tailieunhanh - Attitudes, barriers and facilitators for health promotion in the elderly in primary care

A qualitative focus group study with a total of 37 general practitioners (GPs) was conducted. To reflect the German speaking and the French speaking part of Switzerland, the focus groups were conducted in both areas. Of the five fo- cus group interviews, three were conducted in Zurich with GPs working in and around Zurich. Two focus group inter- views were conducted in Geneva with GPs working in and around Geneva. All focus groups were composed of six to nine GPs. GPs were recruited by sending a letter to a ran- dom sample of GPs from an existing address database. The GPs who agreed to join the study were allocated to. | Swiss Medical Weekly Formerly Schweizerische Medizinische Wochenschrift The European Journal of Medical Sciences Original article Published 11 July 2012 doi Cite this as Swiss Med Wkly. 2012 142 w13606 Attitudes barriers and facilitators for health promotion in the elderly in primary care A qualitative focus group study Nina BadertscheN Pascal Olivier Rossia Arabelle Rieder1 Catherine Herter-Clavelb Thomas Rosemanna Marco Zoller a Institute of General Practice University of Zurich Switzerland b Primary Care Unit Faculty of Medicine University of Geneva Switzerland Summary 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 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 .