Multimorbidity, polypharmacy and frailty Other
Conditions
Interventions
The study has four main steps:
1. Literature review on GP-NP collaboration
2. Document analysis of how GP/NP pairs organise their care
3. Qualitative research using:
3.1. Focus groups, where GPs and N
Sponsors
Société Française de Médecine Générale
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: GP/NP dyads involved in the management of: 1. Patients with multimorbidity (=2 chronic conditions) and/or 2. Patients with polypharmacy (=5 medications) General Practitioners (GPs): 1. Practicing in private settings (solo or group practices, multidisciplinary health centers) or salaried positions (community health centers) 2. Working under the standard public sector contract (sector 1) 3. Without any particular alternative practice arrangement 4. Operating within Primary Care Teams (CPTS – see list of investigator centers) 5. Having provided informed consent to participate Nurse Practitioners (NPs): 1. Practicing in private settings (solo or group nursing practices, multidisciplinary health centers) or salaried positions (community health centers) 2. Operating within Primary Care Teams (CPTS – see list of investigator centers) 3. Having provided informed consent to participate
Exclusion criteria
Exclusion criteria: GP/NP dyads including: 1. General Practitioners (GPs) practicing under Sector 2 contracts (with fees exceeding standard public rates) 2. GPs with alternative or non-standard modes of practice (e.g., concierge medicine, exclusive telemedicine practice, or any model outside conventional primary care organization)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Level of consensus among experts, assessed through an iterative rating process with feedback, to identify and select points of convergence forming the basis of recommendations, as well as points of divergence or uncertainty, thereby assisting stakeholders (Nurse Practitioners and General Practitioners) in defining the care pathway. All outcome measures will be synthesized and assessed collectively at a single final timepoint, prior to and during the expert consensus phase. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Patients’ needs and demands according to clinical situations and their impact on interprofessional collaboration between General Practitioners (GPs) and Nurse Practitioners (NPs): To identify patients’ needs and demands, clinical and care data associated with the most frequent pathologies in multimorbid patients in primary care will be collected and analyzed 2. Barriers and facilitators to interprofessional collaboration between GPs and NPs: To identify barriers and facilitators, the areas of interest will include professional organization, communication between professionals, collaboration and professional boundaries, patient pathologies and behaviors, as well as social and societal factors All outcome measures will be synthesized and assessed collectively at a single final timepoint, prior to and during the expert consensus phase | — |
Countries
France
Contacts
Public ContactJulien Le Breton
Outcome results
None listed