Nutrition care for adult cardiac patients : Australian general practitioners' perceptions of their role

Pomeroy, Sylvia E.M. and Worsley, Anthony 2008, Nutrition care for adult cardiac patients : Australian general practitioners' perceptions of their role, Family practice, vol. 25, no. Supp 1, pp. 123-129, doi: 10.1093/fampra/cmn091.

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Title Nutrition care for adult cardiac patients : Australian general practitioners' perceptions of their role
Author(s) Pomeroy, Sylvia E.M.
Worsley, AnthonyORCID iD for Worsley, Anthony
Journal name Family practice
Volume number 25
Issue number Supp 1
Start page 123
End page 129
Total pages 7
Publisher Oxford University Press
Place of publication Oxford, England
Publication date 2008-12
ISSN 0263-2136
Keyword(s) dietetics
doctor–patient relationship
general practitioner
primary care
Summary Background. Australia has implemented systematic managed care for patients with chronic disease. Little is known about how GPs perceive their nutrition care role in this system.
Objective. To examine GPs’ perceptions of their roles in the nutrition care of cardiac patients and to identify factors that influence their role.
Methods. Multi-methods research design. Semi-structured interviews were conducted with a sample (n = 30) GPs Victoria, Australia. The resulting narratives were used to develop a quantitative questionnaire to survey a random sample of GPs. Principal components analysis was conducted to reduce the role items to a small number of underlying dimensions. The association between roles and demographic variables were examined using stepwise multiple regressions.
Results. In all, 248 GPs (30% response) participated. Three main roles were established: Influencing, Coordinating and Nutrition Educator role. Together, the roles explained 54% of the total variance. Demographic variables were not associated with these roles. The majority (mean = 88%) endorsed the items which loaded on to the Influencing and Coordinating (mean = 49%) roles. Short consultation time, use of prescribed medications and perception of patient attendance at cardiac rehabilitation reduced the priority for nutrition education.
Conclusions. This study highlights the importance of developing more effective team care arrangements for patients with chronic disease and working with the medical education colleges to develop education resources for doctors that include an explanation of the non-pharmaceutical as well as the pharmaceutical treatment for each chronic disease condition.
Language eng
DOI 10.1093/fampra/cmn091
Field of Research 110199 Medical Biochemistry and Metabolomics not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2008, The Authors
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