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Background <p>Demographic change is leading to an increasing number of older, multimorbid patients, particularly in rural areas, where the number of general practitioners (GPs) is decreasing at the same time. Caring for these patients requires more time and special competences that go beyond the treatment of acute illnesses.</p> Aim <p>This study investigates the problems experienced by GPs in rural areas when caring for multimorbid patients and how they evaluate the use of advanced practice nurses (APNs).</p> Methods <p>As part of the mixed methods study FAMOUS, qualitative expert interviews were conducted with six GPs from rural practices before they employed an APN as part of the project. The interviews were partially standardised and evaluated using content analysis methods.</p> Results <p>The GPs described their everyday lives as characterised by a&#xa0;lack of time and high demands due to nonmedical tasks such as social care for patients. They see APNs as a&#xa0;valuable support who can close gaps in care, provide patients with more intensive care and offer physicians relief through collegial feedback and the assumption of routine tasks.</p> Conclusion <p>The results show that GPs see the integration of APNs as an opportunity to reduce their workload and improve patient care at the same time. In the long term, APNs could help to make the GP profession more attractive and stabilise care in rural areas.</p>

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Erwartungen von Hausärzten im ländlichen Raum an Advanced Practice Nurses

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年4月23日

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  • Britta Büchler,
  • Laura Pfrommer,
  • Emilio Gianicolo,
  • Susanne Singer,
  • Renate Stemmer

摘要

Background

Demographic change is leading to an increasing number of older, multimorbid patients, particularly in rural areas, where the number of general practitioners (GPs) is decreasing at the same time. Caring for these patients requires more time and special competences that go beyond the treatment of acute illnesses.

Aim

This study investigates the problems experienced by GPs in rural areas when caring for multimorbid patients and how they evaluate the use of advanced practice nurses (APNs).

Methods

As part of the mixed methods study FAMOUS, qualitative expert interviews were conducted with six GPs from rural practices before they employed an APN as part of the project. The interviews were partially standardised and evaluated using content analysis methods.

Results

The GPs described their everyday lives as characterised by a lack of time and high demands due to nonmedical tasks such as social care for patients. They see APNs as a valuable support who can close gaps in care, provide patients with more intensive care and offer physicians relief through collegial feedback and the assumption of routine tasks.

Conclusion

The results show that GPs see the integration of APNs as an opportunity to reduce their workload and improve patient care at the same time. In the long term, APNs could help to make the GP profession more attractive and stabilise care in rural areas.