• Atencion primaria · Jan 2021

    [Health care for patients with multimorbidity. The perception of professionals].

    • Elena Tambo-Lizalde, Mercedes Febrel Bordejé, Ana María Urpí-Fernández, and José María Abad-Díez.
    • Instituto de Investigación Sanitaria Aragón, Hospital Universitario Miguel Servet, Zaragoza, España; Grado en Enfermería, Universidad San Jorge, Villanueva de Gállego, Zaragoza, España. Electronic address: elena_tambo@hotmail.com.
    • Aten Primaria. 2021 Jan 1; 53 (1): 51-59.

    ObjectiveTo explore the perceptions of health professionals about the characteristics of health care for patients with multimorbidity.DesignQualitative study of phenomenological trajectory made between January and September 2015 through 3 group interviews and 15 individual interviews.LocationAragonese Health Service.ParticipantsMedical and nursing professionals of the Aragon Health Service belonging to various services: Internal Medicine, Primary Care, Emergency and Management. A pharmacist was also included.MethodsA non-probabilistic intentional sampling was carried out that allowed for the selection of professionals in terms of discourse representation criteria, allowing to know and interpret the phenomenon studied in depth, in its different visions. We interviewed health professionals with different profiles who knew in depth the characteristics of care provided to patients with multimorbidity. The interviews were recorded, transcribed literally and interpreted, through the social analysis of the discourse.ResultsProfessional culture oriented to individual pathologies, lack of coordination among professionals, high prevalence of multi-prescriptions, Clinical Practice Guidelines oriented to individual pathologies and specialist training focused on individual diseases.ConclusionsBoth the professional culture and the organization of the healthcare system have been oriented towards the attention to individual pathologies, which results in the difficulty to offer a more integrated care to patients with multimorbidity.Copyright © 2020 The Author(s). Publicado por Elsevier España, S.L.U. All rights reserved.

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