiating support during major life events. This might lower the reported barriers to contact the GP for hindering health complaints.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0200614</identifier><identifier>PMID: 30016368</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Accessibility ; Activities of Daily Living ; Aged, 80 and over ; Analysis ; Arthritis ; Biology and Life Sciences ; Data processing ; Delivery of Health Care - organization & administration ; Delivery of Health Care - standards ; Diagnostic Self Evaluation ; Drugs ; Elderly patients ; Engineering and Technology ; Ethical aspects ; Female ; Focus groups ; Follow-Up Studies ; General Practice - organization & administration ; General Practice - standards ; General practitioners ; Geriatrics ; Health aspects ; Health care policy ; Health education ; Health problems ; Humans ; Interviews ; Male ; Medicine and Health Sciences ; Older people ; Pain ; Participation ; Patients ; Patients' rights ; People and Places ; Physician-patient relations ; Practice ; Primary care ; Professionals ; Public health ; Qualitative research ; Research and Analysis Methods ; Social Sciences ; Studies ; Surveys and Questionnaires</subject><ispartof>PloS one, 2018-07, Vol.13 (7), p.e0200614-e0200614</ispartof><rights>COPYRIGHT 2018 Public Library of Science</rights><rights>2018 van Blijswijk et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2018 van Blijswijk et al 2018 van Blijswijk et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-1746a783724b8ffae76e5a2015b86e7725d781638df88b1a266559eca40f88383</citedby><cites>FETCH-LOGICAL-c692t-1746a783724b8ffae76e5a2015b86e7725d781638df88b1a266559eca40f88383</cites><orcidid>0000-0001-9989-4937</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6049904/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6049904/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30016368$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van Blijswijk, Sophie C E</creatorcontrib><creatorcontrib>de Waard, Claudia S</creatorcontrib><creatorcontrib>van Peet, Petra G</creatorcontrib><creatorcontrib>Keizer, Dagmar</creatorcontrib><creatorcontrib>von Faber, Margaret</creatorcontrib><creatorcontrib>de Waal, Margot W M</creatorcontrib><creatorcontrib>den Elzen, Wendy P J</creatorcontrib><creatorcontrib>Gussekloo, Jacobijn</creatorcontrib><creatorcontrib>Blom, Jeanet W</creatorcontrib><title>Wishes and needs of community-dwelling older persons concerning general practice: A qualitative study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Community-dwelling older persons often experience hindering health complaints that disturb daily activities. If general practitioners (GPs) are unaware of such complaints, this could lead to a mismatch in provided care and needed or expected care. In this qualitative study with community-dwelling older persons we investigated how older persons experience hindering health complaints, how they deal with them, and what they expect from their GP.
Participants (aged ≥80 years) with pain and/or problems with walking/standing were invited to participate in a (group)interview about hindering health problems and expectations from general practice. Data were analysed using the framework method and results were discussed with a client panel.
Participants experienced various hindering health complaints in addition to pain and/or problems with walking/standing. Complaints affecting social activities were experienced as the most hindering. Participants actively tried to remain independent and, to achieve this, GPs were expected to be involved and be easily accessible. However, they did not expect specific help from their GP for pain or problems with walking/standing. Suggestions for improvement of care from GPs included optimisation of accessibility (continuous availability by telephone), a yearly check including medication review, open communication, and empathy and support during major life events.
