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Challenges in the management of people with heart failure with preserved ejection fraction (HFpEF) in primary care: A qualitative study of general practitioner perspectives.
- Source :
- Chronic Illness; Jun2022, Vol. 18 Issue 2, p410-425, 16p
- Publication Year :
- 2022
-
Abstract
- Objectives: To explore the perspectives of general practitioners (GPs) on the identification and management of people, including those from ethnic minority groups, with Heart Failure with Preserved Ejection Fraction (HFpEF). Methods: Qualitative study. Semi-structured, face-to-face or telephone interviews and focus groups were conducted with 35 GPs in England, which were audio-recorded and transcribed verbatim. Framework analysis was used to manage and interpret data. Results: Themes presented reflect four inter-related challenges: GPs' 1) lack of understanding HFpEF, impacting on 2) difficulties in communicating the diagnosis, leading to 3) uncertainty in managing people with HFpEF, further hindered by (4) discontinuity across the primary/secondary interface. All were considered more challenging by GPs when managing people from different cultures and languages. Discussion: HFpEF is not well understood by GPs, leading to diagnostic difficulty, management uncertainty and potential inequity in care offered. People with HFpEF are seen as complex, with multiple long-term conditions and requiring personalised care. Challenges in their management occur across the healthcare system. This study has identified learning needs for GPs around identification and on-going support for people with HFpEF in primary care. It will contribute to the development of more flexible and patient-centred pathways across the primary/secondary care interface. [ABSTRACT FROM AUTHOR]
- Subjects :
- HEART failure treatment
CULTURE
VENTRICULAR ejection fraction
MINORITIES
FOCUS groups
RESEARCH methodology
PHYSICIAN-patient relations
PHYSICIANS' attitudes
INTERVIEWING
UNCERTAINTY
PRIMARY health care
QUALITATIVE research
CONCEPTUAL structures
CONTINUUM of care
SOUND recordings
ETHNIC groups
THEMATIC analysis
HEALTH equity
SECONDARY care (Medicine)
HEART failure
Subjects
Details
- Language :
- English
- ISSN :
- 17423953
- Volume :
- 18
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Chronic Illness
- Publication Type :
- Academic Journal
- Accession number :
- 157264890
- Full Text :
- https://doi.org/10.1177/1742395320983871