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Reasons for disagreement regarding illnesses between older patients with multimorbidity and their GPs – a qualitative study

Overview of attention for article published in BMC Primary Care, June 2015
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  • Above-average Attention Score compared to outputs of the same age and source (51st percentile)

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29 Dimensions

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70 Mendeley
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Title
Reasons for disagreement regarding illnesses between older patients with multimorbidity and their GPs – a qualitative study
Published in
BMC Primary Care, June 2015
DOI 10.1186/s12875-015-0286-x
Pubmed ID
Authors

Heike Hansen, Nadine Pohontsch, Hendrik van den Bussche, Martin Scherer, Ingmar Schäfer

Abstract

Chronic conditions are the most common themes in doctor-patient communication, especially for older patients with multimorbidity and their GPs. Former quantitative studies identified a variety of socio-demographic and health-related factors which were associated with the (dis-)agreement between medical records and patient self-reported diseases. The aim of this qualitative study was to identify reasons for disagreement regarding illnesses between patients and their GPs. We conducted three focus groups with GPs (n = 15) and three focus groups with multimorbid patients aged 65 to 85 (n = 21). The participants were recruited from the MultiCare Cohort Study. Focus groups were audiotaped and transcribed verbatim. The transcripts of the focus groups were analysed using the qualitative content analysis according to Mayring. Categories were determined deductively and inductively. The analysis revealed seven themes concerning reasons for disagreement regarding illnesses between patients and their GPs: problems with communication and cooperation between health care professionals, disease management by the GP and the patient, the documentation behaviour of the GP, communication challenges between GP and patient, differences in the understanding of a disease between GP and patient, the prioritization and rating of diseases by GP and patient and obliviousness, repression and avoidance by the patient. For older patients with multimorbidity, our study demonstrated that there is a need to enhance the cooperation between GPs, specialists and outpatient care, a demand to improve doctor-patient communication and a need for interventions to increase patients' knowledge of diseases.

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The data shown below were collected from the profiles of 9 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 70 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 70 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 15 21%
Student > Ph. D. Student 11 16%
Researcher 8 11%
Student > Bachelor 5 7%
Lecturer 4 6%
Other 12 17%
Unknown 15 21%
Readers by discipline Count As %
Medicine and Dentistry 23 33%
Nursing and Health Professions 8 11%
Psychology 6 9%
Social Sciences 6 9%
Pharmacology, Toxicology and Pharmaceutical Science 3 4%
Other 8 11%
Unknown 16 23%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 6. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 27 June 2015.
All research outputs
#6,332,855
of 25,373,627 outputs
Outputs from BMC Primary Care
#791
of 2,359 outputs
Outputs of similar age
#69,108
of 282,051 outputs
Outputs of similar age from BMC Primary Care
#16
of 33 outputs
Altmetric has tracked 25,373,627 research outputs across all sources so far. This one has received more attention than most of these and is in the 74th percentile.
So far Altmetric has tracked 2,359 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.7. This one has gotten more attention than average, scoring higher than 66% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 282,051 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 75% of its contemporaries.
We're also able to compare this research output to 33 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 51% of its contemporaries.