According to older persons with hindering health complaints, GPs could improve their accessibility/relationship with patients by: 1) continuous telephonic availability, 2) initiating regular contact with medication reviews, and 3) initiating support during major life events. This might lower the reported barriers to contact the GP for hindering health complaints.</description><subject>Accessibility</subject><subject>Activities of Daily Living</subject><subject>Aged, 80 and over</subject><subject>Analysis</subject><subject>Arthritis</subject><subject>Biology and Life Sciences</subject><subject>Data processing</subject><subject>Delivery of Health Care - organization & administration</subject><subject>Delivery of Health Care - standards</subject><subject>Diagnostic Self Evaluation</subject><subject>Drugs</subject><subject>Elderly patients</subject><subject>Engineering and Technology</subject><subject>Ethical aspects</subject><subject>Female</subject><subject>Focus groups</subject><subject>Follow-Up Studies</subject><subject>General Practice - organization & administration</subject><subject>General Practice - standards</subject><subject>General practitioners</subject><subject>Geriatrics</subject><subject>Health aspects</subject><subject>Health care policy</subject><subject>Health education</subject><subject>Health problems</subject><subject>Humans</subject><subject>Interviews</subject><subject>Male</subject><subject>Medicine and Health Sciences</subject><subject>Older people</subject><subject>Pain</subject><subject>Participation</subject><subject>Patients</subject><subject>Patients' rights</subject><subject>People and Places</subject><subject>Physician-patient relations</subject><subject>Practice</subject><subject>Primary care</subject><subject>Professionals</subject><subject>Public health</subject><subject>Qualitative research</subject><subject>Research and Analysis Methods</subject><subject>Social Sciences</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNk12L1DAUhoso7rr6D0QLgujFjEnTJu1eCMPix8DCgp-X4TQ97WRok9mkXZ1_b-p0l6nsheQi4eQ5b3Le5ETRc0qWlAn6bmsHZ6Bd7qzBJUkI4TR9EJ3SgiULnhD28Gh9Ej3xfktIxnLOH0cnjBDKGc9PI_yp_QZ9DKaKDWLlY1vHynbdYHS_X1S_sG21aWLbVujiHTpvjQ-AUejMuNGgQQdtvHOgeq3wPF7F1wO0uode32Ds-6HaP40e1dB6fDbNZ9H3jx--XXxeXF59Wl-sLheKF0m_oCLlIHImkrTM6xpQcMwgITQrc45CJFkl8nDxvKrzvKSQcJ5lBSpISQiwnJ1FLw-6u9Z6OTnkZUIEpRkjCQvE-kBUFrZy53QHbi8taPk3YF0jwYU6WpRYUCCQYEYEpJimAEVRUVXytFSK8yRovZ9OG8oOK4WmD07MROc7Rm9kY28kJ2lRkDQIvJkEnL0e0Pey014Fx8GgHQ73zgSjZKzs1T_o_dVNVAOhAG1qG85Vo6hcZSkXIhd81FreQ4VRYafD02KtQ3yW8HaWEJgef_cNDN7L9dcv_89e_Zizr4_YDULbb7xth16HTzYH0wOonPXeYX1nMiVy7IZbN-TYDXLqhpD24viB7pJuvz_7A76zBOg</recordid><startdate>20180717</startdate><enddate>20180717</enddate><creator>van Blijswijk, Sophie C E</creator><creator>de Waard, Claudia S</creator><creator>van Peet, Petra G</creator><creator>Keizer, Dagmar</creator><creator>von Faber, Margaret</creator><creator>de Waal, Margot W M</creator><creator>den Elzen, Wendy P J</creator><creator>Gussekloo, Jacobijn</creator><creator>Blom, Jeanet W</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-9989-4937</orcidid></search><sort><creationdate>20180717</creationdate><title>Wishes and needs of community-dwelling older persons concerning general practice: A qualitative study</title><author>van Blijswijk, Sophie C E ; de Waard, Claudia S ; van Peet, Petra G ; Keizer, Dagmar ; von Faber, Margaret ; de Waal, Margot W M ; den Elzen, Wendy P J ; Gussekloo, Jacobijn ; Blom, Jeanet W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-1746a783724b8ffae76e5a2015b86e7725d781638df88b1a266559eca40f88383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Accessibility</topic><topic>Activities of Daily Living</topic><topic>Aged, 80 and over</topic><topic>Analysis</topic><topic>Arthritis</topic><topic>Biology and Life Sciences</topic><topic>Data processing</topic><topic>Delivery of Health Care - organization & administration</topic><topic>Delivery of Health Care - standards</topic><topic>Diagnostic Self Evaluation</topic><topic>Drugs</topic><topic>Elderly patients</topic><topic>Engineering and Technology</topic><topic>Ethical aspects</topic><topic>Female</topic><topic>Focus groups</topic><topic>Follow-Up Studies</topic><topic>General Practice - organization & administration</topic><topic>General Practice - standards</topic><topic>General practitioners</topic><topic>Geriatrics</topic><topic>Health aspects</topic><topic>Health care policy</topic><topic>Health education</topic><topic>Health problems</topic><topic>Humans</topic><topic>Interviews</topic><topic>Male</topic><topic>Medicine and Health Sciences</topic><topic>Older people</topic><topic>Pain</topic><topic>Participation</topic><topic>Patients</topic><topic>Patients' rights</topic><topic>People and Places</topic><topic>Physician-patient relations</topic><topic>Practice</topic><topic>Primary care</topic><topic>Professionals</topic><topic>Public health</topic><topic>Qualitative research</topic><topic>Research and Analysis Methods</topic><topic>Social