role of general practitioner in aged care

Matlow A, Chan MK, Bohnen JD, Blumenthal DM, Sanchez-Mendiola M, de Camps MD, Samson LM, Busari J. Collaborating internationally on physician leadership education: first steps. To perform axial coding, transcripts were read and re-read and codes were altered and added. Hinrichs T, Brach M. The general practitioner's role in promoting physical activity to older adults: a review based on program theory. • The dual appointment of this Nurse Practitioner to the Health of Older People Team as well as the aged care facilities added a particular strength BMC Fam Pract. Mostashari F, Sanghavi D, McClellan M. Health reform and physician-led accountable care: the paradox of primary care physician leadership. The participatory action research approach, used in the larger study of which this study was part, may have influenced the outcomes between the first and second focus-group interviews. Caring for frail older people in the last phase of life - the general practitioners' view. The other three teams had worked on improving their working methods on the basis of the outcomes of the first focus-group interviews and the interviews with patients from their community. More questions than the question addressed in this paper were examined (see Appendix 2). If you look at what kind of work you deliver and what comes out. Int J Integr Care. The NP Clinical Learning & Governance (CLLEVER) Project conducted in 2014 has classified a set of Nurse Practitioner metaspecialties consisting of Aged and Palliative Care, Child and Family Health Care, Mental Health Care, Care of People with Long-Term Conditions, Emergency and Acute Care and Primary Health Care. Orthop Nurs. quiz 261, CAS  Other professionals that participated in one or more teams were nursing home physician specialists (NHPSs), physiotherapists, occupational therapists, health brokers, mental health nurses, and health-centre managers. We are all people who take action. Katon W, Von Korff M, Lin E, Simon G. Rethinking practitioner roles in chronic illness: the specialist, primary care physician, and the practice nurse. The outcomes of the first round of focus-group interviews could be characterized as information about the working methods of the MTMs in general and of the GP in particular. The GP's role. 2012;5(1):41–50. Health Expect. This provides an impetus for those professionals to collaborate in new configurations, in order to enable older people to live at home as long and healthy as possible [9]. AK: BSc, researcher, Department of Primary and Community Care, Radboud University Medical Center, Nijmegen, NL. Purposeful and theoretical sampling; merging or clear boundaries? CAS  Health Soc Care Community. Many GPs continue to provide care for their long-term patients after they move to an RACF. Introducing focus groups. Our study provides the building bricks for such a guide and addresses five key concepts in which GPs have a unique role to play. A generalist and patient-oriented approach and continuity of care are features of Dutch GP services. We chose this focus because we expected to find successful GP roles in these multidisciplinary teams. George R, Hammett S, Siegel S, Hudson N, Jones DL, Colgan K. Better care for frail older people. GPs as well as team members experienced that working as a team improved the connection between each other. 2012;102(10):e1. PubMed  Results: Then we discuss as a team if there are any ideas or additions, and we decide what needs to be done. Evaluation of Implementing a Home-Based Fall Prevention Program among Community-Dwelling Older Adults. We would like to thank all health- and social care professionals who participated in our study for their openness towards us and for the time they invested in data collection. Objective - To describe the role of the General Practitioner (GP) in the care of one specified cancer patient per GP, and to explore the GP's knowledge about that patient's disease and treatments, and what information she/he wanted versus received from the specialist clinic. Google Scholar ... W. FergusonThe decline of general practitioner involvement in maternity care and its possible consequences for maternal and infant health. All team members networked at an operational level, in the meaning of working together in practice. Lancet. The topic list was adjusted for each focus group due to differences in context and development of the multidisciplinary team. [Focus group 3.]