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General practitioners’ perspectives on a proposed new model of service delivery for primary care management of knee osteoarthritis: a qualitative study

Overview of attention for article published in BMC Primary Care, September 2017
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Title
General practitioners’ perspectives on a proposed new model of service delivery for primary care management of knee osteoarthritis: a qualitative study
Published in
BMC Primary Care, September 2017
DOI 10.1186/s12875-017-0656-7
Pubmed ID
Authors

Thorlene Egerton, Rachel Nelligan, Jenny Setchell, Lou Atkins, Kim L. Bennell

Abstract

Effective management of people with knee osteoarthritis (OA) requires development of new models of care, and successful implementation relies on engagement of general practitioners (GPs). This study used a qualitative methodology to identify potential factors influencing GPs' engagement with a proposed new model of service delivery to provide evidence-based care for patients with knee OA and achieve better patient outcomes. Semi-structured telephone interviews with 11 GPs were conducted. Based on a theoretical model of behaviour, interview questions were designed to elicit perspectives on a remotely-delivered (telephone-based) service to support behaviour change and self-management for patients with knee OA, with a focus on exercise and weight loss. Transcripts were analysed using an inductive thematic approach, and GPs' opinions were organised using the APEASE (affordability, practicability, effectiveness, acceptability, safety/side effects and equity) criteria as themes. GPs expressed concerns about potential for confusion, incongruence of information and advice, disconnect with other schemes and initiatives, loss of control of patient care, lack of belief in the need and benefits of proposed service, resistance to change because of lack of familiarity with the procedures and the service, and reluctance to trust in the skills and abilities of the health professionals providing the care support. GPs also recognised the potential benefits of the extra support for patients, and improved access for remote patients to clinicians with specialist knowledge. The findings can be used to optimise implementation and engagement with a remotely-delivered 'care support team' model by GPs.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 165 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 165 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 23 14%
Student > Doctoral Student 19 12%
Researcher 18 11%
Student > Bachelor 17 10%
Student > Ph. D. Student 15 9%
Other 20 12%
Unknown 53 32%
Readers by discipline Count As %
Medicine and Dentistry 33 20%
Nursing and Health Professions 31 19%
Psychology 7 4%
Sports and Recreations 7 4%
Business, Management and Accounting 5 3%
Other 24 15%
Unknown 58 35%