Awareness of ADHD in primary care: stakeholder perspectives
Abstract Background Attention Deficit Hyperactivity Disorder (ADHD) is underdiagnosed in many European countries and the process of accessing care and diagnosis is complex and variable. In many countries, general practitioners (GPs) refer on to secondary care where individuals receive an assessment...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2020-02-01
|
Series: | BMC Family Practice |
Subjects: | |
Online Access: | http://link.springer.com/article/10.1186/s12875-020-01112-1 |
id |
doaj-c1289ef6822549d5b18f6cc41483ca9d |
---|---|
record_format |
Article |
spelling |
doaj-c1289ef6822549d5b18f6cc41483ca9d2020-11-25T03:24:51ZengBMCBMC Family Practice1471-22962020-02-0121111310.1186/s12875-020-01112-1Awareness of ADHD in primary care: stakeholder perspectivesB. French0E. Perez Vallejos1K. Sayal2D. Daley3Division of Psychiatry & Applied Psychology, University of NottinghamDivision of Psychiatry & Applied Psychology, University of NottinghamDivision of Psychiatry & Applied Psychology, University of NottinghamDivision of Psychiatry & Applied Psychology, University of NottinghamAbstract Background Attention Deficit Hyperactivity Disorder (ADHD) is underdiagnosed in many European countries and the process of accessing care and diagnosis is complex and variable. In many countries, general practitioners (GPs) refer on to secondary care where individuals receive an assessment and, if appropriate, a diagnosis and access to care. It is therefore essential that GPs have a clear understanding of the disorder and its care pathways. While previous studies have highlighted potential barriers in GPs’ ADHD awareness, this qualitative study aims to further explore individual stakeholders’ experiences. Methods Semi-structured interviews explored the views of multiple stakeholders- GPs (n = 5), healthcare specialists (n = 5), patients (adults with ADHD n = 5) and parents (n = 5) with experience of the presentation and management of ADHD in primary care. These interviews were analysed using thematic analyses and following principles of grounded theory. Results Stakeholders described ADHD assessment, diagnosis and treatment as an intricate process. Many factors affected this process such as complex pathways, lack of services, limited GP recognition and knowledge, and communicative difficulties between and within multiple stakeholders. Conclusion This analysis underlines the significant impact that receiving (or not) a diagnosis can have, and further explores muddled ADHD care pathways, highlighting key issues around GP identification and the shortage of adult services. Implications for practice and future research are discussed, suggesting a strong need for more commissioned pathways and GP specific educational programs.http://link.springer.com/article/10.1186/s12875-020-01112-1ADHDInterviewsPrimary carePathway to care |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
B. French E. Perez Vallejos K. Sayal D. Daley |
spellingShingle |
B. French E. Perez Vallejos K. Sayal D. Daley Awareness of ADHD in primary care: stakeholder perspectives BMC Family Practice ADHD Interviews Primary care Pathway to care |
author_facet |
B. French E. Perez Vallejos K. Sayal D. Daley |
author_sort |
B. French |
title |
Awareness of ADHD in primary care: stakeholder perspectives |
title_short |
Awareness of ADHD in primary care: stakeholder perspectives |
title_full |
Awareness of ADHD in primary care: stakeholder perspectives |
title_fullStr |
Awareness of ADHD in primary care: stakeholder perspectives |
title_full_unstemmed |
Awareness of ADHD in primary care: stakeholder perspectives |
title_sort |
awareness of adhd in primary care: stakeholder perspectives |
publisher |
BMC |
series |
BMC Family Practice |
issn |
1471-2296 |
publishDate |
2020-02-01 |
description |
Abstract Background Attention Deficit Hyperactivity Disorder (ADHD) is underdiagnosed in many European countries and the process of accessing care and diagnosis is complex and variable. In many countries, general practitioners (GPs) refer on to secondary care where individuals receive an assessment and, if appropriate, a diagnosis and access to care. It is therefore essential that GPs have a clear understanding of the disorder and its care pathways. While previous studies have highlighted potential barriers in GPs’ ADHD awareness, this qualitative study aims to further explore individual stakeholders’ experiences. Methods Semi-structured interviews explored the views of multiple stakeholders- GPs (n = 5), healthcare specialists (n = 5), patients (adults with ADHD n = 5) and parents (n = 5) with experience of the presentation and management of ADHD in primary care. These interviews were analysed using thematic analyses and following principles of grounded theory. Results Stakeholders described ADHD assessment, diagnosis and treatment as an intricate process. Many factors affected this process such as complex pathways, lack of services, limited GP recognition and knowledge, and communicative difficulties between and within multiple stakeholders. Conclusion This analysis underlines the significant impact that receiving (or not) a diagnosis can have, and further explores muddled ADHD care pathways, highlighting key issues around GP identification and the shortage of adult services. Implications for practice and future research are discussed, suggesting a strong need for more commissioned pathways and GP specific educational programs. |
topic |
ADHD Interviews Primary care Pathway to care |
url |
http://link.springer.com/article/10.1186/s12875-020-01112-1 |
work_keys_str_mv |
AT bfrench awarenessofadhdinprimarycarestakeholderperspectives AT eperezvallejos awarenessofadhdinprimarycarestakeholderperspectives AT ksayal awarenessofadhdinprimarycarestakeholderperspectives AT ddaley awarenessofadhdinprimarycarestakeholderperspectives |
_version_ |
1724599472386736128 |