How do patients want to receive nutrition care? Qualitative findings from Australian health consumers
Mari Somerville A B , Lauren Ball A , Amy Kirkegaard A and Lauren T. Williams AA Menzies Health Institute Queensland, Griffith University, Gold Coast Campus, Parklands Drive, Gold Coast, Qld 4222, Australia.
B Corresponding author. Email: mari.somerville@dal.ca
Australian Journal of Primary Health 28(1) 33-39 https://doi.org/10.1071/PY21077
Submitted: 8 April 2021 Accepted: 22 September 2021 Published: 16 December 2021
Abstract
This qualitative descriptive study explored health consumers’ preferences for receiving nutrition care in Australian primary care. The study was underpinned by a constructivist research paradigm. Semistructured telephone interviews were conducted with 25 health consumers (age 19–78 years; 19 female) from across Australia between May and August 2020. Content analysis, using an inductive approach revealed emergent themes. was used to reveal emergent themes. Five themes were identified in the data: (1) health consumers want to receive nutrition care from a qualified person; (2) nutrition care is viewed as important, and health consumers want to receive it in a format that meets their needs; (3) nutrition care should be low cost and available to everyone; (4) nutrition care services should be conveniently located; and (5) health consumers want nutrition care to be offered frequently, across their lifespan. Health consumers have a clear idea of how they would like to receive nutrition care in the primary care setting, but reported challenges to receiving this care within the current system. New models of service delivery are needed to meet the needs of health consumers.
Keywords: chronic disease prevention, health systems, models of care.
References
Australian Government Services Australia (2019) Education guide – Chronic disease GP Management Plans and Team Care Arrangements. Available at https://www.servicesaustralia.gov.au/organisations/health-professionals/topics/education-guide-chronic-disease-gp-management-plans-and-team-care-arrangements/33191Ball L, Larsson R, Gerathy R, Hood P, Lowe C (2013) Working profile of Australian private practice Accredited Practising Dietitians. Nutrition & Dietetics: the Journal of the Dietitians Association of Australia 70, 196–205.
| Working profile of Australian private practice Accredited Practising Dietitians.Crossref | GoogleScholarGoogle Scholar |
Ball L, Desbrow B, Leveritt M (2014) An exploration of individuals’ preferences for nutrition care from Australian primary care health professionals. Australian Journal of Primary Health 20, 113–120.
| An exploration of individuals’ preferences for nutrition care from Australian primary care health professionals.Crossref | GoogleScholarGoogle Scholar | 23428232PubMed |
Brickley B, Williams LT, Morgan M, Ross A, Trigger K, Ball L (2020) Patient-centred care delivered by general practitioners: a qualitative investigation of the experiences and perceptions of patients and providers. BMJ Quality & Safety
| Patient-centred care delivered by general practitioners: a qualitative investigation of the experiences and perceptions of patients and providers.Crossref | GoogleScholarGoogle Scholar |
Cash T, Desbrow B, Leveritt M, Ball L (2015) Utilization and preference of nutrition information sources in Australia. Health Expectations 18, 2288–2295.
| Utilization and preference of nutrition information sources in Australia.Crossref | GoogleScholarGoogle Scholar | 24798108PubMed |
Consumer Health Forum of Australia (2020) About CHF. Available at https://chf.org.au/about-chf
Crowley J, Ball L, Hiddink GJ (2019) Nutrition in medical education: a systematic review. The Lancet. Planetary Health 3, e379–e389.
| Nutrition in medical education: a systematic review.Crossref | GoogleScholarGoogle Scholar | 31538623PubMed |
Department of Health (2013) National vision for primary health care. Available at https://www1.health.gov.au/internet/publications/publishing.nsf/Content/NPHC-Strategic-Framework~vision
Elo S, Kyngas H (2008) The qualitative content analysis. Journal of Advanced Nursing 62, 107–115.
| The qualitative content analysis.Crossref | GoogleScholarGoogle Scholar | 18352969PubMed |
Endevelt R, Baron-Epel O, Viner A, David Heymann A (2013) Socioeconomic status and gender affects utilization of Medical Nutrition Therapy. Diabetes Research and Clinical Practice 101, 20–27.
| Socioeconomic status and gender affects utilization of Medical Nutrition Therapy.Crossref | GoogleScholarGoogle Scholar | 23702029PubMed |
Esposito K, Maiorino MI, Bellastella G, Chiodini P, Panagiotakos D, Giugliano D (2015) A journey into a Mediterranean diet and type 2 diabetes: a systematic review with meta-analyses. BMJ Open 5, 008222
| A journey into a Mediterranean diet and type 2 diabetes: a systematic review with meta-analyses.Crossref | GoogleScholarGoogle Scholar |
Galani C, Schneider H (2007) Prevention and treatment of obesity with lifestyle interventions: review and meta-analysis. International Journal of Public Health 52, 348–359.
| Prevention and treatment of obesity with lifestyle interventions: review and meta-analysis.Crossref | GoogleScholarGoogle Scholar | 18368998PubMed |
Howatson A, Wall CR, Turner-Benny P (2015) The contribution of dietitians to the primary health care workforce Journal of Primary Health Care 7, 324–332.
| The contribution of dietitians to the primary health care workforceCrossref | GoogleScholarGoogle Scholar | 26668838PubMed |
Joint WHO/FAO Expert Consultation (2002) Diet, Nutrition and the Prevention of Chronic Diseases. Available at http://health.euroafrica.org/books/dietnutritionwho.pdf
Lacey K, Pritchett E (2003) Nutrition Care Process and Model: ADA adopts road map to quality care and outcomes management. Journal of the American Dietetic Association 103, 1061–1072.
