A qualitative study to explore health professionals' experience of treating gout: understanding perceived barriers to effective gout management

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dc.contributor.author Humphrey, C en
dc.contributor.author Hulme, R en
dc.contributor.author Dalbeth, Nicola en
dc.contributor.author Gow, P en
dc.contributor.author Arroll, Bruce en
dc.contributor.author Lindsay, K en
dc.coverage.spatial Australia en
dc.date.accessioned 2016-09-08T00:09:16Z en
dc.date.issued 2016-06 en
dc.identifier.citation Journal of Primary Health Care, 2016, 8 (2), pp. 149 - 156 en
dc.identifier.issn 1172-6164 en
dc.identifier.uri http://hdl.handle.net/2292/30248 en
dc.description.abstract INTRODUCTION The management of gout is challenging and mainly occurs in primary care. This study aims to explore the experience of treating gout among primary care clinicians and understand the perceived barriers to effective therapy. METHODS Fourteen health professionals from primary care practices in South Auckland were recruited. Each participated in a semi-structured interview exploring their experience of treating and managing gout patients were analysed thematically. FINDINGS Participants described the large burden of gout in their communities and the importance of the clinician-patient relationship in gout management. Four themes summarise the perceived barriers to effective urate lowering therapy (ULT); unique gout factors, eg its intermittent nature and potential for stigmatisation; systemic barriers to optimal treatment, or barriers that emerge from working within a certain organisation; uncertainty about ownership, or who should carry responsibility for overcoming barriers to optimal treatment; and cultural barriers to optimal treatment. CONCLUSION Clinicians in primary practice perceive gout management to be mainly acute rather than preventive care. Patients may be stigmatised and management difficult particularly when diet is emphasised over ULT. Practice nurses are a group potentially available and willing to assist in educating patients. These findings may be helpful in planning for and improving healthcare in gout. KEYWORDS Gout; general practice; uric acid; primary health care; allopurinol; primary prevention. en
dc.language eng en
dc.publisher Royal New Zealand College of General Practitioners en
dc.relation.ispartofseries Journal of Primary Health Care en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.publish.csiro.au/nid/317/aid/20669.htm en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.en_US en
dc.title A qualitative study to explore health professionals' experience of treating gout: understanding perceived barriers to effective gout management en
dc.type Journal Article en
dc.identifier.doi 10.1071/HC15017 en
pubs.issue 2 en
pubs.begin-page 149 en
pubs.volume 8 en
dc.description.version VoR - Version of Record en
dc.identifier.pmid 27477557 en
pubs.end-page 156 en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.subtype Article en
pubs.elements-id 537094 en
pubs.org-id Medical and Health Sciences en
pubs.org-id Population Health en
pubs.org-id Gen.Practice& Primary Hlthcare en
pubs.org-id School of Medicine en
pubs.org-id Medicine Department en
dc.identifier.eissn 1172-6156 en
dc.identifier.pii HC15017 en
pubs.record-created-at-source-date 2016-09-08 en
pubs.dimensions-id 27477557 en


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