Wishes and needs of community-dwelling older persons concerning general practice: A qualitative study

PLoS One. 2018 Jul 17;13(7):e0200614. doi: 10.1371/journal.pone.0200614. eCollection 2018.

Abstract

Introduction: Community-dwelling older persons often experience hindering health complaints that disturb daily activities. If general practitioners (GPs) are unaware of such complaints, this could lead to a mismatch in provided care and needed or expected care. In this qualitative study with community-dwelling older persons we investigated how older persons experience hindering health complaints, how they deal with them, and what they expect from their GP.

Methods: Participants (aged ≥80 years) with pain and/or problems with walking/standing were invited to participate in a (group)interview about hindering health problems and expectations from general practice. Data were analysed using the framework method and results were discussed with a client panel.

Results: Participants experienced various hindering health complaints in addition to pain and/or problems with walking/standing. Complaints affecting social activities were experienced as the most hindering. Participants actively tried to remain independent and, to achieve this, GPs were expected to be involved and be easily accessible. However, they did not expect specific help from their GP for pain or problems with walking/standing. Suggestions for improvement of care from GPs included optimisation of accessibility (continuous availability by telephone), a yearly check including medication review, open communication, and empathy and support during major life events.

Conclusions: According to older persons with hindering health complaints, GPs could improve their accessibility/relationship with patients by: 1) continuous telephonic availability, 2) initiating regular contact with medication reviews, and 3) initiating support during major life events. This might lower the reported barriers to contact the GP for hindering health complaints.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living*
  • Aged, 80 and over
  • Delivery of Health Care* / organization & administration
  • Delivery of Health Care* / standards
  • Diagnostic Self Evaluation*
  • Female
  • Follow-Up Studies
  • General Practice* / organization & administration
  • General Practice* / standards
  • Humans
  • Male
  • Surveys and Questionnaires*

Grants and funding

This study was funded by ZonMw, the Netherlands, Organisation for Health Research and Development: ZonMw No.63300095107; www.zonmw.nl (JWB, JG). The sponsor had no role in the design or conduct of the study; collection, management, analysis, or interpretation of the data; or preparation, review or approval of the manuscript.