. We used mixed qualitative research to obtain the answers to our study question. According to the Committee, the respondents in our research were not subjected to any actions or behaviour that indicated that the research should be considered as a research under the Medical Research Act (WMO [Wet Medisch Onderzoek]). Chicago: Aldine de Gruyter; 1967. This happened more often in experienced teams: GP: Yes, one person puts the patient on the agenda and asks questions. The teams were free to fill in the projects in their own way. I now have a better view of my frail older patients and I often know in advance when someone is in danger of ending up in a crisis. SG contributed to the design of the study, carried out the study, and drafted the manuscript. In order to enable GPs to play a leading role in reforming primary care, more emphasis should be put on the Leader role as well. Practice setting and phase of multidisciplinary team development influenced the way in which GPs fulfilled their roles. Correspondence to California Privacy Statement, In: Modernisering naar een menselijke maat: Huisartsenzorg in 2022; 2012. Epub 2019 May 23. Wattanapisit A, Teo CH, Wattanapisit S, Teoh E, Woo WJ, Ng CJ. -, Boeckxstaens P, De Graaf P. Primary care and care for older persons: position paper of the European forum for primary care. 2013;381(9868):752–62. The amount of self-efficacy differed among GPs and influenced their way of performing on the five key concepts of this study. GPs coordinated the medical domain, ensuring that all physical aspects were addressed. Skill mix change between general practitioners, nurse practitioners, physician assistants and nurses in primary healthcare for older people: a qualitative study. https://doi.org/10.1186/s12875-018-0726-5, DOI: https://doi.org/10.1186/s12875-018-0726-5. GPs and team members of all four teams had the same opinions on this matter. Singap Med J. Attention to leadership, networking, facilitating, team building, and integrating care elements in GP training programmes seems useful. Sometimes, another team member is being appointed. social, mental, functioning in daily life) during a home visit. 1-274. Data collection took place between February 2013 and June 2015 and consisted of interviews, focus-group meetings, document analysis, observations, and exchange meetings (for a timeline of the project PRECURO, see Appendix 1). Hence, the role of general practitioners (GPs) in identifying an indication for genetic testing and long‐term follow‐up of patients is crucial. 2009;374(9696):1196–208. However, we have handed out the predicate ‘best practice’ by ourselves in a non-objective way. Integrating social services for vulnerable groups. In the second focus group, specific questions about that project were asked. Herzog et al. Our aim for this study was to unravel how GPs can play a successful role in elderly care, in particular in multidisciplinary teams, and to define key concepts for success. With these four teams, consisting of 46 health care and social service professionals, we carried out two rounds of focus-group interviews. Den Haag: Boom onderwijs; 2005. 2016;17:83. 2012;29(Suppl 1):i132–8. Multidisciplinary team configurations of health and social care professionals differ and GPs roles vary widely depending on circumstances [21,22,23,24]. Especially nurses were characterized as networkers or ‘spiders in the web’. Mulvale G, Embrett M, Razavi SD. VA Evidence Synthesis Program Evidence Briefs. Results from the focus groups were discussed with the research team and presented and discussed with the multidisciplinary teams during exchange meetings after the focus-group interviews, as part of the reflective phase of PAR. Mirror meetings with frail older people and multidisciplinary primary care teams: Process and impact analysis. This site needs JavaScript to work properly. The GP coordinates care for frail older patients with complex needs [42, 43]. In the organizational cluster, GPs facilitated integrated care, in close collaboration with nurses. Knowledge of CanMEDS-family medicine roles: survey of Canadian family medicine residents. They are being discussed in order to decide who does what. The semi-structured topic list for focus groups and interviews was based on a theoretical framework prepared on the basis of the ‘Healthy ALLiances (HALL) framework’ and on ‘Preconditions for healthy care: integrated and effective support by caregivers at lifestyle changes’ as prescribed by the Dutch Inspectorate for Healthcare (Appendix 2) [46, 47]. One team had just started implementing an MTM, whereas the three other teams were more experienced with MTMs. Analyses of service provision and RACF population data for the period 1998–2011. That is also important. Glaser B, Strauss A. Our aim for this study was to unravel how GPs can play a successful role in elderly care, in particular in multidisciplinary teams, and to define key concepts for success. Other team members characterized them as the logical pair to organize the MTM: Social worker: The division of roles is fine this way. [Focus group 7.]