How do general practitioners engage with allied health practitioners to prevent falls in older people? An exploratory qualitative study

被引:24
作者
Grant, Alasdair [1 ]
Mackenzie, Lynette [2 ]
Clemson, Lindy [3 ]
机构
[1] Injury Treatment Occupat Injury Management, Sydney, NSW, Australia
[2] Univ Sydney, Fac Hlth Sci, Discipline Occupat Therapy, Sydney, NSW 2006, Australia
[3] Univ Sydney, Fac Hlth Sci, Ageing Work & Hlth Res Unit, Sydney, NSW 2006, Australia
关键词
accidental falls; chronic disease management; occupational therapy; physiotherapy; ENHANCED PRIMARY-CARE; VIEWS; COMMUNITY; POLICY;
D O I
10.1111/ajag.12157
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
AimTo explore general practitioners' (GPs') perceptions about their use of Chronic Disease Management (CDM) items to access allied health interventions, in particular occupational therapy and physiotherapy, with the purpose of preventing falls, as well as to identify GP support needs with regard to development of partnerships with local allied health practitioners. MethodA qualitative study was conducted in the Sydney metropolitan area through individual semistructured interviews with eight GPs, which were recorded, transcribed and analysed thematically. ResultsThemes included (i) difficulties and opportunities associated with multidisciplinary care; (ii) potential for CDM items to be used to support falls prevention strategies; and (iii) the user-friendliness of the CDM items. ConclusionEffective coordination of multidisciplinary care between GPs and allied health professionals was desired but difficult to achieve through the CDM system, making translation of falls prevention evidence into clinical practice challenging. Further education on falls prevention and CDM item modification is needed to bridge this gap.
引用
收藏
页码:149 / 154
页数:6
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