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General practitioners perceptions of their role and their collaboration with district nurses in wound care
Karolinska Inst, Sweden; Dalarna Univ, Sweden.
Karolinska Inst, Sweden; Karolinska Inst, Sweden; Karolinska Univ Hosp, Sweden.
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Karolinska Inst, Sweden.
2019 (English)In: Primary Health Care Research and Development, ISSN 1463-4236, E-ISSN 1477-1128, Vol. 20, article id UNSP e39Article in journal (Refereed) Published
Abstract [en]

Aim: To explore the perceptions of general practitioners (GPs) regarding their role and their collaboration with district nurses (DNs) in the management of leg ulcers in primary healthcare. Background: Earlier research regarding the treatment of leg ulcers in a primary care context has focussed primarily on wound healing. Less is known about GPs understandings of their role and their collaboration with DNs in the management of leg ulcers. Since the structured care of patients with leg ulcers involving both GP and DN is currently rather uncommon in Swedish primary care, this study sets out to highlight these aspects from the GPs perspective. Methods: Semi-structured individual interviews with 16 GPs including both private and county council run healthcare centres. Thematic analysis was used to analyse the data. Results: Four themes were identified. The first theme: role as consultant and coordinator shows how the GPs perceived their role in wound care. In the second theme: responsibility for diagnosis the GPs views on responsibility for wound diagnosis is presented. The third theme: desire for continuity is based on the GPs desire for continuity concerning various aspects. In the fourth theme: collaboration within the organisation the importance of the organisation for collaboration between GPs and DNs is presented. Conclusions: The GPs often work on a consultation-like basis and feel that they become involved late in the patients wound treatment. This can have negative consequences for the medical diagnosis and, thereby, lead to a prolonged healing time for the patient. Shortcomings regarding collaboration are mainly attributed to organisational factors.

Place, publisher, year, edition, pages
CAMBRIDGE UNIV PRESS , 2019. Vol. 20, article id UNSP e39
Keywords [en]
collaboration; GP; professional role; wound care
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:liu:diva-161213DOI: 10.1017/S1463423618000464ISI: 000489172000016PubMedID: 30021662OAI: oai:DiVA.org:liu-161213DiVA, id: diva2:1365654
Note

Funding Agencies|Stockholm County Council (ALF project)Stockholm County Council

Available from: 2019-10-25 Created: 2019-10-25 Last updated: 2019-10-25

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