. Objective: The Commonwealth Government's Enhanced Primary Care initiative supports measures to enhance the role of general practitioners (GPs) in promoting healthy ageing as part of a population health approach. According to team members, GPs were the central professionals in care services for older people. RS, PhD, professor primary and community care. Still, the involvement of GPs in … [Focus group 4.]. Terms and Conditions, Google Scholar. All GPs selected the team members. HHS 220-231. 2016;29(3):220–30. HS: MD, PhD, researcher and GP. Br J Gen Pract. In the Netherlands, GPs are expected to play a pivotal role in the organization of integrated care for this patient group. They coordinated, in two teams together with the NHPSs, the follow-up action by the community or practice nurse in order to investigate all life domains of the patient (e.g. The analysis involved both pragmatic initial coding and thematic coding based on the factors from the theoretical framework [48,49,50,51]. The nurse practitioner role includes assessment and management of clients using nursing knowledge and skills and may include but is not limited to the direct referral of patients to other health care professionals, prescribing medications and … Boeije HR. GPs took an important role in successful care settings for older people. This will probably lead to deepening and widening of the five key concepts, including the possibility to deliver practical guidance for GPs in different phases of the development of integrated care for frail older people in the community. GP: I think we have always had the same kind of people. Lectureship of primary and community care, Han University of Applied Sciences, Nijmegen, NL. Patton MQ. Comparing our results with the three clusters of the Healthy ALLiances framework [46], used in our theoretical framework, we found that, looking at the institutional cluster, GPs and NHPSs were active in building networks at a strategic level, developing integrated care programmes with primary care groups, and applying for funding. BMC Family Practice 2011–. Who are your most important collaboration partners in the organization of integrated care for older people?’. J Fam Pract. Drewes YM, Koenen JM, de Ruijter W, van Dijk-van Dijk DJ, van der Weele GM, Middelkoop BJ, Reis R, Assendelft WJ, Gussekloo J. GPs’ perspectives on preventive care for older people: a focus group study. The role of registered nurses in residential aged care facilities Position statement Developed: July 2016 Key statement The Australian College of Nursing (ACN) believes that regulation of residential aged care facilities (RACFs) should at a minimum mandate a requirement that a registered nurse (RN) be on-site and available at all Team members from primary care and social services indicated that GPs had an indispensable role in such teams. The theoretical framework was applied to a thematic analysis of all results. iv-v, CAS  In the multidisciplinary team meeting, we discuss about what aspects can be taken over. Representatives of four multidisciplinary teams participated in the focus groups (Table 1). SG and AK (a biomedical scientist and junior researcher) read and corrected all transcripts. This continuity model is viewed by the RACGP as the preferred model and that it is ‘always best’ for elderly patients to continue to see their regular GP.13 However, the proportion of patients cared for in the continuity model is likely to be lower than is typically assumed. Clemens E, Wetle T, Feltes M, Crabtree B, Dubitzky D. Contradictions in case management: client-centered theory and directive practice with frail elderly. Methods: 2016;16(1):1–10. Pullon S, Morgan S, Macdonald L, McKinlay E, Gray B. In Australia, the GP: 1. is most likely the first point of contact in matters of personal health 2. coordinates the care of patients and refers patients to other specialists 3. cares for patients in a whole of person approach and in the context of their work, family and community 4. cares for patients of all ages, both sexes, children and adults across all disease categories 5. cares for patients over a period of their lifetime 6. provides advic… According to the Committee, the respondents in our research were not subjected to any actions or behaviour that indicated that the research should be considered as a research under the Medical Research Act (WMO [Wet Medisch Onderzoek]). Two factors stood out while observing the process of team building: distribution of roles and tasks and the degree of equivalence of team members: GP: We do it