Exploring the general practitioners’ perception of the inter-professional care of rheumatoid arthritis patients (GEPRA—II): a qualitative interview study
Abstract Background A lack of medication adherence among patients with rheumatoid arthritis (RA) has been reported. Inter-professional collaborations seem essential for an optimal therapeutic management of patients. The aim of this study was to analyse the barriers and facilitators of general practi...
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2025-01-01
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| Online Access: | https://doi.org/10.1186/s12875-025-02713-4 |
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| author | Anne-Laure Yailian Audrey Janoly-Dumenil Emmanuelle Vignot Aurélie Fontana Charline Estublier Cyrille Confavreux Roland Chapurlat Claude Dussart Humbert de Freminville |
| author_facet | Anne-Laure Yailian Audrey Janoly-Dumenil Emmanuelle Vignot Aurélie Fontana Charline Estublier Cyrille Confavreux Roland Chapurlat Claude Dussart Humbert de Freminville |
| author_sort | Anne-Laure Yailian |
| collection | DOAJ |
| description | Abstract Background A lack of medication adherence among patients with rheumatoid arthritis (RA) has been reported. Inter-professional collaborations seem essential for an optimal therapeutic management of patients. The aim of this study was to analyse the barriers and facilitators of general practitioners (GPs) for the implementation of collaborative support programmes in RA. Methods A qualitative semi-structured study using face-to-face or telephone interviews was conducted. Eligible participants included French GPs referring patients with RA. Interviews were audio-recorded and then transcribed. Data were analysed using Braun and Clarke’s thematic analysis framework with Nvivo®12 software. Results Nineteen GPs were interviewed between August 2019 and February 2020. Five themes were identified in the care of their patients with RA. GPs reported being mainly involved in diagnosis and orientation, and frequently asked for pain management and explanation/reformulation of previously given information. They perceived their patients to be adherent to their treatments, although they frequently identified reasons for non-adherence. Regarding their perception of the community-hospital relationship, they sometimes considered it insufficient and expected more immediate interactions. Additionally, most interviewed GPs had no expectation regarding increased collaborations with community pharmacists (CPs) and several GPs were motivated to be more involved in a patient support programme. However, barriers were identified: lack of time and training, and insufficient payment. Conclusions The implementation of a collaborative patient support programme in RA should be developed taking into account the barriers and facilitators identified by GPs who appeared to be aware of the causes of potential non-adherence, and were particularly interested in receiving more information about the therapeutic monitoring of patients by hospital professionals. |
| format | Article |
| id | doaj-art-82b0312903464e7f9875cdff77f614a1 |
| institution | Kabale University |
| issn | 2731-4553 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Primary Care |
| spelling | doaj-art-82b0312903464e7f9875cdff77f614a12025-01-26T12:45:54ZengBMCBMC Primary Care2731-45532025-01-0126111110.1186/s12875-025-02713-4Exploring the general practitioners’ perception of the inter-professional care of rheumatoid arthritis patients (GEPRA—II): a qualitative interview studyAnne-Laure Yailian0Audrey Janoly-Dumenil1Emmanuelle Vignot2Aurélie Fontana3Charline Estublier4Cyrille Confavreux5Roland Chapurlat6Claude Dussart7Humbert de Freminville8Service de Pharmacie, Hôpital Edouard Herriot, Hospices Civils de LyonService de Pharmacie, Hôpital Edouard Herriot, Hospices Civils de LyonService de Rhumatologie, Hôpital Edouard Herriot, Hospices Civils de LyonService de Rhumatologie, Hôpital Edouard Herriot, Hospices Civils de LyonFaculté de Médecine Laennec, INSERM UMR 1033, Université Claude Bernard Lyon 1Faculté de Médecine Laennec, INSERM UMR 1033, Université Claude Bernard Lyon 1Service de Rhumatologie, Hôpital Edouard Herriot, Hospices Civils de LyonEA 4129 P2S Parcours Santé Systémique, Université Claude Bernard Lyon 1, 7-11 rue Guilllaume ParadinEA 4129 P2S Parcours Santé Systémique, Université Claude Bernard Lyon 1, 7-11 rue Guilllaume ParadinAbstract Background A lack of medication adherence among patients with rheumatoid arthritis (RA) has been reported. Inter-professional collaborations seem essential for an optimal therapeutic management of patients. The aim of this study was to analyse the barriers and facilitators of general practitioners (GPs) for the implementation of collaborative support programmes in RA. Methods A qualitative semi-structured study using face-to-face or telephone interviews was conducted. Eligible participants included French GPs referring patients with RA. Interviews were audio-recorded and then transcribed. Data were analysed using Braun and Clarke’s thematic analysis framework with Nvivo®12 software. Results Nineteen GPs were interviewed between August 2019 and February 2020. Five themes were identified in the care of their patients with RA. GPs reported being mainly involved in diagnosis and orientation, and frequently asked for pain management and explanation/reformulation of previously given information. They perceived their patients to be adherent to their treatments, although they frequently identified reasons for non-adherence. Regarding their perception of the community-hospital relationship, they sometimes considered it insufficient and expected more immediate interactions. Additionally, most interviewed GPs had no expectation regarding increased collaborations with community pharmacists (CPs) and several GPs were motivated to be more involved in a patient support programme. However, barriers were identified: lack of time and training, and insufficient payment. Conclusions The implementation of a collaborative patient support programme in RA should be developed taking into account the barriers and facilitators identified by GPs who appeared to be aware of the causes of potential non-adherence, and were particularly interested in receiving more information about the therapeutic monitoring of patients by hospital professionals.https://doi.org/10.1186/s12875-025-02713-4Qualitative researchSemi-structured interviewsGeneral practitionersPrimary health carePharmacistsInterprofessional relations |
| spellingShingle | Anne-Laure Yailian Audrey Janoly-Dumenil Emmanuelle Vignot Aurélie Fontana Charline Estublier Cyrille Confavreux Roland Chapurlat Claude Dussart Humbert de Freminville Exploring the general practitioners’ perception of the inter-professional care of rheumatoid arthritis patients (GEPRA—II): a qualitative interview study BMC Primary Care Qualitative research Semi-structured interviews General practitioners Primary health care Pharmacists Interprofessional relations |
| title | Exploring the general practitioners’ perception of the inter-professional care of rheumatoid arthritis patients (GEPRA—II): a qualitative interview study |
| title_full | Exploring the general practitioners’ perception of the inter-professional care of rheumatoid arthritis patients (GEPRA—II): a qualitative interview study |
| title_fullStr | Exploring the general practitioners’ perception of the inter-professional care of rheumatoid arthritis patients (GEPRA—II): a qualitative interview study |
| title_full_unstemmed | Exploring the general practitioners’ perception of the inter-professional care of rheumatoid arthritis patients (GEPRA—II): a qualitative interview study |
| title_short | Exploring the general practitioners’ perception of the inter-professional care of rheumatoid arthritis patients (GEPRA—II): a qualitative interview study |
| title_sort | exploring the general practitioners perception of the inter professional care of rheumatoid arthritis patients gepra ii a qualitative interview study |
| topic | Qualitative research Semi-structured interviews General practitioners Primary health care Pharmacists Interprofessional relations |
| url | https://doi.org/10.1186/s12875-025-02713-4 |
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