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How is gout currently managed, and is there interest in changing the way we deliver care? A qualitative exploratory study

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dc.contributor.authorHoon, E.
dc.contributor.authorEdwards, J.
dc.contributor.authorRobinson, P.
dc.contributor.authorRowett, D.
dc.contributor.authorStocks, N.
dc.contributor.authorKeen, H.I.
dc.contributor.authorHill, C.L.
dc.date.issued2024
dc.description.abstractBackground and objective: This study aimed to understand how gout is currently managed in Australian primary care and to assess the level of interest in changing the delivery of care for gout. Methods: This pragmatic qualitative study was conducted among Australian general practitioners (GPs), pharmacists and adults living with gout. Semi-structured interviews were conducted and analysed using thematic analysis. Results: The key theme identified was that chronic gout has low priority compared to managing other conditions, and management is often responsive to patient action. Lack of confidence was expressed about medication regimens for multimorbidities. Regarding changing care delivery, there was widespread interest in enhancing pharmacists’ role in providing medication reviews and guidance, but there were conflicting views between some pharmacists and GPs about clinical decisions and prescribing arrangements. Discussion: Interpreting findings based on Wagner’s chronic care model, it is apparent that there are multiple potential opportunities to change practice that might improve gout management.
dc.description.statementofresponsibilityElizabeth Hoon, Jessie Edwards, Philip Robinson, Debra Rowett, Nigel Stocks, Helen I. Keen, Catherine L. Hill
dc.identifier.citationAustralian Journal of General Practice, 2024; 53(11):864-871
dc.identifier.doi10.31128/AJGP-09-23-6980
dc.identifier.issn2208-794X
dc.identifier.issn2208-7958
dc.identifier.orcidHoon, E. [0000-0002-7077-7902]
dc.identifier.orcidEdwards, J. [0009-0005-5708-4721]
dc.identifier.orcidStocks, N. [0000-0002-9018-0361]
dc.identifier.orcidHill, C.L. [0000-0001-8289-4922]
dc.identifier.urihttps://hdl.handle.net/2440/146599
dc.language.isoen
dc.publisherRacgp
dc.relation.grantNHMRC
dc.rights© The Royal Australian College of General Practitioners 2024
dc.source.urihttps://doi.org/10.1001/jamapediatrics.2024.4368
dc.subjectGout; Medical; Management; Condition management; Multimorbidities; Patient care
dc.subject.meshHumans
dc.subject.meshGout
dc.subject.meshGout Suppressants
dc.subject.meshQualitative Research
dc.subject.meshAdult
dc.subject.meshAged
dc.subject.meshMiddle Aged
dc.subject.meshPharmacists
dc.subject.meshPrimary Health Care
dc.subject.meshDelivery of Health Care
dc.subject.meshDisease Management
dc.subject.meshAustralia
dc.subject.meshFemale
dc.subject.meshMale
dc.subject.meshInterviews as Topic
dc.subject.meshGeneral Practitioners
dc.titleHow is gout currently managed, and is there interest in changing the way we deliver care? A qualitative exploratory study
dc.typeJournal article
pubs.publication-statusPublished

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