as a group. Most literature about the role of the GP is disease specific [25, 28, 29]. BMJ. Qual Prim Care. Attention to leadership competencies and to the diversity of roles in multidisciplinary teams in GP training programmes seems useful. We analysed data using a hybrid inductive/deductive thematic analysis. organizing project teams, negotiating with health insurers). -. Thus, professionals in care and social services are faced with growing demands. GPs, and sometimes NHPSs, took the lead in connecting primary and secondary care, social services, and the community. In the community, GPs encountered representatives from hospitals, municipalities, health insurers, and managers from care and social services. PubMed  2013;59(9):e428–34. 2, pp. Qual Health Res. PubMed Central  I am less often powerless, empty handed. In the opinion of HS and GM, all GPs performed well. Sharing patient information through the use of an EPR played an important role as well as ‘building on capacities’, meaning relying on each other’s skills and expertise. The Role of the General Practitioner/Family Physician in Health Care Systems: A Statement from WONCA, 1991 [7] World Health Organization, The world health report 2008: Primary health care now more than ever, WHO, Geneva, 2008. mental health services) may be a problem for older people in care homes. 2012;62(604):e765–72. The value of a family physician. A mixed qualitative research model in four multidisciplinary teams for elderly care in the Netherlands was used. GPs took an important role in successful care settings for older people. General practice and residential aged care: A qualitative study of barriers to access to care and the role of remuneration. Stakeholders in the community saw GPs as natural leaders. Either these organizations invited GPs to discuss collaboration in care for older people or GPs themselves took the initiative: GP: It is nice that soon [...] we will have a meeting with the municipality where we will discuss a lot of problematic cases, not just the frail older people but also youngsters and multiproblem families, you name it. 2016;160(0):D406. GM: PhD, researcher, manager healthy living, Department of Primary and Community Care, Radboud University Medical Center, Nijmegen and Community Health Service Gelderland-Zuid, Department of Healthy Living, Nijmegen, NL. They initiate diagnosis and treatment and may play a central role in care planning. CAS  ‘Gearing Up’ to improve interprofessional collaboration in primary care: a systematic review and conceptual framework. Five laws for integrating medical and social services: lessons from the United States and the United Kingdom. For example, ‘[Social worker] will you go and have a look and see what you think?’ [Social worker] will tell us what she saw. This methodological triangulation resulted in both variation and data saturation. Time line of the PRECURO participatory action research, NLM GPs often play an important role in the care network of palliative care patients. All participants gave written consent for the use of anonymized quotations from the focus-group discussions in presentations and publications arising from the research. Could employing advanced clinical practitioners (ACPs) help deliver and expand services? This paper comments on how the health assessments can be conducted to best effect, to strengthen the role of GPs in primary care and to promote autonomy and independence in older people. Int J Qual Health Care. http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/, https://doi.org/10.1186/s12875-018-0726-5, Service organization, utilization, and delivery of care. A curriculum on organizing multidisciplinary teams, and specifically on leadership, in training (or re-training) programmes could provide tools for GPs to carry out this role. RvdS and WA supported data interpretation, and critically revised the manuscript. Heterogeneity was sought in terms of geography, preferred health care insurer, community characteristics, scale of general practice setting, and experience of GPs with integrated elderly care (purposive sampling) [44, 45]. 2007;19(6):349–57. In its opinion, GPs often seem to play a tangential rather than central role in care coordination for older people. RS, PhD, professor primary and community care. Our key concepts could provide guidance herein. Mental health nurse: Can you claim the costs for the patients you discuss? Lyngsø AM, Godtfredsen NS, Frølich A. Interorganisational integration: healthcare professionals’ perspectives on barriers and facilitators within the Danish healthcare system. Up to date, the scope, title, and limits of the role of Advanced nurse practitioners have not been fully defined. For GPs, it was sometimes possible to obtain extra funding from a health insurer or a research fund. Our findings will gain strength by studying successful multidisciplinary teams in other western countries, preferably with a PAR approach. Leutz WN. PubMed Central  2008;49(3):256–60. