General practice management of chronic post-surgical pain in patients with hip fracture: a qualitative study
BackgroundHip fractures are common among elderly people and often lead to chronic post-surgical pain (CPSP). Effective CPSP management when patients transition from hospital to community settings is essential, but has not been sufficiently researched. This study examined general practitioner (GP) pe...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2024-01-01
|
| Series: | Frontiers in Medicine |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2023.1304182/full |
| _version_ | 1797354212020977664 |
|---|---|
| author | Wenshu Cao Jizhong Ye Yini Yan Cheng Xu Qiwei Lv |
| author_facet | Wenshu Cao Jizhong Ye Yini Yan Cheng Xu Qiwei Lv |
| author_sort | Wenshu Cao |
| collection | DOAJ |
| description | BackgroundHip fractures are common among elderly people and often lead to chronic post-surgical pain (CPSP). Effective CPSP management when patients transition from hospital to community settings is essential, but has not been sufficiently researched. This study examined general practitioner (GP) perspectives on managing patients with CPSP after hip fractures in Shanghai, China.MethodsA descriptive qualitative study was performed wherein semi-structured interviews were conducted with GPs practicing in Shanghai who volunteered to participate. This study was initiated after a regional survey of general practice care for patients with CPSP following hip fracture.ResultsSix key themes emerged: (1) GPs’ care priorities for patients with CPSP varied; (2) pharmacological management posed challenges in terms of selecting appropriate medications; (3) consultation time constraints hindered comprehensive management; (4) GPs desired better communication from hospitals at discharge; (5) limited access to services, such as pain specialists and allied health, obstructed optimal care delivery; and (6) patient nonadherence to CPSP treatment was an issue.ConclusionMultiple patient-, provider-, and system-level factors affected GP care for patients with CPSP after hip fracture. Improved interdisciplinary communication and education on evidence-based CPSP guidelines are needed to address the knowledge gaps among GPs. Barriers to healthcare access must be minimized to facilitate guideline-based care. |
| first_indexed | 2024-03-08T13:46:08Z |
| format | Article |
| id | doaj.art-26bf562d0f634bc1a0e1e1234131e9bf |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-03-08T13:46:08Z |
| publishDate | 2024-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-26bf562d0f634bc1a0e1e1234131e9bf2024-01-16T08:51:36ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2024-01-011010.3389/fmed.2023.13041821304182General practice management of chronic post-surgical pain in patients with hip fracture: a qualitative studyWenshu Cao0Jizhong Ye1Yini Yan2Cheng Xu3Qiwei Lv4Tianlin Community Health Center of Xuhui District, Shanghai, ChinaTianlin Community Health Center of Xuhui District, Shanghai, ChinaTianlin Community Health Center of Xuhui District, Shanghai, ChinaDepartment of Anaesthesiology, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University, Shanghai, ChinaTianlin Community Health Center of Xuhui District, Shanghai, ChinaBackgroundHip fractures are common among elderly people and often lead to chronic post-surgical pain (CPSP). Effective CPSP management when patients transition from hospital to community settings is essential, but has not been sufficiently researched. This study examined general practitioner (GP) perspectives on managing patients with CPSP after hip fractures in Shanghai, China.MethodsA descriptive qualitative study was performed wherein semi-structured interviews were conducted with GPs practicing in Shanghai who volunteered to participate. This study was initiated after a regional survey of general practice care for patients with CPSP following hip fracture.ResultsSix key themes emerged: (1) GPs’ care priorities for patients with CPSP varied; (2) pharmacological management posed challenges in terms of selecting appropriate medications; (3) consultation time constraints hindered comprehensive management; (4) GPs desired better communication from hospitals at discharge; (5) limited access to services, such as pain specialists and allied health, obstructed optimal care delivery; and (6) patient nonadherence to CPSP treatment was an issue.ConclusionMultiple patient-, provider-, and system-level factors affected GP care for patients with CPSP after hip fracture. Improved interdisciplinary communication and education on evidence-based CPSP guidelines are needed to address the knowledge gaps among GPs. Barriers to healthcare access must be minimized to facilitate guideline-based care.https://www.frontiersin.org/articles/10.3389/fmed.2023.1304182/fullhip fracturechronic post-surgical paingeneral practitionersevidence-based practiceprimary care |
| spellingShingle | Wenshu Cao Jizhong Ye Yini Yan Cheng Xu Qiwei Lv General practice management of chronic post-surgical pain in patients with hip fracture: a qualitative study Frontiers in Medicine hip fracture chronic post-surgical pain general practitioners evidence-based practice primary care |
| title | General practice management of chronic post-surgical pain in patients with hip fracture: a qualitative study |
| title_full | General practice management of chronic post-surgical pain in patients with hip fracture: a qualitative study |
| title_fullStr | General practice management of chronic post-surgical pain in patients with hip fracture: a qualitative study |
| title_full_unstemmed | General practice management of chronic post-surgical pain in patients with hip fracture: a qualitative study |
| title_short | General practice management of chronic post-surgical pain in patients with hip fracture: a qualitative study |
| title_sort | general practice management of chronic post surgical pain in patients with hip fracture a qualitative study |
| topic | hip fracture chronic post-surgical pain general practitioners evidence-based practice primary care |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2023.1304182/full |
| work_keys_str_mv | AT wenshucao generalpracticemanagementofchronicpostsurgicalpaininpatientswithhipfractureaqualitativestudy AT jizhongye generalpracticemanagementofchronicpostsurgicalpaininpatientswithhipfractureaqualitativestudy AT yiniyan generalpracticemanagementofchronicpostsurgicalpaininpatientswithhipfractureaqualitativestudy AT chengxu generalpracticemanagementofchronicpostsurgicalpaininpatientswithhipfractureaqualitativestudy AT qiweilv generalpracticemanagementofchronicpostsurgicalpaininpatientswithhipfractureaqualitativestudy |