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dc.contributor.authorHossain, Muhammad Z
dc.contributor.authorChew-Graham, Carolyn A
dc.contributor.authorSowden, Emma
dc.contributor.authorBlakeman, Tom
dc.contributor.authorWellwood, Ian
dc.contributor.authorTierney, Stephanie
dc.contributor.authorDeaton, Christi
dc.date.accessioned2022-06-07T08:13:05Z
dc.date.available2022-06-07T08:13:05Z
dc.date.issued2022-06
dc.date.submitted2020-08-27
dc.identifier.issn1742-3953
dc.identifier.other10.1177_1742395320983871
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/337788
dc.description.abstractOBJECTIVES: To explore the perspectives of general practitioners (GPs) on the identification and management of people, including those from ethnic minority groups, with Heart Failure with Preserved Ejection Fraction (HFpEF). METHODS: Qualitative study. Semi-structured, face-to-face or telephone interviews and focus groups were conducted with 35 GPs in England, which were audio-recorded and transcribed verbatim. Framework analysis was used to manage and interpret data. RESULTS: Themes presented reflect four inter-related challenges: GPs' 1) lack of understanding HFpEF, impacting on 2) difficulties in communicating the diagnosis, leading to 3) uncertainty in managing people with HFpEF, further hindered by (4) discontinuity across the primary/secondary interface. All were considered more challenging by GPs when managing people from different cultures and languages. DISCUSSION: HFpEF is not well understood by GPs, leading to diagnostic difficulty, management uncertainty and potential inequity in care offered. People with HFpEF are seen as complex, with multiple long-term conditions and requiring personalised care. Challenges in their management occur across the healthcare system. This study has identified learning needs for GPs around identification and on-going support for people with HFpEF in primary care. It will contribute to the development of more flexible and patient-centred pathways across the primary/secondary care interface.
dc.description.sponsorshipNIHR School for Primary Care Research
dc.languageen
dc.publisherSAGE Publications
dc.subjectARTICLES
dc.subjectGeneral practitioners
dc.subjectprimary care
dc.subjectheart failure
dc.subjectHFpEF
dc.subjectqualitative methods
dc.titleChallenges in the management of people with heart failure with preserved ejection fraction (HFpEF) in primary care: A qualitative study of general practitioner perspectives.
dc.typeArticle
dc.date.updated2022-06-07T08:13:05Z
prism.endingPage425
prism.issueIdentifier2
prism.publicationNameChronic Illn
prism.startingPage410
prism.volume18
dc.identifier.doi10.17863/CAM.85197
dcterms.dateAccepted2020-10-26
rioxxterms.versionofrecord10.1177/1742395320983871
rioxxterms.versionVoR
rioxxterms.licenseref.urihttps://creativecommons.org/licenses/by/4.0/
rioxxterms.licenseref.startdate2021-01-05
dc.contributor.orcidHossain, Muhammad Z [0000-0002-4939-1597]
dc.identifier.eissn1745-9206
pubs.funder-project-idNational Institute for Health Research (NIHR) (via University of Oxford) (SPCR R14)
cam.issuedOnline2021-01-05
rioxxterms.freetoread.startdate2021-01-05
rioxxterms.freetoread.startdate2021-01-05


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