Assessment, referral and management of obstructive sleep apnea by Australian general practitioners: a qualitative analysis

Abstract Background The high and increasing demand for obstructive sleep apnea (OSA) care has exceeded the capacity of specialist sleep services prompting consideration of whether general practitioners could have an enhanced role in service delivery. However, little is known about the current involv...

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Autores principales:	Nicole Grivell, Jenny Haycock, Anne Redman, Andrew Vakulin, Nicholas Zwar, Nigel Stocks, Oliver Frank, Richard Reed, Ching Li Chai-Coetzer, Ronald R. Grunstein, R. Doug McEvoy, Elizabeth Hoon
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Sleep Apnea, Obstructive General Practice General Practitioners Primary Health Care Delivery of Health Care Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/ddf61754a1104642ac4e22142c0bc2c0
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spelling	oai:doaj.org-article:ddf61754a1104642ac4e22142c0bc2c02021-11-21T12:06:20ZAssessment, referral and management of obstructive sleep apnea by Australian general practitioners: a qualitative analysis10.1186/s12913-021-07274-71472-6963https://doaj.org/article/ddf61754a1104642ac4e22142c0bc2c02021-11-01T00:00:00Zhttps://doi.org/10.1186/s12913-021-07274-7https://doaj.org/toc/1472-6963Abstract Background The high and increasing demand for obstructive sleep apnea (OSA) care has exceeded the capacity of specialist sleep services prompting consideration of whether general practitioners could have an enhanced role in service delivery. However, little is known about the current involvement, experiences and attitudes of Australian general practitioners towards OSA. The purpose of this study was to provide an in-depth analysis of Australian general practitioners’ experiences and opinions regarding their care of patients with OSA to inform the design and implementation of new general practice models of care. Methods Purposive sampling was used to recruit participants with maximum variation in age, experience and location. Semi-structured interviews were conducted and were analysed using Thematic Analysis. Results Three major themes were identified: (1) General practitioners are important in recognising symptoms of OSA and facilitating a diagnosis by others; (2) Inequities in access to the assessment and management of OSA; and (3) General practitioners currently have a limited role in the management of OSA. Conclusions When consulting with patients with symptoms of OSA, general practitioners see their primary responsibility as providing a referral for diagnosis by others. General practitioners working with patients in areas of greater need, such as rural/remote areas and those of socio-economic disadvantage, demonstrated interest in being more involved in OSA management. Inequities in access to assessment and management are potential drivers for change in future models of care for OSA in general practice.Nicole GrivellJenny HaycockAnne RedmanAndrew VakulinNicholas ZwarNigel StocksOliver FrankRichard ReedChing Li Chai-CoetzerRonald R. GrunsteinR. Doug McEvoyElizabeth HoonBMCarticleSleep Apnea, ObstructiveGeneral PracticeGeneral PractitionersPrimary Health CareDelivery of Health CarePublic aspects of medicineRA1-1270ENBMC Health Services Research, Vol 21, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Sleep Apnea, Obstructive General Practice General Practitioners Primary Health Care Delivery of Health Care Public aspects of medicine RA1-1270
spellingShingle	Sleep Apnea, Obstructive General Practice General Practitioners Primary Health Care Delivery of Health Care Public aspects of medicine RA1-1270 Nicole Grivell Jenny Haycock Anne Redman Andrew Vakulin Nicholas Zwar Nigel Stocks Oliver Frank Richard Reed Ching Li Chai-Coetzer Ronald R. Grunstein R. Doug McEvoy Elizabeth Hoon Assessment, referral and management of obstructive sleep apnea by Australian general practitioners: a qualitative analysis
description	Abstract Background The high and increasing demand for obstructive sleep apnea (OSA) care has exceeded the capacity of specialist sleep services prompting consideration of whether general practitioners could have an enhanced role in service delivery. However, little is known about the current involvement, experiences and attitudes of Australian general practitioners towards OSA. The purpose of this study was to provide an in-depth analysis of Australian general practitioners’ experiences and opinions regarding their care of patients with OSA to inform the design and implementation of new general practice models of care. Methods Purposive sampling was used to recruit participants with maximum variation in age, experience and location. Semi-structured interviews were conducted and were analysed using Thematic Analysis. Results Three major themes were identified: (1) General practitioners are important in recognising symptoms of OSA and facilitating a diagnosis by others; (2) Inequities in access to the assessment and management of OSA; and (3) General practitioners currently have a limited role in the management of OSA. Conclusions When consulting with patients with symptoms of OSA, general practitioners see their primary responsibility as providing a referral for diagnosis by others. General practitioners working with patients in areas of greater need, such as rural/remote areas and those of socio-economic disadvantage, demonstrated interest in being more involved in OSA management. Inequities in access to assessment and management are potential drivers for change in future models of care for OSA in general practice.
format	article
author	Nicole Grivell Jenny Haycock Anne Redman Andrew Vakulin Nicholas Zwar Nigel Stocks Oliver Frank Richard Reed Ching Li Chai-Coetzer Ronald R. Grunstein R. Doug McEvoy Elizabeth Hoon
author_facet	Nicole Grivell Jenny Haycock Anne Redman Andrew Vakulin Nicholas Zwar Nigel Stocks Oliver Frank Richard Reed Ching Li Chai-Coetzer Ronald R. Grunstein R. Doug McEvoy Elizabeth Hoon
author_sort	Nicole Grivell
title	Assessment, referral and management of obstructive sleep apnea by Australian general practitioners: a qualitative analysis
title_short	Assessment, referral and management of obstructive sleep apnea by Australian general practitioners: a qualitative analysis
title_full	Assessment, referral and management of obstructive sleep apnea by Australian general practitioners: a qualitative analysis
title_fullStr	Assessment, referral and management of obstructive sleep apnea by Australian general practitioners: a qualitative analysis
title_full_unstemmed	Assessment, referral and management of obstructive sleep apnea by Australian general practitioners: a qualitative analysis
title_sort	assessment, referral and management of obstructive sleep apnea by australian general practitioners: a qualitative analysis
publisher	BMC
publishDate	2021
url	https://doaj.org/article/ddf61754a1104642ac4e22142c0bc2c0
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Assessment, referral and management of obstructive sleep apnea by Australian general practitioners: a qualitative analysis

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