Patient involvement in the encounter between general practice and patients with a chronic disease. Results of a scoping review focusing on type 2 diabetes and obstructive pulmonary disease

Michael Haurum Marcussen, Signe Beck Titlestad, Birgitte Nørgaard*, Rasmussen Marie Sandstød

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

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Abstract

Introduction: Research has shown improved health outcomes when patients are involved in
managing their health conditions and when their individual needs are considered.
Objectives: This scoping review aimed to map the existing research regarding chronic disease
patients’ involvement in their encounters with general practice, with a specific focus on patients
with Type 2 diabetes (TD2) or chronic obstructive pulmonary disease (COPD) and from the perspectives of both general practitioners and patients.
Methods: Studies of any design, date, and language were included. A systematic search was
conducted using the following databases: Medline, CINAHL, PsycInfo, Scopus, and EMBASE from
August until October 2020 and renewed September 2021. Data were systematically charted by
the following study characteristics: bibliographic aims; study aims; setting; area of interest;
results; conclusion.
Results: Eighteen studies were included; they conducted qualitative methods, surveys or mixed
methods. From the patients’ perspectives, the importance of being more involved in treatment
discussions during consultations as well as a friendly environment, was underscored. A good
relationship and relational continuity make it easier for patients to be more involved in treatment decisions. From the general practitioner (GP) perspectives, they mentioned their high
workload, long-standing relationships, knowledge about the patients and prepared patients as
factors influencing their ability to involve patients in treatment discussions.
Conclusion: A good GP–patient relationship was considered an important aspect to providing
and facilitating for involvement of patients with COPD or TD2.
Original languageEnglish
JournalEuropean Journal of General Practice
Volume28
Issue number1
Pages (from-to)260-269
ISSN1381-4788
DOIs
Publication statusPublished - 12. Dec 2022

Keywords

  • COPD
  • GP’s perspective
  • Patient involvement
  • TD2
  • general practice
  • patient perspectives
  • Diabetes Mellitus, Type 2/therapy
  • Humans
  • Patient Participation
  • General Practice
  • Chronic Disease
  • Pulmonary Disease, Chronic Obstructive/therapy

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