How do general practitioners recognize the definition of multimorbidity? A European qualitative study: European Journal of General Practice

J.Y. Le Reste, P. Nabbe, D. Lazic, R. Assenova, H. Lingner, S. Czachowski, S. Argyriadou, A. Sowinska, C. Lygidakis, C. Doerr, A. Claveria, B. Le Floch, J. Derriennic, H. Van Marwijk, P. van Royen

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background: Multimorbidity is a challenging concept for general practice. An EGPRN working group has published a comprehensive definition of the concept of multimorbidity. As multimorbidity could be a way to explore complexity in general practice, it was of importance to explore whether European general practitioners (GPs) recognize this concept and whether they would change it. Objectives: To investigate whether European GPs recognize the EGPRN concept of multimorbidity and whether they would change it. Methods: Focus group meetings and semi-structured interviews as data collection techniques with a purposive sample of practicing GPs from every country. Data collection continued until saturation was reached in every country. The analysis was undertaken using a grounded theory based method. In each national team, four independent researchers, working blind and pooling data, carried out the analysis. To ensure the internationalization of the data, an international team of 10 researchers pooled the axial and selective coding of all national teams to check the concept and highlight emerging themes. Results: The maximal variation and saturation of the sample were reached in all countries with 211 selected GPs. The EGPRN definition was recognized in all countries. Two additional ideas emerged, the use of Wonca's core competencies of general practice, and the dynamics of the doctor-patient relationship for detecting and managing multimorbidity and patient's complexity. Conclusion: European GPs recognized and enhanced the EGPRN concept of multimorbidity. These results open new perspectives regarding the management of complexity using the concept of multimorbidity in general practice.
Original languageEnglish
Pages (from-to)159-168
Number of pages10
JournalThe European Journal of General Practice
Volume22
DOIs
Publication statusPublished - 2016

Cite this

Le Reste, J.Y. ; Nabbe, P. ; Lazic, D. ; Assenova, R. ; Lingner, H. ; Czachowski, S. ; Argyriadou, S. ; Sowinska, A. ; Lygidakis, C. ; Doerr, C. ; Claveria, A. ; Le Floch, B. ; Derriennic, J. ; Van Marwijk, H. ; van Royen, P. / How do general practitioners recognize the definition of multimorbidity? A European qualitative study : European Journal of General Practice. In: The European Journal of General Practice. 2016 ; Vol. 22. pp. 159-168.
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abstract = "Background: Multimorbidity is a challenging concept for general practice. An EGPRN working group has published a comprehensive definition of the concept of multimorbidity. As multimorbidity could be a way to explore complexity in general practice, it was of importance to explore whether European general practitioners (GPs) recognize this concept and whether they would change it. Objectives: To investigate whether European GPs recognize the EGPRN concept of multimorbidity and whether they would change it. Methods: Focus group meetings and semi-structured interviews as data collection techniques with a purposive sample of practicing GPs from every country. Data collection continued until saturation was reached in every country. The analysis was undertaken using a grounded theory based method. In each national team, four independent researchers, working blind and pooling data, carried out the analysis. To ensure the internationalization of the data, an international team of 10 researchers pooled the axial and selective coding of all national teams to check the concept and highlight emerging themes. Results: The maximal variation and saturation of the sample were reached in all countries with 211 selected GPs. The EGPRN definition was recognized in all countries. Two additional ideas emerged, the use of Wonca's core competencies of general practice, and the dynamics of the doctor-patient relationship for detecting and managing multimorbidity and patient's complexity. Conclusion: European GPs recognized and enhanced the EGPRN concept of multimorbidity. These results open new perspectives regarding the management of complexity using the concept of multimorbidity in general practice.",
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note = "M1 - 3 ISI Document Delivery No.: DX0ME Times Cited: 1 Cited Reference Count: 41 Le Reste, Jean Yves Nabbe, Patrice Lazic, Djurdjica Assenova, Radost Lingner, Heidrun Czachowski, Slawomir Argyriadou, Stella Sowinska, Agnieszka Lygidakis, Charilaos Doerr, Christa Claveria, Ana Le Floch, Bernard Derriennic, Jeremy Van Marwijk, Harm Van Royen, Paul Czachowski, Slawomir/H-7702-2014; Van Royen, Paul/H-7315-2015 Czachowski, Slawomir/0000-0002-8055-4833; Van Royen, Paul/0000-0002-9554-1680; Claveria, Ana/0000-0001-9552-1260 Department of General Practice of Brest University (France); EGPRN Funding of the Department of General Practice of Brest University (France) and a Grant of (sic)8000 from the EGPRN. 1 2 TAYLOR & FRANCIS LTD ABINGDON EUR J GEN PRACT",
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Le Reste, JY, Nabbe, P, Lazic, D, Assenova, R, Lingner, H, Czachowski, S, Argyriadou, S, Sowinska, A, Lygidakis, C, Doerr, C, Claveria, A, Le Floch, B, Derriennic, J, Van Marwijk, H & van Royen, P 2016, 'How do general practitioners recognize the definition of multimorbidity? A European qualitative study: European Journal of General Practice' The European Journal of General Practice, vol. 22, pp. 159-168. https://doi.org/10.3109/13814788.2015.1136619

How do general practitioners recognize the definition of multimorbidity? A European qualitative study : European Journal of General Practice. / Le Reste, J.Y.; Nabbe, P.; Lazic, D.; Assenova, R.; Lingner, H.; Czachowski, S.; Argyriadou, S.; Sowinska, A.; Lygidakis, C.; Doerr, C.; Claveria, A.; Le Floch, B.; Derriennic, J.; Van Marwijk, H.; van Royen, P.

