Department of General Practice, Aix Marseille University, Marseille, France.
ORS Paca, Regional Health Observatory, Provence- Alpes-Côte d'Azur, Marseille, France.
Eur J Gen Pract. 2022 Dec;28(1):109-117. doi: 10.1080/13814788.2022.2044781.
Cooperation between general practitioners (GPs) and other healthcare professionals appears to help reduce the risk of polypharmacy-related adverse events in patients with multimorbidity.
To investigate GPs profiles according to their opinions and attitudes about interprofessional cooperation and to study the association between these profiles and GPs' characteristics.
Between May and July 2016, we conducted a cross-sectional survey of a panel of French GPs about their management of patients with multimorbidity and polypharmacy, focussing on their opinions on the roles of healthcare professionals and interprofessional cooperation. We used agglomerative hierarchical cluster analysis to identify GPs profiles, then multivariable logistic regression models to study their associations with the characteristics of these doctors.
1183 GPs responded to the questionnaire. We identified four profiles of GPs according to their declared attitudes towards cooperation: GPs in the 'very favourable' profile (14%) were willing to cooperate with various health professionals, including the delegation of some prescribing tasks to pharmacists; GPs in the 'moderately favourable' profile (47%) had favourable views on the roles of health professionals, with the exception for this specific delegation of the task; GPs from the 'selectively favourable' profile (27%) tended to work only with doctors; GPs from the 'non-cooperative' profile (12%) did not seem to be interested in cooperation. Some profiles were associated with GPs' ages or participation in continuing medical education.
Our study highlights disparities between GPs regarding cooperation with other professionals caring for their patients and suggests ways to improve cooperation.
全科医生（GP）与其他医疗保健专业人员之间的合作似乎有助于降低多病共存患者药物使用过多相关不良事件的风险。
根据对跨专业合作的意见和态度，调查全科医生的特征，并研究这些特征与全科医生特征之间的关系。
2016 年 5 月至 7 月，我们对法国全科医生小组进行了一项关于多病共存和药物使用过多患者管理的横断面调查，重点关注他们对医疗保健专业人员角色和跨专业合作的意见。我们使用凝聚层次聚类分析来确定全科医生的特征，然后使用多变量逻辑回归模型来研究这些特征与这些医生特征之间的关联。
共有 1183 名全科医生对问卷做出了回应。根据他们对合作的态度，我们确定了四种全科医生特征：非常赞成合作的全科医生（14%）愿意与各种卫生专业人员合作，包括将一些处方任务委托给药剂师；非常赞成卫生专业人员角色的全科医生（47%），但不包括将这项具体任务委托出去；倾向于只与医生合作的选择性赞成全科医生（27%）；不合作的全科医生（12%）似乎对合作不感兴趣。一些特征与全科医生的年龄或参加继续医学教育有关。
我们的研究强调了全科医生在与其他专业人员合作照顾患者方面的差异，并提出了改善合作的方法。