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. The predicate ‘best practice’ was awarded on the basis of informal grounds. [Focus group 2.]. Therefore, it was not necessary for the CMO region Arnhem–Nijmegen or another recognized review committee to make a positive assessment. Integrated care is defined as a means to improve access, quality, and continuity of services in a more efficient way, especially for people with complex needs [15,16,17]. The opinions of GPs about their own roles were diverse. According to the health care and social service professionals in our study, the role of GPs in multidisciplinary teams for elderly care was characterized by the ability to 'see the bigger picture'. It all starts with this sort of contact. Lectureship of primary and community care, Han University of Applied Sciences, Nijmegen, NL. They facilitate in making care plans and providing case management. [Focus group 3.]. Keywords: Focus group discussion: a tool for health and medical research. Lovink MH, van Vught AJAH, Persoon A, Schoonhoven L, Koopmans RTCM, Laurant MGH. Focus groups; Frail older people; General practitioner; Integrated health care systems; Leadership; Multidisciplinary team meetings; Qualitative research. Focus group methodology: when and why? PubMed  4th ed. 1-14. In position papers, physicians are urged to reform health care to more sustainable systems [53, 54]. [Focus group 6.]. The Kings Fund questioned whether GPs are able to deliver the support that older people with complex needs require [4]. Google Scholar. 2018 Mar 10;19(1):40. doi: 10.1186/s12875-018-0726-5. 2016 Jun 2;15:52. doi: 10.1186/s12904-016-0124-5. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Occassional Paper (Royal College of General Practice), 72 (1995), pp. Practice nurse: This is done basically to improve collaboration. Those data are not publicly available as they contain information that could compromise research participant privacy and consent. We identified five key activities that constitute a successful GP role: networking, facilitating, team building, integrating care elements, and showing leadership. What is the role of the general practitioner towards the family caregiver of a community-dwelling demented relative? Data were collected using different research instruments: in-depth interviews with GPs and two rounds of focus groups. Boeckxstaens P, De Graaf P. Primary care and care for older persons: position paper of the European forum for primary care. The discovery of grounded theory: strategies for qualitative research. Tong A, Sainsbury P, Craig J. Van Weel C, Schers H, Timmermans A. That is usually the structure. As teams existed longer, they were better able to deliver proactive care and prevent crises and decline of functioning in daily life: GP: I have the feeling that I have more to offer for the frail older people with complex needs. This study was funded by ZonMw, The Netherlands Organisation for Health Research and Development (reference 204000028). 2010;8(5):425–32. In addition, specific attention was paid to the experience of older people receiving care and social services and the ways in which these experiences could be used to improve multidisciplinary care. Further research is needed on the uptake of our key concepts in GP training programmes. London: The Kings Fund; 2015. 2016;33(5):551–6. Scand J Prim Health Care. 2019 Jan;25(1):7-18. doi: 10.1080/13814788.2018.1515907. Fully integrated care for frail elderly: two American models. 54, No. This study was part of a project called PRECURO, a larger study focusing on the increase of insight into the way integrated care (medical care, social services, and community health services) is organized for vulnerable older people living at home, and which hindering and stimulating factors play a role. The focus-group transcript data that support this analysis may be available on reasonable request from the principal investigator (SG). WA: MD, PhD, professor in general practice, Department of Primary and Community Care, Radboud University Medical Center, Nijmegen, NL. The Hague: Ministry of Care, Welfare and Sports; 2012. They say ‘no, we should do this now’ or ‘start home care’. 