| Nutrition Care Process and Model: ADA adopts road map to quality care and outcomes management.Crossref | GoogleScholarGoogle Scholar | 12891159PubMed |
Martin L, Leveritt MD, Desbrow B, Ball L (2014) The self-perceived knowledge, skills and attitudes of Australian practice nurses in providing nutrition care to patients with chronic disease. Family Practice 31, 201–208.
| The self-perceived knowledge, skills and attitudes of Australian practice nurses in providing nutrition care to patients with chronic disease.Crossref | GoogleScholarGoogle Scholar | 24243871PubMed |
Merkur S, Sassi F, Mcdaid D (2013) Promoting health, preventing disease: is there an economic case? Policy Summary 6. WHO, Geneva, Switzerland.
Mitchell LJ, Ball LE, Ross LJ, Barnes KA, Williams LT (2017) Effectiveness of dietetic consultations in primary health care: a systematic review of randomized controlled trials. Journal of the Academy of Nutrition and Dietetics 117, 1941–1962.
| Effectiveness of dietetic consultations in primary health care: a systematic review of randomized controlled trials.Crossref | GoogleScholarGoogle Scholar | 28826840PubMed |
Mulquiney KJ, Tapley A, van Driel ML, Morgan S, Davey AR, Henderson KM, Spike NA, Kerr RH, Watson JF, Catzikiris NF, Magin PJ (2018) Referrals to dietitians/nutritionists: a cross-sectional analysis of Australian GP registrars’ clinical practice. Nutrition & Dietetics 75, 98–105.
| Referrals to dietitians/nutritionists: a cross-sectional analysis of Australian GP registrars’ clinical practice.Crossref | GoogleScholarGoogle Scholar |
Neergaard MA, Olesen F, Andersen RS, Sondergaard J (2009) Qualitative description-the poor cousin of health research? BMC Medical Research Methodology 9, 52
| Qualitative description-the poor cousin of health research?Crossref | GoogleScholarGoogle Scholar | 19607668PubMed |
Patterson A, Hure A, Burrows T, Jackson J, Collins C (2018) Diet quality and 10-year healthcare costs by BMI categories in the mid-age cohort of the Australian Longitudinal Study on Women’s Health. Journal of Human Nutrition and Dietetics 31, 463–472.
| Diet quality and 10-year healthcare costs by BMI categories in the mid-age cohort of the Australian Longitudinal Study on Women’s Health.Crossref | GoogleScholarGoogle Scholar | 29667238PubMed |
Sandelowski M (2000) Focus on research methods whatever happened to qualitative description? Research in Nursing & Health 4, 23
Siopis G, Jones A, Allman-Farinelli M (2020) The dietetic workforce distribution geographic atlas provides insight into the inequitable access for dietetic services for people with type 2 diabetes in Australia. Nutrition & Dietetics: the Journal of the Dietitians Association of Australia 77, 121–130.
| The dietetic workforce distribution geographic atlas provides insight into the inequitable access for dietetic services for people with type 2 diabetes in Australia.Crossref | GoogleScholarGoogle Scholar |
Somerville M, Ball L, Sierra-Silvestre E, Williams LT (2019) Understanding the knowledge, attitudes and practices of providing and receiving nutrition care for prediabetes: an integrative review. Australian Journal of Primary Health 25, 289–302.
| Understanding the knowledge, attitudes and practices of providing and receiving nutrition care for prediabetes: an integrative review.Crossref | GoogleScholarGoogle Scholar | 31575387PubMed |
Somerville M, Ball L, Chua D, Johnson T, Williams S, Williams LT (2020a) How do healthcare providers support people with prediabetes to eat well? An in-depth mixed-methods case study of provider practices. Australian Journal of General Practice 50, 497–504.
| How do healthcare providers support people with prediabetes to eat well? An in-depth mixed-methods case study of provider practices.Crossref | GoogleScholarGoogle Scholar |
Somerville M, Burch E, Ball L, Williams LT (2020b) ‘I could have made those changes years earlier’: experiences and characteristics associated with receiving a prediabetes diagnosis among individuals recently diagnosed with type 2 diabetes. Family Practice 37, 382–389.
| ‘I could have made those changes years earlier’: experiences and characteristics associated with receiving a prediabetes diagnosis among individuals recently diagnosed with type 2 diabetes.Crossref | GoogleScholarGoogle Scholar | 31776562PubMed |
Vanselow NA, Donaldson MS (1995) A new definition of primary care. Journal of the American Medical Association 273, 192
| A new definition of primary care.Crossref | GoogleScholarGoogle Scholar | 7807653PubMed |
Warner MF, Miklos KE, Strowman SR, Ireland K, Pojednic RM (2018) Improved access to and impact of registered dietitian nutritionist services associated with an integrated care model in a high-risk, minority population. Journal of the Academy of Nutrition and Dietetics 118, 1951–1957.
| Improved access to and impact of registered dietitian nutritionist services associated with an integrated care model in a high-risk, minority population.Crossref | GoogleScholarGoogle Scholar | 30029962PubMed |
World Health Organization (WHO) (2008) Classifying health workers: mapping occupations to the international standard classification. Available at https://www.who.int/hrh/statistics/Health_workers_classification.pdf
World Health Organization (WHO) (2010) Chronic diseases and health promotion. (WHO: Geneva, Switzerland) Available at https://www.who.int/chp/about/integrated_cd/en/