Identifying patients with psychosocial problems in general practice: a scoping review protocol

Schwenker, Rosemarie; Kroeber, Eric Sven; Deutsch, Tobias; Frese, Thomas; Unverzagt, Susanne

doi:10.1136/bmjopen-2021-051383

Cited by 5 publications

(4 citation statements)

References 54 publications

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“…Arbitrary approaches lead to divergent estimations between patients and GPs [ 19 ]. Corresponding screening instruments have not yet been implemented, but they do exist [ 81 ]. Based on a coherent logical model, an established screening of a sophisticated complex intervention around our stepped implementation model for a systematic collaboration between GPs and social workers, we need to develop a high quality randomised controlled trial that shows whether patient-relevant outcomes can be improved in a reliable manner [ 82 ].…”

Section: Discussionmentioning

confidence: 99%

Interprofessional collaboration to support patients with social problems in general practice—a qualitative focus group study

et al. 2022

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Background Social problems of patients such as family or work-related conflicts as well as financial difficulties affect the individual health situation and the treatment of diseases in general practice. General practitioners (GPs) would like to have direct access to professionals in social care services. In Germany, there are many different social care facilities for people with a wide range of social problems. As the social and health care systems hardly interact collaborations between social professionals (SPs) and GPs are rare exceptions. This study explored perspectives of GPs regarding their patients with social problems in combination with the perspectives of SPs. Aim of this study was to explore how a systematic interprofessional collaboration between GPs and SPs could be realised. Methods We carried out a participatory sequential qualitative study design consisting of two focus groups with GPs, two with SPs and two mixed-professional focus groups with GPs and SPs. The focus groups were conducted with semi-structured moderating guidelines and analysed with a qualitative content analysis approach using inductive and deductive categories. Results GPs view themselves as the first point of contact for their patients' social problems. For persistent social problems, they expressed a desire for support and SPs were willing to provide this. We developed a stepped care implementation model for a systematic cooperation consisting of nine collaboration strategies. These strategies included: index or website of social care services, referrals to the social care system, using flyers and posters of social care services, direct contact/hotline to local social care services, participation in meetings of social care facilities, involving physician assistants, external social care advice service in GP rooms, implementation in education and training and access to volunteers. Conclusions Our stepped care implementation model for a systematic cooperation of GPs and SPs could be a feasible need- and resource-oriented approach for the collaborative care of patients with social problems to improve their medical treatment in most western healthcare systems. GPs and SPs are ready to generate the necessary evidence for policy makers in high quality RCTs.

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Section: Discussionmentioning

confidence: 99%

Interprofessional collaboration to support patients with social problems in general practice—a qualitative focus group study

et al. 2022

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“…We conducted a scoping review by following the Joanna Briggs Institute Reviewer’s Manual ( 59 ) and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist ( 60 ). A protocol has been registered with Open Science Framework (OSF) ( 61 ) and published in BMJ Open ( 62 ). Since the entire review process with its individual phases is iterative and fundamentally a process of developing understanding, hermeneutic principles were applied consisting of two mutually influencing cycles; searching and accessing the literature, and analysis and interpretation ( 63 ).…”

Section: Methodsmentioning

confidence: 99%

Identifying patients with psychosocial problems in general practice: A scoping review

Schwenker

Deutsch²,

Unverzagt³

et al. 2023

Front. Med.

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ObjectiveWe conducted a scoping review with the aim of comprehensively investigating what tools or methods have been examined in general practice research that capture a wide range of psychosocial problems (PSPs) and serve to identify patients and highlight their characteristics.MethodsWe followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews and the Joanna Briggs Institute Reviewer’s Manual on scoping reviews. A systematic search was conducted in four electronic databases (Medline [Ovid], Web of Science Core Collection, PsycInfo, Cochrane Library) for quantitative and qualitative studies in English, Spanish, French, and German with no time limit. The protocol was registered with Open Science Framework and published in BMJ Open.ResultsOf the 839 articles identified, 66 met the criteria for study eligibility, from which 61 instruments were identified. The publications were from 18 different countries, with most studies employing an observational design and including mostly adult patients. Among all instruments, 22 were reported as validated, which we present in this paper. Overall, quality criteria were reported differently, with studies generally providing little detail. Most of the instruments were used as paper and pencil questionnaires. We found considerable heterogeneity in the theoretical conceptualisation, definition, and measurement of PSPs, ranging from psychiatric case findings to specific social problems.Discussion and conclusionThis review presents a number of tools and methods that have been studied and used in general practice research. Adapted and tailored to local circumstances, practice populations, and needs, they could be useful for identifying patients with PSPs in daily GP practice; however, this requires further research. Given the heterogeneity of studies and instruments, future research efforts should include both a more structured evaluation of instruments and the incorporation of consensus methods to move forward from instrument research to actual use in daily practice.

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“…The following exemplary articles include published scoping review protocols and scoping reviews: Identifying patients with psychosocial problems in general practice: a scoping review protocol [ 21 ]. COVID-19’s impact on primary care and related mitigation strategies: A scoping review [ 22 ].…”

Section: Scoping Reviewmentioning

confidence: 99%

“…Identifying patients with psychosocial problems in general practice: a scoping review protocol [ 21 ].…”

Section: Scoping Reviewmentioning

confidence: 99%

Series: Practical guidance to qualitative research. Part 7: Qualitative evidence synthesis for emerging themes in primary care research: Scoping review, meta-ethnography and rapid realist review

Moser,

Korstjens

2023

European Journal of General Practice

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This article, the seventh in a series aiming to provide practical guidance for qualitative research in primary care, introduces qualitative synthesis research for addressing health themes in primary care research. Qualitative synthesis combines rigorous processes and authorial judgement to present the collective meaning of research outputs; the findings of qualitative studies – and sometimes mixed-methods and quantitative research – are pooled. We describe three exemplary designs: the scoping review, the meta-ethnography and the rapid realist review. Scoping reviews aim to provide an overview of the evidence/knowledge or to answer questions regarding the nature and diversity of the evidence/knowledge available. Meta-ethnographies intend to systematically compare data from primary qualitative studies to identify and develop new overarching concepts, theories, and models. Rapid realist reviews aim to provide a knowledge synthesis by looking at complex questions while responding to time-sensitive and emerging issues. It addresses the question, ‘what works, for whom, in what circumstances, and how?’ We discuss these three designs’ context, what, why, when and how. We provide examples of published studies and sources for further reading, including manuals and guidelines for conducting and reporting these studies. Finally, we discuss attention points for the research team concerning the involvement of necessary experts and stakeholders and choices to be made during the research process.

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Identifying patients with psychosocial problems in general practice: a scoping review protocol

Cited by 5 publications

References 54 publications

Interprofessional collaboration to support patients with social problems in general practice—a qualitative focus group study

Interprofessional collaboration to support patients with social problems in general practice—a qualitative focus group study

Identifying patients with psychosocial problems in general practice: A scoping review

Series: Practical guidance to qualitative research. Part 7: Qualitative evidence synthesis for emerging themes in primary care research: Scoping review, meta-ethnography and rapid realist review

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