Time pressured deprioritization of COPD in primary care: a qualitative study Article Swipe

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Medicine COPD Qualitative research Pulmonary disease Primary care Family medicine Grounded theory Focus group Nursing Psychiatry Internal medicine Sociology Business Marketing Social science

Hanna Sandelowsky , Ingrid Hylander , Ingvar Krakau , Sonja Modin , Björn Ställberg , Anna Nager ·

YOU? · · 2016 · Open Access · · DOI: https://doi.org/10.3109/02813432.2015.1132892 · OA: W2259040001

Under-diagnosis and insufficient management of chronic obstructive pulmonary disease (COPD) are common in primary health care. A patient-doctor consultation offers a key opportunity to identify and provide COPD care. Time pressure, due to either high number of patients or multi-morbidity, leads to omission or deprioritization of COPD during consultation. Deprioritization occurs due to lack of awareness, concern, and local routines, negative personal views, non-holistic consultation approach, and low patient motivation. Better local routines, extended consultation time, and a holistic approach are needed when managing multi-morbid patients with COPD.