Motivations and objections to implement a spondyloarthritis integrated care pathway. A qualitative study with primary care physicians.
Reumatol Clin
; 9(2): 85-9, 2013.
Article
em En, Es
| MEDLINE
| ID: mdl-22940591
ABSTRACT
BACKGROUND AND OBJECTIVES:
Previous to the development of a clinical pathway (CP) for early spondyloarthritis (SpA), a qualitative study was performed to know the attitude of primary care physicians (PCP) with respect to CP implementation.METHODS:
5 discussion groups (2 in Madrid, 2 in Barcelona and 1 in Sevilla) and 3 interviews in Bilbao, were performed. PCP with different profiles were included. Groups and interviews were carried out by experts on qualitative methodology.RESULTS:
PCP know little about CP. Motivations of professionals to work on a SpA CP were to improve patients care, availability of a specialist consultant, possibility of learning and doing research, remuneration, and professional recognition. Objections to CP implementation were extra work, excessive bureaucracy, absence of a specialist consultant, computer difficulties, and no remuneration. SpA knowledge by PCP was defective. PCP associated the term «spondylitis¼ with osteoarthritis, low-back pain, ankylosing spondylitis and psoriatic arthritis. They only referred patients to the rheumatologist to confirm the diagnosis, when patients complained and when treatment was ineffective.CONCLUSIONS:
For an optimal CP implementation, the following is deemed necessary 1) a practical, simple program that eases the interaction with the rheumatologist without an increase on the PCP work load; 2) to provide continuous feedback by the specialist and 3) to provide knowledge on SpA to PCP.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Atitude do Pessoal de Saúde
/
Procedimentos Clínicos
/
Espondiloartropatias
/
Médicos de Atenção Primária
/
Motivação
Tipo de estudo:
Diagnostic_studies
/
Guideline
/
Qualitative_research
Limite:
Humans
País/Região como assunto:
Europa
Idioma:
En
/
Es
Ano de publicação:
2013
Tipo de documento:
Article