In: The European Journal of General Practice, Vol. 22, 2016, p. 159-168.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - How do general practitioners recognize the definition of multimorbidity? A European qualitative study

T2 - European Journal of General Practice

AU - Le Reste, J.Y.

AU - Nabbe, P.

AU - Lazic, D.

AU - Assenova, R.

AU - Lingner, H.

AU - Czachowski, S.

AU - Argyriadou, S.

AU - Sowinska, A.

AU - Lygidakis, C.

AU - Doerr, C.

AU - Claveria, A.

AU - Le Floch, B.

AU - Derriennic, J.

AU - Van Marwijk, H.

AU - van Royen, P.

N1 - M1 - 3 ISI Document Delivery No.: DX0ME Times Cited: 1 Cited Reference Count: 41 Le Reste, Jean Yves Nabbe, Patrice Lazic, Djurdjica Assenova, Radost Lingner, Heidrun Czachowski, Slawomir Argyriadou, Stella Sowinska, Agnieszka Lygidakis, Charilaos Doerr, Christa Claveria, Ana Le Floch, Bernard Derriennic, Jeremy Van Marwijk, Harm Van Royen, Paul Czachowski, Slawomir/H-7702-2014; Van Royen, Paul/H-7315-2015 Czachowski, Slawomir/0000-0002-8055-4833; Van Royen, Paul/0000-0002-9554-1680; Claveria, Ana/0000-0001-9552-1260 Department of General Practice of Brest University (France); EGPRN Funding of the Department of General Practice of Brest University (France) and a Grant of (sic)8000 from the EGPRN. 1 2 TAYLOR & FRANCIS LTD ABINGDON EUR J GEN PRACT

PY - 2016

Y1 - 2016

N2 - Background: Multimorbidity is a challenging concept for general practice. An EGPRN working group has published a comprehensive definition of the concept of multimorbidity. As multimorbidity could be a way to explore complexity in general practice, it was of importance to explore whether European general practitioners (GPs) recognize this concept and whether they would change it. Objectives: To investigate whether European GPs recognize the EGPRN concept of multimorbidity and whether they would change it. Methods: Focus group meetings and semi-structured interviews as data collection techniques with a purposive sample of practicing GPs from every country. Data collection continued until saturation was reached in every country. The analysis was undertaken using a grounded theory based method. In each national team, four independent researchers, working blind and pooling data, carried out the analysis. To ensure the internationalization of the data, an international team of 10 researchers pooled the axial and selective coding of all national teams to check the concept and highlight emerging themes. Results: The maximal variation and saturation of the sample were reached in all countries with 211 selected GPs. The EGPRN definition was recognized in all countries. Two additional ideas emerged, the use of Wonca's core competencies of general practice, and the dynamics of the doctor-patient relationship for detecting and managing multimorbidity and patient's complexity. Conclusion: European GPs recognized and enhanced the EGPRN concept of multimorbidity. These results open new perspectives regarding the management of complexity using the concept of multimorbidity in general practice.

AB - Background: Multimorbidity is a challenging concept for general practice. An EGPRN working group has published a comprehensive definition of the concept of multimorbidity. As multimorbidity could be a way to explore complexity in general practice, it was of importance to explore whether European general practitioners (GPs) recognize this concept and whether they would change it. Objectives: To investigate whether European GPs recognize the EGPRN concept of multimorbidity and whether they would change it. Methods: Focus group meetings and semi-structured interviews as data collection techniques with a purposive sample of practicing GPs from every country. Data collection continued until saturation was reached in every country. The analysis was undertaken using a grounded theory based method. In each national team, four independent researchers, working blind and pooling data, carried out the analysis. To ensure the internationalization of the data, an international team of 10 researchers pooled the axial and selective coding of all national teams to check the concept and highlight emerging themes. Results: The maximal variation and saturation of the sample were reached in all countries with 211 selected GPs. The EGPRN definition was recognized in all countries. Two additional ideas emerged, the use of Wonca's core competencies of general practice, and the dynamics of the doctor-patient relationship for detecting and managing multimorbidity and patient's complexity. Conclusion: European GPs recognized and enhanced the EGPRN concept of multimorbidity. These results open new perspectives regarding the management of complexity using the concept of multimorbidity in general practice.

U2 - 10.3109/13814788.2015.1136619

DO - 10.3109/13814788.2015.1136619

M3 - Article

VL - 22

SP - 159

EP - 168

JO - The European Journal of General Practice

JF - The European Journal of General Practice

SN - 1381-4788

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