Sciences</topic><topic>Studies</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van Blijswijk, Sophie C E</creatorcontrib><creatorcontrib>de Waard, Claudia S</creatorcontrib><creatorcontrib>van Peet, Petra G</creatorcontrib><creatorcontrib>Keizer, Dagmar</creatorcontrib><creatorcontrib>von Faber, Margaret</creatorcontrib><creatorcontrib>de Waal, Margot W M</creatorcontrib><creatorcontrib>den Elzen, Wendy P J</creatorcontrib><creatorcontrib>Gussekloo, Jacobijn</creatorcontrib><creatorcontrib>Blom, Jeanet W</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van Blijswijk, Sophie C E</au><au>de Waard, Claudia S</au><au>van Peet, Petra G</au><au>Keizer, Dagmar</au><au>von Faber, Margaret</au><au>de Waal, Margot W M</au><au>den Elzen, Wendy P J</au><au>Gussekloo, Jacobijn</au><au>Blom, Jeanet W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Wishes and needs of community-dwelling older persons concerning general practice: A qualitative study</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2018-07-17</date><risdate>2018</risdate><volume>13</volume><issue>7</issue><spage>e0200614</spage><epage>e0200614</epage><pages>e0200614-e0200614</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Community-dwelling older persons often experience hindering health complaints that disturb daily activities. If general practitioners (GPs) are unaware of such complaints, this could lead to a mismatch in provided care and needed or expected care. In this qualitative study with community-dwelling older persons we investigated how older persons experience hindering health complaints, how they deal with them, and what they expect from their GP.
Participants (aged ≥80 years) with pain and/or problems with walking/standing were invited to participate in a (group)interview about hindering health problems and expectations from general practice. Data were analysed using the framework method and results were discussed with a client panel.
Participants experienced various hindering health complaints in addition to pain and/or problems with walking/standing. Complaints affecting social activities were experienced as the most hindering. Participants actively tried to remain independent and, to achieve this, GPs were expected to be involved and be easily accessible. However, they did not expect specific help from their GP for pain or problems with walking/standing. Suggestions for improvement of care from GPs included optimisation of accessibility (continuous availability by telephone), a yearly check including medication review, open communication, and empathy and support during major life events.
According to older persons with hindering health complaints, GPs could improve their accessibility/relationship with patients by: 1) continuous telephonic availability, 2) initiating regular contact with medication reviews, and 3) initiating support during major life events. This might lower the reported barriers to contact the GP for hindering health complaints.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>30016368</pmid><doi>10.1371/journal.pone.0200614</doi><orcidid>https://orcid.org/0000-0001-9989-4937</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2018-07, Vol.13 (7), p.e0200614-e0200614 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2071153023 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS) |
| subjects | Accessibility Activities of Daily Living Aged, 80 and over Analysis Arthritis Biology and Life Sciences Data processing Delivery of Health Care - organization & administration Delivery of Health Care - standards Diagnostic Self Evaluation Drugs Elderly patients Engineering and Technology Ethical aspects Female Focus groups Follow-Up Studies General Practice - organization & administration General Practice - standards General practitioners Geriatrics Health aspects Health care policy Health education Health problems Humans Interviews Male Medicine and Health Sciences Older people Pain Participation Patients Patients' rights People and Places Physician-patient relations Practice Primary care Professionals Public health Qualitative research Research and Analysis Methods Social Sciences Studies Surveys and Questionnaires |
| title | Wishes and needs of community-dwelling older persons concerning general practice: A qualitative study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-08T06%3A56%3A37IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Wishes%20and%20needs%20of%20community-dwelling%20older%20persons%20concerning%20general%20practice:%20A%20qualitative%20study&rft.jtitle=PloS%20one&rft.au=van%20Blijswijk,%20Sophie%20C%20E&rft.date=2018-07-17&rft.volume=13&rft.issue=7&rft.spage=e0200614&rft.epage=e0200614&rft.pages=e0200614-e0200614&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0200614&rft_dat=%3Cgale_plos_%3EA546778768%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2071153023&rft_id=info:pmid/30016368&rft_galeid=A546778768&rft_doaj_id=oai_doaj_org_article_e91a0a2e507a4e44aa99d1cb64bcc662&rfr_iscdi=true |