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Primary care physicians' prevention counseling with patients with multiple morbidity
Shoshana H Bardach1, Nancy E Schoenberg
1University of Kentucky, Lexington, Kentucky40536-0284, USA. shbardach@uky.edu
Qualitative Health Research
|August 29, 2012
Summary
Primary care physicians face challenges counseling adults with multiple morbidities (MM) on prevention. They suggest new care and reimbursement models to improve prevention for patients with multiple health conditions.
Area of Science:
- Internal Medicine
- Primary Care
- Public Health
Background:
- Rising prevalence of multiple morbidities (MM) in adults presents significant healthcare challenges.
- Balancing disease management with preventive care for patients with MM is complex.
Purpose of the Study:
- To explore primary care physicians' perspectives on prevention counseling for adult patients with MM.
- To identify challenges and strategies related to prevention counseling in MM care.
Main Methods:
- In-depth, semistructured interviews were conducted with 12 primary care physicians.
- Qualitative analysis explored physicians' views on prevention counseling for patients with multiple health conditions.
Main Results:
- Physicians navigate a complex interplay between disease management and prevention counseling.
- Patient motivation and perceived benefits influence the success of prevention recommendations.
- Time constraints, reimbursement issues, and perceived futility pose significant barriers.
Conclusions:
- Physicians advocate for innovative care delivery and reimbursement models to support prevention in MM.
- Addressing systemic challenges is crucial for enhancing the health and quality of life of adults with MM.
