What makes patients in primary care complex? A scoping review combined with a focus group analysis.
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| Title: | What makes patients in primary care complex? A scoping review combined with a focus group analysis. |
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| Authors: | Braspenning, Jozé (AUTHOR), van den Kieboom, Rachel (AUTHOR), Bischoff, Erik W.M.A. (AUTHOR), Hietland, Kirsten (AUTHOR), Vissers, Kris (AUTHOR), Schoon, Yvonne (AUTHOR) |
| Source: | Scandinavian Journal of Primary Health Care. Dec2025, Vol. 43 Issue 4, p786-794. 9p. |
| Subjects: | Medical information storage & retrieval systems, Health literacy, Health services accessibility, Medical quality control, Focus groups, Qualitative research, Social determinants of health, Primary health care, Patient care, Psychological well-being, Systematic reviews, MEDLINE, Attitudes of medical personnel, Medical databases, Online information services, Comorbidity, Integrated health care delivery |
| Geographic Terms: | Netherlands |
| Abstract: | Background: Consultations can be challenging because of patient complexity, affecting care quality. Patient complexity involves factors related to the patient, healthcare professional, organization, and healthcare system. A comprehensive overview of these factors and their significance to healthcare providers is lacking. The aim of this study was to create a literature overview and to examine how the results relate to the experiences of primary care providers. Methods: The PubMed, Embase and Cochrane databases were searched (2018–2023) to conduct a scoping review. In addition, a focus group was organized with healthcare providers from general practices (a) to discuss the results of the review, and (b) to explore its meaning in daily consultation, based on the real-life patient cases they presented. Results: The review (171 unique studies) mainly revealed patient-related factors (medical, social and behavioural aspects). Complexity arises when multiple aspects are present and mutually interact. Factors related to the expertise of healthcare professionals, the organization (care coordination) and the system (availability of resources, navigation problems) were also identified. The focus group recognized the factors that influenced patient complexity and their interdependence. They noted a need for support in identifying and treating the patient population in question across disciplines. Conclusions: A comprehensive overview of factors influencing patient complexity at four different levels (patient, professional, organization, system) is provided. The primary care providers suggested disseminating these results to customize treatment to the needs of patients, which is likely to require coordination across disciplines and integrated care. [ABSTRACT FROM AUTHOR] |
| Copyright of Scandinavian Journal of Primary Health Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Background: Consultations can be challenging because of patient complexity, affecting care quality. Patient complexity involves factors related to the patient, healthcare professional, organization, and healthcare system. A comprehensive overview of these factors and their significance to healthcare providers is lacking. The aim of this study was to create a literature overview and to examine how the results relate to the experiences of primary care providers. Methods: The PubMed, Embase and Cochrane databases were searched (2018–2023) to conduct a scoping review. In addition, a focus group was organized with healthcare providers from general practices (a) to discuss the results of the review, and (b) to explore its meaning in daily consultation, based on the real-life patient cases they presented. Results: The review (171 unique studies) mainly revealed patient-related factors (medical, social and behavioural aspects). Complexity arises when multiple aspects are present and mutually interact. Factors related to the expertise of healthcare professionals, the organization (care coordination) and the system (availability of resources, navigation problems) were also identified. The focus group recognized the factors that influenced patient complexity and their interdependence. They noted a need for support in identifying and treating the patient population in question across disciplines. Conclusions: A comprehensive overview of factors influencing patient complexity at four different levels (patient, professional, organization, system) is provided. The primary care providers suggested disseminating these results to customize treatment to the needs of patients, which is likely to require coordination across disciplines and integrated care. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 02813432 |
| DOI: | 10.1080/02813432.2025.2507278 |
