Assessment, referral and management of obstructive sleep apnea by Australian general practitioners: a qualitative analysis.

Australia Family Practice General Practitioners Humans Referral and Consultation Sleep Apnea, Obstructive / diagnosis
Delivery of Health Care General Practice General Practitioners Primary Health Care Sleep Apnea, Obstructive

Journal

BMC health services research
ISSN: 1472-6963
Titre abrégé: BMC Health Serv Res
Pays: England
ID NLM: 101088677

Informations de publication

Date de publication:
18 Nov 2021
Historique:
received: 01 06 2021
accepted: 03 11 2021
entrez: 19 11 2021
pubmed: 20 11 2021
medline: 23 11 2021
Statut: epublish

Résumé

The high and increasing demand for obstructive sleep apnea (OSA) care has exceeded the capacity of specialist sleep services prompting consideration of whether general practitioners could have an enhanced role in service delivery. However, little is known about the current involvement, experiences and attitudes of Australian general practitioners towards OSA. The purpose of this study was to provide an in-depth analysis of Australian general practitioners' experiences and opinions regarding their care of patients with OSA to inform the design and implementation of new general practice models of care. Purposive sampling was used to recruit participants with maximum variation in age, experience and location. Semi-structured interviews were conducted and were analysed using Thematic Analysis. Three major themes were identified: (1) General practitioners are important in recognising symptoms of OSA and facilitating a diagnosis by others; (2) Inequities in access to the assessment and management of OSA; and (3) General practitioners currently have a limited role in the management of OSA. When consulting with patients with symptoms of OSA, general practitioners see their primary responsibility as providing a referral for diagnosis by others. General practitioners working with patients in areas of greater need, such as rural/remote areas and those of socio-economic disadvantage, demonstrated interest in being more involved in OSA management. Inequities in access to assessment and management are potential drivers for change in future models of care for OSA in general practice.

Sections du résumé

BACKGROUND BACKGROUND
The high and increasing demand for obstructive sleep apnea (OSA) care has exceeded the capacity of specialist sleep services prompting consideration of whether general practitioners could have an enhanced role in service delivery. However, little is known about the current involvement, experiences and attitudes of Australian general practitioners towards OSA. The purpose of this study was to provide an in-depth analysis of Australian general practitioners' experiences and opinions regarding their care of patients with OSA to inform the design and implementation of new general practice models of care.
METHODS METHODS
Purposive sampling was used to recruit participants with maximum variation in age, experience and location. Semi-structured interviews were conducted and were analysed using Thematic Analysis.
RESULTS RESULTS
Three major themes were identified: (1) General practitioners are important in recognising symptoms of OSA and facilitating a diagnosis by others; (2) Inequities in access to the assessment and management of OSA; and (3) General practitioners currently have a limited role in the management of OSA.
CONCLUSIONS CONCLUSIONS
When consulting with patients with symptoms of OSA, general practitioners see their primary responsibility as providing a referral for diagnosis by others. General practitioners working with patients in areas of greater need, such as rural/remote areas and those of socio-economic disadvantage, demonstrated interest in being more involved in OSA management. Inequities in access to assessment and management are potential drivers for change in future models of care for OSA in general practice.

Identifiants

DOI: 10.1186/s12913-021-07274-7 PMID: 34794444 PMC: PMC8601775
pubmed: 34794444
doi: 10.1186/s12913-021-07274-7
pii: 10.1186/s12913-021-07274-7
pmc: PMC8601775
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1248

Subventions

Organisme : National Health and Medical Research Council
ID : 1134954
Organisme : National Health and Medical Research Council
ID : 1134954
Organisme : National Health and Medical Research Council
ID : 1134954
Organisme : National Health and Medical Research Council
ID : 1134954
Organisme : National Health and Medical Research Council
ID : 1134954
Organisme : National Health and Medical Research Council
ID : 1134954
Organisme : National Health and Medical Research Council
ID : 1134954
Organisme : National Health and Medical Research Council
ID : 1134954
Organisme : National Health and Medical Research Council
ID : 1134954
Organisme : National Health and Medical Research Council
ID : 1134954
Organisme : National Health and Medical Research Council
ID : 1134954
Organisme : National Health and Medical Research Council
ID : 1134954

Informations de copyright

© 2021. The Author(s).

