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Coordination of care for multimorbid patients from the perspective of general practitioners: A qualitative study

BMC Family Practice Nov 28, 2019

Stumm J, Thierbach C, Peter L, et al. - By interrogating 16 general practitioners (GPs) and 16 medical practice assistants (MPAs) from 16 different practices in Berlin, researchers investigated the obstacles to the successful coordination of multimorbid patient care and complicated requirements of these patients. They also focused on the support required by GPs in the care of multimorbid patients. They inquired interviewees regarding their views on concepts which include the support by additional employees within the practice, or, alternatively, external health care professionals, offering patient navigation. The hindrances stated by the interviewed GPs and MPAs included organizational and administrative barriers under the regulatory framework of the German healthcare system and insufficient communication with other healthcare providers. A viable option, according to GPs, is the deployment of an additional specifically qualified employee inside the general practice to perform coordinative and social and legal responsibilities. For GPs within the complex care system of multimorbid patients, the cross-sectoral collaboration between all involved important players working within the healthcare system, as well as the coordination of the whole care process, appears challenging.
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