التفاصيل البيبلوغرافية
| العنوان: |
“You’re stuck in the middle here”: a qualitative study of GPs’ experiences of managing knee pain attributed to a degenerative meniscal tear |
| المؤلفون: |
O’Leary, Helen, Robinson, Katie, Glynn, Liam, Lenehan, Brian, McCreesh, Karen |
| المساهمون: |
Health Research Board |
| المصدر: |
BMC Primary Care ; volume 24, issue 1 ; ISSN 2731-4553 |
| بيانات النشر: |
Springer Science and Business Media LLC |
| سنة النشر: |
2023 |
| مصطلحات موضوعية: |
Family Practice |
| الوصف: |
Background Exercise is the recommended first-line therapy for a degenerative meniscal tear (DMT). Despite this, knee pain attributed to DMTs are a common presentation to specialist orthopaedic clinics. In the primary care setting, the general practitioner (GP) plays a central role in managing patients with knee pain, but to date their perspective has not been explored in relation to DMTs. This study explored GPs’ experiences of managing people with knee pain attributed to a DMT. Methods A qualitative research design was adopted and practices in the South and Mid-West of Ireland were contacted via recruitment emails circulated through professional and research networks. Interested GPs contacted the researchers via email, and purposive and snowball sampling was used for recruitment. Semi-structured interviews were conducted online or over the telephone. Interviews were digitally recorded and transcribed. Data was analysed using an inductive approach to thematic analysis. Ethical approval was granted by the Irish College of General Practitioners (ICGP_REC_21_0031). Results Seventeen semi-structured one-on-one interviews were conducted. Three main themes were identified with related subthemes: (1) GPs’ experiences of relational aspects of care, (2) GP beliefs about what constitutes best care for patients with a DMT, and (3) how GP practice is enacted within the current healthcare setting. GPs described the challenge of maintaining a strong clinical alliance, while managing perceived patient expectations of a ‘quick fix’ and advanced imaging. They reported slowing down clinical decisions and feeling ‘stuck’ with limited options when conservative treatment had failed. GPs believed that exercise should be the core treatment for DMTs and emphasised engaging patients in an active approach to recovery. Some GPs believed arthroscopy had a role in circumstances where patients didn’t improve with physiotherapy. Limited access to public physiotherapy and orthopaedic services hampered GPs’ management plans and ... |
| نوع الوثيقة: |
article in journal/newspaper |
| اللغة: |
English |
| DOI: |
10.1186/s12875-023-02075-9 |
| DOI: |
10.1186/s12875-023-02075-9.pdf |
| DOI: |
10.1186/s12875-023-02075-9/fulltext.html |
| الإتاحة: |
https://doi.org/10.1186/s12875-023-02075-9Test |
| حقوق: |
https://creativecommons.org/licenses/by/4.0Test ; https://creativecommons.org/licenses/by/4.0Test |
| رقم الانضمام: |
edsbas.147880B9 |
| قاعدة البيانات: |
BASE |
