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Patient and practitioner priorities and concerns about primary healthcare interactions for osteoarthritis: A meta-ethnography

Mallen, Christian

Patient and practitioner priorities and concerns about primary healthcare interactions for osteoarthritis: A meta-ethnography Thumbnail


Authors



Abstract

OBJECTIVE: To explore primary care practitioners' (PCPs) and patients' priorities and concerns for healthcare interactions for osteoarthritis (OA) in primary care. METHODS: We searched Embase, CINAHL, Medline, PsychInfo (1990 to present) for primary qualitative and mixed methods studies with findings concerning healthcare interactions for OA symptoms. Patient and PCP perceptions were analysed separately then inter-related using a 'line of argument' synthesis. RESULTS: Twenty-six studies reporting qualitative data from 557 patients and 199 PCPs were synthesised. Our findings suggest that therapeutic interactions for OA can be based on discordant priorities and concerns; some patients perceive that PCPs hold negative attitudes about OA and feel their concerns about impact are not appreciated; some PCPs feel patients have misconceptions about prognosis, and hold pessimistic views about outcomes; and both tend to de-prioritise OA within consultations. CONCLUSION: Greater working in partnership could build mutual trust, facilitate tailored provision of information, and foster a shared understanding of OA upon which to build realistic goals for management. PRACTICE IMPLICATIONS: Developing a better shared understanding of OA has the potential to improve the quality of healthcare interactions for both patients and PCPs. The significant impact of OA on everyday life means it should be given higher priority in primary care consultations.

Journal Article Type Article
Acceptance Date Jan 21, 2022
Publication Date Jan 24, 2022
Publicly Available Date Mar 28, 2024
Journal PATIENT EDUCATION AND COUNSELING
Print ISSN 0738-3991
Publisher Elsevier
Volume 105
Issue 7
Pages 1865-1877
DOI https://doi.org/10.1016/j.pec.2022.01.009
Keywords Primary care; GP consultations; Communication; Osteoarthritis
Publisher URL https://www.sciencedirect.com/science/article/pii/S0738399122000325?via%3Dihub