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What influences patients with Osteoarthritis to consult their GP about their symptoms? A narrative review

BACKGROUND: Osteoarthritis (OA) is a common cause of disability and consultation with a GP. However research suggests the majority of sufferers choose not to consult their GP regarding their symptoms. Understanding the reasons for consulting is central to optimising patient outcomes. This review aim...

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Autores principales: Paskins, Zoe, Sanders, Tom, Hassell, Andrew B
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3890599/
https://www.ncbi.nlm.nih.gov/pubmed/24359101
http://dx.doi.org/10.1186/1471-2296-14-195
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author Paskins, Zoe
Sanders, Tom
Hassell, Andrew B
author_facet Paskins, Zoe
Sanders, Tom
Hassell, Andrew B
author_sort Paskins, Zoe
collection PubMed
description BACKGROUND: Osteoarthritis (OA) is a common cause of disability and consultation with a GP. However research suggests the majority of sufferers choose not to consult their GP regarding their symptoms. Understanding the reasons for consulting is central to optimising patient outcomes. This review aims to summarise existing literature to identify what influences patients with OA to consult their GP. METHODS: Due to the diversity of both qualitative and quantitative research that has addressed this research question a narrative review of literature has been conducted, backed up by a systematic literature search. RESULTS: Nineteen papers were identified describing influences on consulting behaviour in patients with likely OA. Health beliefs, such as perceiving OA as an inevitable part of older age about which nothing can be done, in addition to perceiving a negative attitude of the GP, are disincentives to consulting. Severity of pain and disruption of daily activities are important influences towards consultation. Social issues such as the availability of support networks are also likely to be influential. Evidence is lacking about the impact of multi-morbidity on consulting behaviour. CONCLUSIONS: Pain and disruption of activities appear to push towards consulting and negative attitudes regarding OA (from either the patient or GP) appear to be disincentives to consulting. Findings are limited by estimates of consultation frequency and research involving observation of consultations may improve understanding of these issues. Specifically, further research may address how pain and disrupted function are addressed and if negative attitudes are evident in the consultation.
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spelling pubmed-38905992014-01-15 What influences patients with Osteoarthritis to consult their GP about their symptoms? A narrative review Paskins, Zoe Sanders, Tom Hassell, Andrew B BMC Fam Pract Research Article BACKGROUND: Osteoarthritis (OA) is a common cause of disability and consultation with a GP. However research suggests the majority of sufferers choose not to consult their GP regarding their symptoms. Understanding the reasons for consulting is central to optimising patient outcomes. This review aims to summarise existing literature to identify what influences patients with OA to consult their GP. METHODS: Due to the diversity of both qualitative and quantitative research that has addressed this research question a narrative review of literature has been conducted, backed up by a systematic literature search. RESULTS: Nineteen papers were identified describing influences on consulting behaviour in patients with likely OA. Health beliefs, such as perceiving OA as an inevitable part of older age about which nothing can be done, in addition to perceiving a negative attitude of the GP, are disincentives to consulting. Severity of pain and disruption of daily activities are important influences towards consultation. Social issues such as the availability of support networks are also likely to be influential. Evidence is lacking about the impact of multi-morbidity on consulting behaviour. CONCLUSIONS: Pain and disruption of activities appear to push towards consulting and negative attitudes regarding OA (from either the patient or GP) appear to be disincentives to consulting. Findings are limited by estimates of consultation frequency and research involving observation of consultations may improve understanding of these issues. Specifically, further research may address how pain and disrupted function are addressed and if negative attitudes are evident in the consultation. BioMed Central 2013-12-20 /pmc/articles/PMC3890599/ /pubmed/24359101 http://dx.doi.org/10.1186/1471-2296-14-195 Text en Copyright © 2013 Paskins et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Paskins, Zoe
Sanders, Tom
Hassell, Andrew B
What influences patients with Osteoarthritis to consult their GP about their symptoms? A narrative review
title What influences patients with Osteoarthritis to consult their GP about their symptoms? A narrative review
title_full What influences patients with Osteoarthritis to consult their GP about their symptoms? A narrative review
title_fullStr What influences patients with Osteoarthritis to consult their GP about their symptoms? A narrative review
title_full_unstemmed What influences patients with Osteoarthritis to consult their GP about their symptoms? A narrative review
title_short What influences patients with Osteoarthritis to consult their GP about their symptoms? A narrative review
title_sort what influences patients with osteoarthritis to consult their gp about their symptoms? a narrative review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3890599/
https://www.ncbi.nlm.nih.gov/pubmed/24359101
http://dx.doi.org/10.1186/1471-2296-14-195
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