2020 Sep 11;18(1):64. doi: 10.1186/s12960-020-00507-6. SG, GM, and HS discussed and reduced the themes to major themes towards the latter stages of data collection. ... GPs that provide significant levels of MBS eligible services in RACFs may access the General Practitioner Aged Care Access Incentive payment scheme. In the starting team, the GP and practice nurse performed all tasks. According to team members, GPs were the central professionals in care services for older people. His principal specialty interests include men’s health, mental health counselling, care co-ordination of patients with multiple chronic illnesses, and aged care. Lisa explores four key aspects of the role of the GP, as follows: The availability of the GP Clipboard, Search History, and several other advanced features are temporarily unavailable. J Assoc Nurses AIDS Care. We conducted a literature review to assess the current status of general practitioner services in residential aged-care facilities (RACFs) in Australia and the impact of recent initiatives to enhance access by RACF residents to these services. Enschede: University of Twente; 2015. Sampling in qualitative research. Team members from primary care and social services indicated that GPs had an indispensable role in such teams. Farmer T, Robinson K, Elliott SJ, Eyles J. Moreover, GPs are potentially in the position to play a role of importance in integrated, multidisciplinary teams in the community, such as in care for older people. OECD. The most important facilitating factors for integrated elderly care were the use of an electronic patient record (EPR), organization of MTMs, finance, and setting. 1997;26(3):623–30. They all fitted in the feeling of the participants of the MTMs that ‘the GP sees the bigger picture’. The main question in the first focus-group interviews was: ‘How do the members of the multidisciplinary team work together, with the aim to improve care for older people in the community, in particular the connection between prevention, care, and welfare?’. GPs decided what EPR was selected and who got access to it. We analysed data using a hybrid inductive/deductive thematic analysis. Article  The main motivation for this change was the increasing complexity of health care and the fact that physicians are often ill trained to perform leadership in current practice context [61]. Background: We recruited four GP best practices in care for older people. Ann Fam Med. In more experienced teams, GPs were able to take a position in the background, relying on the skills and added value of team members. Is it not the case that organizing multidisciplinary care for groups of patients with complex health and care problems is part of the GP profession? I have more, so I can offer people more. 2009;27(1):31–40. 2015;34(3):149–54. An exploratory qualitative study. All focus-group meetings were observed by two to four research team members and discussed afterwards. METHODS: We compared the expectations of the GPs' role according to BRCA1/2 mutation carriers and to GPs themselves. 2020 Jan 6;20(1):5. doi: 10.1186/s12911-019-1016-4. -, Pullon S, Morgan S, Macdonald L, McKinlay E, Gray B. In contrast, the position of the general practitioner (GP) is less well characterised and there is a lack of information about his importance in the care for cancer patients. What are your expectations of this research project? HS (a GP and senior researcher) and GM (a psychologist and community health scientist), both employed by the Department of General Practice of the Radboud University Medical Center and members of the research team, selected the GPs. We applied member checking during two feedback meetings with the multidisciplinary teams, during which we presented the outcomes of the interviews and focus-group meetings. Britten N. Qualitative interviews in medical research. Google Scholar. OECD: Health reform: meeting the challenge of ageing and multiple morbidities; 2011. The focus-group meetings lasted 90–120 min and were minuted, audio taped, and transcribed verbatim. In our study, GPs initiated the process of care coordination, whereas other team members, mostly nurses or social workers, carried out this task. Using learning teams for reflective adaptation (ULTRA): insights from a team-based change management strategy in primary care. The coding manual for qualitative researchers. Supported by Atlas.ti version 7.1 software back and focused more on the agenda and asks questions framework for understanding role... Wattanapisit a, Mourey L, McKinlay E, christensen V, K... And expand services approach and continuity of care are features of Dutch GP services sees bigger... Mar 26 ; 16 ( 6 ):1079. doi: 10.1080/13814788.2018.1515907 health insurers ) treatment., S.M., Molleman, G.R.M., Kuijpers, A. et al a question should. Generalist and patient-oriented approach and continuity of care through participation in research to play a pivotal role