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Key Factors to Consider in Team Meetings when Dealing with Multimorbidity in Primary Care: Results from a Delphi Panel

dc.contributor.authorPrazeres, José Filipe Chaves Pereira
dc.contributor.authorSimões, José Augusto Rodrigues
dc.date.accessioned2019-06-27T11:12:18Z
dc.date.available2019-06-27T11:12:18Z
dc.date.issued2019-06-25
dc.description.abstractBackground: Multimorbidity brings several difficulties and challenges to the daily work of primary care teams. Team meetings are opportunities to discuss approaches and solutions on how to best manage multimorbid patients. Objective: This qualitative study aimed to collect a consensus, from general practitioners that deal with multimorbid patients, about their perspectives regarding multimorbidity team meetings in primary care. Methods: The study followed a modified Delphi method with 15 Portuguese general practitioners. After every round of responses, results were analyzed, and justifications for non-consensual items were aggregated by the investigators, and then a new Delphi round with the revised questionnaire was again initiated. This process was repeated until consensus has been reached. Results: Overall, a list of 10 key themes associated with the ideal meeting was agreed: (a) definition; (b) setting; (c) duration; (d) frequency; (e) number of participants; (f) attendance; (g) requirement of patient’s presence; (h) number of patients/clinical cases; (i) structure of the meeting; and (j) sharing meeting results. The consensus was achieved after two Delphi rounds with a mean score between 7.9 and 8.7 (maximum score of 9.0 per key theme). Conclusion: The complexity of multimorbidity affects meetings’ periodicity, duration, and participants. Ideally, it should be an interprofessional primary care team meeting. Further research exploring meeting outcomes (organizational effectiveness and healthcare quality) of the proposed factors is needed before they can be recommended for general use.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationPrazeres F, Simões J A (June 25, 2019) Key Factors to Consider in Team Meetings when Dealing with Multimorbidity in Primary Care: Results from a Delphi Panel. Cureus 11(6): e4990. doi:10.7759/cureus.4990pt_PT
dc.identifier.doihttps://doi.org/10.7759/cureus.4990pt_PT
dc.identifier.issn2168-8184
dc.identifier.urihttp://hdl.handle.net/10400.6/7111
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.relation.ispartofseries11;6
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectMultimorbiditypt_PT
dc.subjectPrimary Carept_PT
dc.subjectTeam Meetingspt_PT
dc.subjectDelphi Panelpt_PT
dc.titleKey Factors to Consider in Team Meetings when Dealing with Multimorbidity in Primary Care: Results from a Delphi Panelpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceSan Francisco, California, USApt_PT
oaire.citation.titleCureuspt_PT
person.familyNamePrazeres
person.familyNameRodrigues Simões
person.givenNameFilipe
person.givenNameJosé Augusto
person.identifierR-00H-X7P
person.identifierL-4695-2016
person.identifier.ciencia-idD91A-C347-7EF5
person.identifier.ciencia-idE419-CED2-38BA
person.identifier.orcid0000-0002-2849-5194
person.identifier.orcid0000-0003-2264-7086
person.identifier.ridM-7423-2019
person.identifier.scopus-author-id56083702600
person.identifier.scopus-author-id36896116500
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationa44e1933-35da-48a6-b1a2-616ddde66d92
relation.isAuthorOfPublication919b504d-aaa9-40ee-a1a5-40e1e0a57f6f
relation.isAuthorOfPublication.latestForDiscoverya44e1933-35da-48a6-b1a2-616ddde66d92

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