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

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

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.

Communication, GP consultations, Osteoarthritis, Primary care
0738-3991
1865-1877
Vennik, Jane
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Hughes, Stephanie
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Smith, Kirsten A
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Misurya, Pranati
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Bostock, Jennifer
fa8c227c-ba52-4e4a-b270-a511d9a508eb
Howick, Jeremy
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Mallen, Christian
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Little, Paul
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Ratnapalan, Mohana
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Lyness, Emily
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Dambha-Miller, Hajira
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Morrison, Leanne
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Leydon, Geraldine
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Everitt, Hazel
80b9452f-9632-45a8-b017-ceeeee6971ef
Bishop, Felicity L
1f5429c5-325f-4ac4-aae3-6ba85d079928
Vennik, Jane
6ee78166-5a7a-433b-87fc-018771f20b19
Hughes, Stephanie
a6d39500-67ff-4d7a-a1dc-8e42f80945ff
Smith, Kirsten A
9da65772-0efa-4267-87ff-563f9757b34e
Misurya, Pranati
99902d08-2c0f-4749-9b93-f93b20ddca38
Bostock, Jennifer
fa8c227c-ba52-4e4a-b270-a511d9a508eb
Howick, Jeremy
df5ab7b7-4287-46ed-bc34-d3874d2bf18c
Mallen, Christian
b6745975-69e1-42b6-b617-37f393237024
Little, Paul
1bf2d1f7-200c-47a5-ab16-fe5a8756a777
Ratnapalan, Mohana
28361114-c167-4de3-a23c-b6cef4443377
Lyness, Emily
6d59d191-a210-4c77-b9eb-cb6b1d669042
Dambha-Miller, Hajira
58961db5-31aa-460e-9394-08590c4b7ba1
Morrison, Leanne
d98ddc76-ecec-4a82-bb5e-9e8a9b235243
Leydon, Geraldine
c5cdaff5-0fa1-4d38-b575-b97c2892ec40
Everitt, Hazel
80b9452f-9632-45a8-b017-ceeeee6971ef
Bishop, Felicity L
1f5429c5-325f-4ac4-aae3-6ba85d079928

Vennik, Jane, Hughes, Stephanie, Smith, Kirsten A, Misurya, Pranati, Bostock, Jennifer, Howick, Jeremy, Mallen, Christian, Little, Paul, Ratnapalan, Mohana, Lyness, Emily, Dambha-Miller, Hajira, Morrison, Leanne, Leydon, Geraldine, Everitt, Hazel and Bishop, Felicity L (2022) Patient and practitioner priorities and concerns about primary healthcare interactions for osteoarthritis: A meta-ethnography. Patient Education and Counseling, 105 (7), 1865-1877. (doi:10.1016/j.pec.2022.01.009).

Record type: Review

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.

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More information

Accepted/In Press date: 21 January 2022
e-pub ahead of print date: 24 January 2022
Additional Information: Funding Information: The EMPATHICA project is supported by a National Institute for Health Research (NIHR) School for Primary Care Research grant (project number 389 ). The Primary Care Department is a member of the NIHR School for Primary Care Research and supported by NIHR Research funds. Publisher Copyright: © 2022 Copyright: Copyright 2022 Elsevier B.V., All rights reserved.
Keywords: Communication, GP consultations, Osteoarthritis, Primary care

Identifiers

Local EPrints ID: 456079
URI: http://eprints.soton.ac.uk/id/eprint/456079
ISSN: 0738-3991
PURE UUID: 99e7aef7-b68f-4361-85d1-70f3dbf810a6
ORCID for Jane Vennik: ORCID iD orcid.org/0000-0003-4602-9805
ORCID for Stephanie Hughes: ORCID iD orcid.org/0000-0003-4801-8245
ORCID for Mohana Ratnapalan: ORCID iD orcid.org/0000-0002-6505-6107
ORCID for Hajira Dambha-Miller: ORCID iD orcid.org/0000-0003-0175-443X
ORCID for Geraldine Leydon: ORCID iD orcid.org/0000-0001-5986-3300
ORCID for Hazel Everitt: ORCID iD orcid.org/0000-0001-7362-8403
ORCID for Felicity L Bishop: ORCID iD orcid.org/0000-0002-8737-6662

Catalogue record

Date deposited: 25 Apr 2022 17:00
Last modified: 01 Jul 2022 02:02

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Contributors

Author: Jane Vennik ORCID iD
Author: Kirsten A Smith
Author: Pranati Misurya
Author: Jennifer Bostock
Author: Jeremy Howick
Author: Christian Mallen
Author: Paul Little
Author: Emily Lyness
Author: Leanne Morrison
Author: Hazel Everitt ORCID iD

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