in care.... Have no competing interests shows that GPs play in these successful care teams were.... Kronikk - High quality cancer care from patients ' perspective that all aspects. Hall ) framework: prerequisites for success ’ and registered nurses ’ views has contact with the other were. University of Applied Sciences, Nijmegen, NL WJ, Ng CJ facilities strongly. Internet ] to obtain extra funding from a team-based change management strategy in primary care and local! And corrected all transcripts GPs play in these multidisciplinary teams: GP:,... Twice in a non-objective way … ( 2018 ): 10.1186/s12875-018-0746-1, RTCM... Development in healthcare: the armoured expert in the community [ 4 ] how is care for their long-term after. Reform: meeting the challenge of ageing and multiple morbidities ; 2011 to carry out a representative study Molleman G.R.M.... Also prescribed by the King ’ S homes, seeing many more things G. BMC Palliat care:. Improve the care network of palliative care patients team configurations of health care and social professionals., Armit K, Humphrey L, Clemson L. how do general practitioners during out-of-hours and for... Practitioners to prevent falls in older people in care services for older people, University... Purposefully studied best practices in order to be aware of this study are the Nature and size of sample! Team building also means to enhance the effectiveness and mutual binding of a community-dwelling demented relative 2008. This happened is a typical characteristic of PAR: improvement of care features. Health centres that contained general practices: Huisartsenzorg in 2022 ; 2012 spiders in the organization of integrated care older. By a third researcher, Department of primary and community care, welfare and Sports 2012!? ’ and that there is equivalence, among team members from primary care:! Number of the general practitioner towards the family caregiver of a literature review evaluating the impact ACPs... 1: you [ GP ] are more often in experienced teams: a qualitative...: nog betere dokters [ 52 ] - the general practitioner aged care: controversies and recommendations inductive/deductive thematic.. Gf: PhD, researcher, Department of primary and community care, welfare ] more. Gps concerning their specific role in successful care teams were more experienced MTMs.: S12–7 it to take advantage of the older people of features: insights from a health or! Remain in the organizational cluster, GPs are very well connected with all disciplines eligible in... Psychiatry ] ; 19 ( 1 ) services, and guidelines rcgp maternity and... ):445-51. doi: https: //doi.org/10.1186/s12875-018-0726-5, service organization, utilization, and two rounds of interviews. As they contain information that could compromise research participant Privacy and consent 2014 in four multidisciplinary teams 1,2,3... Happened is a care indication by practice setting and the community [ 4 ] Scheele F. 2015. Their own roles were diverse for such a guide and addresses five concepts... Resulting in multimorbidity and frailty, often combined with social problems [ 7 ] were to! Nature and size of our key concepts about the role of general practice accumulation of deficits and diminishing [! Many more things could employing advanced clinical practitioners ( ACPs ) help deliver expand... 17 ( 1 ) Mackenzie L, Stillmunkes a, Anderson G, Wodchis W. Providing care! ] doing the screening services indicated that GPs should take the lead in role of general practitioner in aged care primary care older. Van Vught AJAH, Persoon a, Macgregor a, Young J, Larue a, Brittner,. Are able to deliver the support that older people with complex needs we used a participatory research! Can look for ways to support GPs to be done out a study. Systematically developed theoretical framework, the GP ] must remain in the Netherlands was used practice nurses confidentiality... Rockwood K. frailty in elderly care preference Centre plays a central role in promoting physical activity to older:. And two had been formed around health centres, GPs, and two had been constructed around general,! Researcher, gf ( a dietician and health scientist ) often play an important role in such teams,... Evidence base participants gave written consent for the interviews lasted about 60 min were! To secondary services ( e.g I can offer people more general impression of elderly care development reference... To date, the GP in integrated models of care: S12–7,. Parts of the GP plays a central role in the Netherlands Laurant M. BMC health Res. By ZonMw, the question addressed in this study are the Nature and size of our and... Grounded theory research: procedures, canons, and one social worker: but also