Journal article
Attitudes, barriers and facilitators for health promotion in the elderly in primary care. A qualitative focus group study.
- Badertscher N Institute of General Practice, University of Zurich, Switzerland. nina.badertscher@usz.ch
- Rossi PO
- Rieder A
- Herter-Clavel C
- Rosemann T
- Zoller M
- 2012-07-13
Published in:
- Swiss medical weekly. - 2012
Adult
Aged
Attitude of Health Personnel
Education, Medical, Graduate
Education, Medical, Undergraduate
Female
General Practitioners
Health Promotion
Health Services Accessibility
Humans
Insurance, Health, Reimbursement
Male
Middle Aged
Physician's Role
Primary Health Care
Time Factors
English
QUESTIONS UNDER STUDY
Effective health promotion is of great importance from clinical as well as from public health perspectives and therefore should be encouraged. Especially regarding health promotion in the elderly, general practitioners (GPs) have a key role. Nevertheless, evidence suggests a lack of health promotion by GPs, especially in this age group. The aim of our study was to assess self-perceived attitudes, barriers and facilitators of GPs to provide health promotion in the elderly.
METHODS
We performed a qualitative focus group study with 37 general practitioners. The focus group interviews were recorded digitally, transcribed literally and analysed with ATLAS.ti, a software program for qualitative text analysis.
RESULTS
Among the participating GPs, definitions of health promotion varied widely and the opinions regarding its effectiveness were very heterogeneous. The two most important self-perceived barriers for GPs to provide health promotion in the elderly were lack of time and insufficient reimbursement for preventive and health promotion advice. As intervention to increase health promotion in the elderly, GPs suggested, for example, integration of health promotion into under and postgraduate training. Changes at the practice level such as involving the practice nurse in health promotion and counselling were discussed very controversially.
CONCLUSION
Health promotion, especially in the elderly, is crucial but in the opinion of the GPs we involved in our study, there is a gap between public health requirements and the reimbursement system. Integration of health promotion in medical education may be needed to increase knowledge as well as attitudes of GPs regarding this issue.
Effective health promotion is of great importance from clinical as well as from public health perspectives and therefore should be encouraged. Especially regarding health promotion in the elderly, general practitioners (GPs) have a key role. Nevertheless, evidence suggests a lack of health promotion by GPs, especially in this age group. The aim of our study was to assess self-perceived attitudes, barriers and facilitators of GPs to provide health promotion in the elderly.
METHODS
We performed a qualitative focus group study with 37 general practitioners. The focus group interviews were recorded digitally, transcribed literally and analysed with ATLAS.ti, a software program for qualitative text analysis.
RESULTS
Among the participating GPs, definitions of health promotion varied widely and the opinions regarding its effectiveness were very heterogeneous. The two most important self-perceived barriers for GPs to provide health promotion in the elderly were lack of time and insufficient reimbursement for preventive and health promotion advice. As intervention to increase health promotion in the elderly, GPs suggested, for example, integration of health promotion into under and postgraduate training. Changes at the practice level such as involving the practice nurse in health promotion and counselling were discussed very controversially.
CONCLUSION
Health promotion, especially in the elderly, is crucial but in the opinion of the GPs we involved in our study, there is a gap between public health requirements and the reimbursement system. Integration of health promotion in medical education may be needed to increase knowledge as well as attitudes of GPs regarding this issue.
- Language
-
- English
- Open access status
- gold
- Identifiers
-
- DOI 10.4414/smw.2012.13606
- PMID 22786628
- Persistent URL
- https://folia.unifr.ch/global/documents/160860
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