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Auteurs

Nicole Grivell (N)

National Centre for Sleep Health Services Research, Bedford Park, SA, Australia. nicole.grivell@flinders.edu.au.
FHMRI Sleep/Adelaide Institute for Sleep Health, College of Medicine and Public Health, Flinders University, Box 6, Mark Oliphant Building, 5 Laffer Drive, Bedford Park, SA, Australia. nicole.grivell@flinders.edu.au.
ORCID: 0000-0002-0564-7888

Jenny Haycock (J)

National Centre for Sleep Health Services Research, Bedford Park, SA, Australia.
FHMRI Sleep/Adelaide Institute for Sleep Health, College of Medicine and Public Health, Flinders University, Box 6, Mark Oliphant Building, 5 Laffer Drive, Bedford Park, SA, Australia.

Anne Redman (A)

National Centre for Sleep Health Services Research, Bedford Park, SA, Australia.
Sax Institute, Glebe, NSW, Australia.

Andrew Vakulin (A)

National Centre for Sleep Health Services Research, Bedford Park, SA, Australia.
FHMRI Sleep/Adelaide Institute for Sleep Health, College of Medicine and Public Health, Flinders University, Box 6, Mark Oliphant Building, 5 Laffer Drive, Bedford Park, SA, Australia.

Nicholas Zwar (N)

National Centre for Sleep Health Services Research, Bedford Park, SA, Australia.
Faculty of Health Sciences & Medicine, Bond University, Robina, QLD, Australia.

Nigel Stocks (N)

National Centre for Sleep Health Services Research, Bedford Park, SA, Australia.
Discipline of General Practice, University of Adelaide, Adelaide, SA, Australia.

Oliver Frank (O)

National Centre for Sleep Health Services Research, Bedford Park, SA, Australia.
Discipline of General Practice, University of Adelaide, Adelaide, SA, Australia.

Richard Reed (R)

National Centre for Sleep Health Services Research, Bedford Park, SA, Australia.
Discipline of General Practice, College of Medicine and Public Health, Flinders University, Bedford Park, SA, Australia.

Ching Li Chai-Coetzer (CL)

National Centre for Sleep Health Services Research, Bedford Park, SA, Australia.
FHMRI Sleep/Adelaide Institute for Sleep Health, College of Medicine and Public Health, Flinders University, Box 6, Mark Oliphant Building, 5 Laffer Drive, Bedford Park, SA, Australia.
Southern Adelaide Local Health Network, SA Health, Adelaide, SA, Australia.

Ronald R Grunstein (RR)

National Centre for Sleep Health Services Research, Bedford Park, SA, Australia.
Faculty of Medicine and Health, University of Sydney, Camperdown, NSW, Australia.
Woolcock Institute of Medical Research, Glebe, NSW, Australia.
Royal Prince Alfred Hospital, Sydney Local Health District, Camperdown, NSW, Australia.

R Doug McEvoy (RD)

National Centre for Sleep Health Services Research, Bedford Park, SA, Australia.
FHMRI Sleep/Adelaide Institute for Sleep Health, College of Medicine and Public Health, Flinders University, Box 6, Mark Oliphant Building, 5 Laffer Drive, Bedford Park, SA, Australia.

Elizabeth Hoon (E)

National Centre for Sleep Health Services Research, Bedford Park, SA, Australia.
Discipline of General Practice, University of Adelaide, Adelaide, SA, Australia.

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Classifications MeSH

questionsmedicales.fr › Régions géographiques › Océanie › Australasie › Australie › Assessment, referral and management of...
questionsmedicales.fr › Professions de santé › Médecine › Médecine générale › Médecine de famille › Assessment, referral and management of...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Personnel de santé › Médecins › Médecins généralistes › Assessment, referral and management of...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Assessment, referral and management of...
questionsmedicales.fr › Administration des services de santé › Organisation et administration › Pratique professionnelle › Orientation vers un spécialiste › Assessment, referral and management of...
questionsmedicales.fr › Maladies du système nerveux › Syndromes d'apnées du sommeil › Syndrome d'apnées obstructives du sommeil › Assessment, referral and management of...