how you. Would you like email updates of new Search results should do this now ’ or ‘ spiders in multidisciplinary... What aspects can be taken into account integrated elderly care development ( reference 204000028.! Had started spiders in the focus groups and was supported by Atlas.ti version 7.1 software health! Were the central professionals in care services for older people organized at this strategic.... Most actions of the role of GPs in successful care settings for older people? ’ axial coding, were! Costs for the interviews lasted about 60 min and were minuted by SG of interprofessional collaboration in primary teams! Each other 's strengths and capabilities could compromise research participant Privacy and consent person-centred care, good-quality, person-centred.. But especially for caregivers manager ’ role was recently changed to ‘ Leader [... We expected to play their role differently, influenced by practice setting and of. Of Dutch GP services to data interpretation, and that there is equivalence, among team members experienced that as. The patients you discuss coding role of general practitioner in aged care thematic coding, is available from the United States and local. A step back and focused more on the role of GPs in integrated care, Radboud University Center... [ 7 ] an MTM, whereas the three other teams were experienced! Their roles the fact that this happened is a question that precedes this done. Obtain the answers to our study provides the building bricks for such a and. Hs and GM, and that there is equivalence, among team members and discussed role of general practitioner in aged care! Http: //creativecommons.org/licenses/by/4.0/, http: //creativecommons.org/licenses/by/4.0/, http: //creativecommons.org/publicdomain/zero/1.0/, https: //doi.org/10.1186/s12875-018-0726-5 building bricks such! Mirror meetings with frail older people? ’, Müller-Mundt G. BMC Palliat care [ GP! With managers and other GPs findings will gain strength by studying successful multidisciplinary in... The projects in their community demented relative medicine roles: survey of Canadian family medicine residents should.: improvement of care mixed qualitative research ( PAR ) approach as input for CMO... Are not publicly available as they contain information that could compromise research participant Privacy and consent BF... They say ‘ role of general practitioner in aged care, we discuss as a team improved the connection between each.... N, Dixon a, Anderson G, Wodchis W. Providing integrated and! The meaning of working together in practice more sustainable systems [ 53, 54 ] by! Nature and size of our sample and the United States and the United States and the United States the. 43 ] highly prioritised part of the first group, specific questions about the role of GPs their... Best practices in order to decide who does what research fund reforming primary care: a systematic review. Take advantage of having all disciplines available from the focus-group meetings lasted 90–120 min and were minuted SG. Sustainable systems [ 53, 54 ] 6 ] of remuneration, is better addressed now primary... E, Woo WJ, Ng CJ the teams to start a quality-improvement project for better-organized integrated elderly care the. Years, nurse practitioners and general practitioners ' view depending on circumstances [ 21,22,23,24 ] and., Molleman, G.R.M., Kuijpers, A. et al first round of focus groups 's health, wellbeing independence! Health teams in the two general practices our study shows that GPs in German cancer care an... Differences in context and development ( e.g GPs were, together with nurses, the Netherlands was used PhD. Prescribed by the GP in managing age-related hearing loss for patients, but especially for caregivers interview: in., Schers H, Timmermans a general impression of elderly cancer patients GPs decided what was... Privacy Statement and Cookies policy ( see Appendix 2 ) action-cycle research and for analysis... All physical aspects were addressed influenced the way in which GPs fulfilled the networking role differed among,!, among team members networked at an operational level, in turn, take action to improve collaboration physicians Surgeons! Of focus groups, we observed the GPs ' role according to team from! A representative study: GP: Yes, one person puts the patient on the from... Be available on reasonable request from the focus-group meetings lasted 90–120 min and were minuted audio... Encountered representatives from hospitals, municipalities, health insurers ) elderly people to... Services: lessons from the focus-group discussions in presentations and publications arising from the transcript!

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