Older people with multimorbidity: communication with GPs

  • Research type

    Research Study

  • Full title

    Communication between older people with multimorbidity and General Practitioners: A qualitative study

  • IRAS ID

    241282

  • Contact name

    Rebecca Hays

  • Contact email

    rebecca.hays@manchester.ac.uk

  • Sponsor organisation

    The University of Manchester

  • Duration of Study in the UK

    0 years, 4 months, 30 days

  • Research summary

    Background
    Good communication between patients and staff is essential for patient safety. It is needed for all aspects of care, including diagnosis and treatment. However, it can be difficult, especially when patients have complex needs and see a range of healthcare providers.

    This is the case for many older people who have two or more long-term conditions (known as multimorbidity), and it can put their patient safety at risk.

    Research has typically focused on how staff speak to patients. However, a few studies have shown older people can change how they talk to staff, and this can result in them knowing more about, and being more satisfied with their care. Unfortunately, it is not clear how best to empower older people to communicate better, and no resources have been developed for people with multimorbidity.

    This study is one of three designed to help us understand how patients talk to healthcare staff, and how they might be supported to improve communication and reduce risks to patient safety.

    Aim
    The aim of the study is to identify and describe 1) how older people with multimorbidity talk to GPs, particularly about their reason for consulting, unmet needs and concerns about patient safety; and 2) how the way patients and GPs interact may influence how patients talk to GPs.

    Method
    We plan to study a collection of video-recorded consultations between patients and GPs. We will watch and listen to consultations where: the patients are aged 65+, have multimorbidity, and have agreed researchers can do this.

    We will use two different approaches to look at and identify 1) how patients talk to GPs, and 2) when patients talk to GPs in different ways.

    Patient and Public Involvement
    Patients, and carers of patients, with multimorbidity have helped us design this study, and will be involved throughout.

  • REC name

    North West - Greater Manchester Central Research Ethics Committee

  • REC reference

    18/NW/0368

  • Date of REC Opinion

    15 May 2018

  • REC opinion

    Favourable Opinion