Self-management perspectives of elderly patients with multimorbidity and practitioners - status, challenges and further support needed?

Abstract Background Patients with multimorbidity (here defined as three or more chronic conditions) require constant treatment and care. Furthermore, they have to manage their health and diseases in daily life. Offering support to patients’ medical self-management is an important task of primary car...

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Autores principales:	Amanda Breckner, Catharina Roth, Katharina Glassen, Michel Wensing
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Self-management Self-management support Multimorbidity Social participation Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/1f72322b094c4977b61be507127fc41b
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spelling	oai:doaj.org-article:1f72322b094c4977b61be507127fc41b2021-11-28T12:29:38ZSelf-management perspectives of elderly patients with multimorbidity and practitioners - status, challenges and further support needed?10.1186/s12875-021-01584-91471-2296https://doaj.org/article/1f72322b094c4977b61be507127fc41b2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12875-021-01584-9https://doaj.org/toc/1471-2296Abstract Background Patients with multimorbidity (here defined as three or more chronic conditions) require constant treatment and care. Furthermore, they have to manage their health and diseases in daily life. Offering support to patients’ medical self-management is an important task of primary care. The aim of this study was to explore, what further support is needed from the perspective of patients’ and primary care practitioners. Methods A qualitative study using individual semi-structed interviews with 17 patients with multimorbidity and 7 practitioners (4 primary care physicians and 3 practice assistants) was conducted in Germany. Data were audio-recorded, pseudonymised and transcribed verbatim. Data analysis was performed using qualitative content analysis to structure data into themes and subthemes. All data were managed and organised in MAXQDA. Results The three broad themes: current status, challenges and further support emerged. Patients reported on unfulfilled needs regarding role or emotional management, like coping with loneliness, loss of independence and, changing habits. The importance of social contact was highlighted by patients and practitioners. Patients articulated further support from their primary care practitioners on coping with the disease. Practitioners’ wished for further support in aspects of social participation, public transport, and community resources. Conclusion Challenges regarding self-management of elderly patients with multimorbidity may be addressed by harnessing social support and community initiatives.Amanda BrecknerCatharina RothKatharina GlassenMichel WensingBMCarticleSelf-managementSelf-management supportMultimorbiditySocial participationMedicine (General)R5-920ENBMC Family Practice, Vol 22, Iss 1, Pp 1-13 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Self-management Self-management support Multimorbidity Social participation Medicine (General) R5-920
spellingShingle	Self-management Self-management support Multimorbidity Social participation Medicine (General) R5-920 Amanda Breckner Catharina Roth Katharina Glassen Michel Wensing Self-management perspectives of elderly patients with multimorbidity and practitioners - status, challenges and further support needed?
description	Abstract Background Patients with multimorbidity (here defined as three or more chronic conditions) require constant treatment and care. Furthermore, they have to manage their health and diseases in daily life. Offering support to patients’ medical self-management is an important task of primary care. The aim of this study was to explore, what further support is needed from the perspective of patients’ and primary care practitioners. Methods A qualitative study using individual semi-structed interviews with 17 patients with multimorbidity and 7 practitioners (4 primary care physicians and 3 practice assistants) was conducted in Germany. Data were audio-recorded, pseudonymised and transcribed verbatim. Data analysis was performed using qualitative content analysis to structure data into themes and subthemes. All data were managed and organised in MAXQDA. Results The three broad themes: current status, challenges and further support emerged. Patients reported on unfulfilled needs regarding role or emotional management, like coping with loneliness, loss of independence and, changing habits. The importance of social contact was highlighted by patients and practitioners. Patients articulated further support from their primary care practitioners on coping with the disease. Practitioners’ wished for further support in aspects of social participation, public transport, and community resources. Conclusion Challenges regarding self-management of elderly patients with multimorbidity may be addressed by harnessing social support and community initiatives.
format	article
author	Amanda Breckner Catharina Roth Katharina Glassen Michel Wensing
author_facet	Amanda Breckner Catharina Roth Katharina Glassen Michel Wensing
author_sort	Amanda Breckner
title	Self-management perspectives of elderly patients with multimorbidity and practitioners - status, challenges and further support needed?
title_short	Self-management perspectives of elderly patients with multimorbidity and practitioners - status, challenges and further support needed?
title_full	Self-management perspectives of elderly patients with multimorbidity and practitioners - status, challenges and further support needed?
title_fullStr	Self-management perspectives of elderly patients with multimorbidity and practitioners - status, challenges and further support needed?
title_full_unstemmed	Self-management perspectives of elderly patients with multimorbidity and practitioners - status, challenges and further support needed?
title_sort	self-management perspectives of elderly patients with multimorbidity and practitioners - status, challenges and further support needed?
publisher	BMC
publishDate	2021
url	https://doaj.org/article/1f72322b094c4977b61be507127fc41b
work_keys_str_mv	AT amandabreckner selfmanagementperspectivesofelderlypatientswithmultimorbidityandpractitionersstatuschallengesandfurthersupportneeded AT catharinaroth selfmanagementperspectivesofelderlypatientswithmultimorbidityandpractitionersstatuschallengesandfurthersupportneeded AT katharinaglassen selfmanagementperspectivesofelderlypatientswithmultimorbidityandpractitionersstatuschallengesandfurthersupportneeded AT michelwensing selfmanagementperspectivesofelderlypatientswithmultimorbidityandpractitionersstatuschallengesandfurthersupportneeded
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Self-management perspectives of elderly patients with multimorbidity and practitioners - status, challenges and further support needed?

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