Madigan, Sharon M., Fleming, Paul, McCann, Siobhan, Wright, Marion E. and MacAuley, Domhnall (2007) General Practitioners involvement in enteral tube feeding at home: a qualitative study. BMC FAMILY PRACTICE, 8 . p. 29. [Journal article]
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Background: Complex medical treatment is moving from hospital to primary care and General Practitioners (GPs) are increasingly asked to undertake new roles. There are now an estimated 19,500 patients being fed in the UK in the community on enteral tube feeding using a variety of different feeding tubes ( Percutaneous endoscopic gastrostomy ( PEG), Jejunostomy, or nasogastric (NG). The majority of patients are over the age of 65 years when they had artificial feeding initiated and mainly because of dysphagia. The aim of this study was to explore GPs knowledge, attitudes and skills relating to enteral feeding in the community. Methods: Semi-structured one-to-one interviews with a convenience sample of GPs in Northern Ireland. Results: Twenty-three GPs in three health boards in Northern Ireland participated in the study. Most found dealing with enteral feeding to be a predominantly negative experience. They had little involvement in patient selection for the procedure and poor or no discharge information. GPs felt inadequately trained, there was poor communication between primary and secondary care and little support. There was anger and frustration among GPs about lack of resources ( funding and training), and the perception that primary care was used as a dumping ground. Conclusion: Moving complex medical treatment from secondary to primary care has major implications for GPs who should be included in the patient selection process, have adequate discharge information about their patients, be adequately resourced and have appropriate support and training.
|Item Type:||Journal article|
|Faculties and Schools:||Faculty of Life and Health Sciences|
Faculty of Life and Health Sciences > School of Psychology
|Research Institutes and Groups:||Psychology Research Institute|
Psychology Research Institute > Psychological Epidemiology and Mental Health
|Deposited By:||Mrs Fiona Harkin|
|Deposited On:||14 Dec 2009 14:50|
|Last Modified:||14 Mar 2012 16:03|
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