Or748 Chronic Disease Management - The Patients’ Perspective

Karen Browne1, Danielle Divilly2, Maire McGarry1, Catherine Sweeney1 e Maureen Kelly
1Galway; 2GP Practice
Background: Chronic disease management is a topical issue in healthcare. A National Survey of Chronic Disease Management in Irish General Practice highlighted the lack of information on the patient’s perspective of chronic disease management in Ireland. This study explores where patients feel is the most appropriate setting for their chronic disease to be managed. Potential settings include self-care, their local general practice, their local hospital or a combination of these settings. It explores what they see as advantages and disadvantages of these settings and also where patients get information or advice on the management of their chronic disease.
Methods: This study is qualitative drawing on the principles of grounded theory. Data was analysed by a three stage iterative thematic approach utilising the constant comparison method. The study was conducted across four General Practices. Semi-structured interviews were carried out with 24 patients, following an interview topic guide.
Results: Three main themes emerged: Current Care Model, Health Literacy and Treatment Burden. The current care model highlighted patient’s care preferences and factors that contribute to this choice. Health literacy demonstrated that a significant number of patients had a poor understanding of their chronic disease. It also found that they primarily rely on their GP for information on their disease. Treatment burden as a theme highlighted a number of psychosocial factors that impact on their chronic disease.
Conclusion: Patients believe that the GP-patient relationship plays a pivotal role in the provision of chronic disease management in Ireland. Health literacy and psychosocial burden were found to impact significantly on the daily lives of patients with chronic disease(s).
Chronic Disease Management, Patients’ Perspective, General Practice, Current Care Model, Health Literacy, Treatment Burden