Enhancing the dietary management of general practice patients through collaborative care: perspectives of general practitioners and dietitians

Pomeroy, Sylvia E.M. and Worsley, Anthony 2009, Enhancing the dietary management of general practice patients through collaborative care: perspectives of general practitioners and dietitians, Nutrition and dietetics, vol. 66, no. 2, pp. 81-86.

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Title Enhancing the dietary management of general practice patients through collaborative care: perspectives of general practitioners and dietitians
Author(s) Pomeroy, Sylvia E.M.
Worsley, Anthony
Journal name Nutrition and dietetics
Volume number 66
Issue number 2
Start page 81
End page 86
Total pages 6
Publisher Wiley-Blackwell Publishing Asia
Place of publication Brisbane, Qld.
Publication date 2009-06
ISSN 1446-6368
1747-0080
Keyword(s) counselling
dietitian
general practitioner
nutrition
role
Summary Aim:  To describe how general practitioners and dietitians view their role in the dietary management of cardiac patients and to provide insights on how to facilitate collaborative care.
Methods:  Two studies were conducted in Victoria (Australia) 2005–2006. Study One: semi-structured interviews with general practitioners. Study Two: cross-sectional quantitative surveys of general practitioners and dietitians. Study One: texts were analysed using the grounded theory approach. Study Two: frequency analysis was conducted and chi-squared test for independence was used to explore the impact of age, sex and consultation time on the role and reporting scales.
Results:  Study One: Themes arising from the interviews with 30 general practitioners showed their involvement in dietary management fell into three broad roles: ‘Influencing’, ‘Coordinator’ of referrals and dietary ‘Educator’. They described dietetic education as a process that included dietary assessment, education, application of behavioural change techniques and reporting back to general practitioners. Study Two: Respondents were 248 general practitioners (30% response) and 180 dietitians (60% response). General practitioners' counselling consisted mostly of advocating for dietary change, coordinating dietetic referrals and reinforcing dietitians' recommendations. General practitioners considered dietary education as the role of dietitians. Dietitians reported a much broader role in the management of patients with some overlap with general practitioners' roles.
Conclusions:   The findings indicate the need: (i) for more structured reporting to ensure general practitioners receive appropriate information to enable them to reinforce dietetic counselling and recommendations; and (ii) to streamline the communication process in order to expedite dietitians' reports to general practitioners.
Language eng
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 ©2009, The Authors
Persistent URL http://hdl.handle.net/10536/DRO/DU:30030897

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