Family practitioners' top medical priorities when managing patients with multimorbidity: a cross-sectional study
Background: Managing multiple chronic and acute conditions in patients with multimorbidity requires setting medical priorities. How family practitioners (FPs) rank medical priorities between highly, moderately, or rarely prevalent chronic conditions (CCs) has never been described. The authors hypoth...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Royal College of General Practitioners
2019-01-01
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| Series: | BJGP Open |
| Subjects: | |
| Online Access: | https://bjgpopen.org/content/3/1/bjgpopen18X101622 |
| _version_ | 1818148716493668352 |
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| author | Lilli Herzig Yolanda Mueller Dagmar M Haller Andreas Zeller Stefan Neuner-Jehle Anouk Déruaz-Luyet Christine Cohidon Sven Streit Bernard Burnand Jean-Christophe Zuchuat |
| author_facet | Lilli Herzig Yolanda Mueller Dagmar M Haller Andreas Zeller Stefan Neuner-Jehle Anouk Déruaz-Luyet Christine Cohidon Sven Streit Bernard Burnand Jean-Christophe Zuchuat |
| author_sort | Lilli Herzig |
| collection | DOAJ |
| description | Background: Managing multiple chronic and acute conditions in patients with multimorbidity requires setting medical priorities. How family practitioners (FPs) rank medical priorities between highly, moderately, or rarely prevalent chronic conditions (CCs) has never been described. The authors hypothesised that there was no relationship between the prevalence of CCs and their medical priority ranking in individual patients with multimorbidity. Aim: To describe FPs’ medical priority ranking of conditions relative to their prevalence in patients with multimorbidity. Design & setting: This cross-sectional study of 100 FPs in Switzerland included patients with ≥3 CCs on a predefined list of 75 items from the International Classification of Primary Care 2 (ICPC-2); other conditions could be added. FPs ranked all conditions by their medical priority. Method: Priority ranking and distribution were calculated for each condition separately and for the top three priorities together. Results: The sample contained 888 patients aged 28–98 years (mean 73), of which 48.2% were male. Included patients had 3–19 conditions (median 7; interquantile range [IQR] 6–9). FPs used 74/75 CCs from the predefined list, of which 27 were highly prevalent (>5%). In total, 336 different conditions were recorded. Highly prevalent CCs were only the top medical priority in 66%, and the first three priorities in 33%, of cases. No correlation was found between prevalence and the ranking of medical priorities. Conclusion: FPs faced a great diversity of different conditions in their patients with multimorbidity, with nearly every condition being found at nearly every rank of medical priority, depending on the patient. Medical priority ranking was independent of the prevalence of CCs. |
| first_indexed | 2024-12-11T12:55:34Z |
| format | Article |
| id | doaj.art-287d133e84764491bf8a4729deacb16c |
| institution | Directory Open Access Journal |
| issn | 2398-3795 |
| language | English |
| last_indexed | 2024-12-11T12:55:34Z |
| publishDate | 2019-01-01 |
| publisher | Royal College of General Practitioners |
| record_format | Article |
| series | BJGP Open |
| spelling | doaj.art-287d133e84764491bf8a4729deacb16c2022-12-22T01:06:35ZengRoyal College of General PractitionersBJGP Open2398-37952019-01-013110.3399/bjgpopen18X101622Family practitioners' top medical priorities when managing patients with multimorbidity: a cross-sectional studyLilli Herzig0Yolanda Mueller1Dagmar M Haller2Andreas Zeller3Stefan Neuner-Jehle4Anouk Déruaz-Luyet5Christine Cohidon6Sven Streit7Bernard Burnand8Jean-Christophe Zuchuat9Department of Family Medicine, General Medicine and Public Health Centre, University of Lausanne, Lausanne, SwitzerlandDepartment of Family Medicine, General Medicine and Public Health Care Centre, University of Lausanne, Lausanne, SwitzerlandPrimary Care Unit, Faculty of Medicine, University of Geneva, Geneva, SwitzerlandCentre of Primary Health Care, University of Basel, Basel, SwitzerlandInstitute of Primary Care, University of Zürich, Zürich, SwitzerlandDepartment of Family Medicine, General Medicine and Public Health Centre, University of Lausanne, Lausanne, SwitzerlandInstitute of Primary Care, Department of Family Medicine, General Medicine and Public Health Centre, University of Lausanne, Lausanne, SwitzerlandInstitute of Primary Health Care (BIHAM), University of Bern, Bern, SwitzerlandInstitute of Social and Preventive Medicine, Lausanne University Hospital, Lausanne, SwitzerlandDepartment of Family Medicine, General Medicine and Public Health Centre, University of Lausanne, Lausanne, SwitzerlandBackground: Managing multiple chronic and acute conditions in patients with multimorbidity requires setting medical priorities. How family practitioners (FPs) rank medical priorities between highly, moderately, or rarely prevalent chronic conditions (CCs) has never been described. The authors hypothesised that there was no relationship between the prevalence of CCs and their medical priority ranking in individual patients with multimorbidity. Aim: To describe FPs’ medical priority ranking of conditions relative to their prevalence in patients with multimorbidity. Design & setting: This cross-sectional study of 100 FPs in Switzerland included patients with ≥3 CCs on a predefined list of 75 items from the International Classification of Primary Care 2 (ICPC-2); other conditions could be added. FPs ranked all conditions by their medical priority. Method: Priority ranking and distribution were calculated for each condition separately and for the top three priorities together. Results: The sample contained 888 patients aged 28–98 years (mean 73), of which 48.2% were male. Included patients had 3–19 conditions (median 7; interquantile range [IQR] 6–9). FPs used 74/75 CCs from the predefined list, of which 27 were highly prevalent (>5%). In total, 336 different conditions were recorded. Highly prevalent CCs were only the top medical priority in 66%, and the first three priorities in 33%, of cases. No correlation was found between prevalence and the ranking of medical priorities. Conclusion: FPs faced a great diversity of different conditions in their patients with multimorbidity, with nearly every condition being found at nearly every rank of medical priority, depending on the patient. Medical priority ranking was independent of the prevalence of CCs.https://bjgpopen.org/content/3/1/bjgpopen18X101622primary carechronic diseasemultimorbidityepidemiologyprioritisation |
| spellingShingle | Lilli Herzig Yolanda Mueller Dagmar M Haller Andreas Zeller Stefan Neuner-Jehle Anouk Déruaz-Luyet Christine Cohidon Sven Streit Bernard Burnand Jean-Christophe Zuchuat Family practitioners' top medical priorities when managing patients with multimorbidity: a cross-sectional study BJGP Open primary care chronic disease multimorbidity epidemiology prioritisation |
| title | Family practitioners' top medical priorities when managing patients with multimorbidity: a cross-sectional study |
| title_full | Family practitioners' top medical priorities when managing patients with multimorbidity: a cross-sectional study |
| title_fullStr | Family practitioners' top medical priorities when managing patients with multimorbidity: a cross-sectional study |
| title_full_unstemmed | Family practitioners' top medical priorities when managing patients with multimorbidity: a cross-sectional study |
| title_short | Family practitioners' top medical priorities when managing patients with multimorbidity: a cross-sectional study |
| title_sort | family practitioners top medical priorities when managing patients with multimorbidity a cross sectional study |
| topic | primary care chronic disease multimorbidity epidemiology prioritisation |
| url | https://bjgpopen.org/content/3/1/bjgpopen18X101622 |
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