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Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
RESEARCH ARTICLE

An exploration of individuals’ preferences for nutrition care from Australian primary care health professionals

Lauren Ball A C , Ben Desbrow A and Michael Leveritt B
+ Author Affiliations
- Author Affiliations

A School of Public Health, Griffith University, Parklands Drive Gold Coast Campus, Southport, Qld 4222, Australia.

B School of Human Movement Studies, University of Queensland, Brisbane, Qld 4072, Australia.

C Corresponding author. Email: l.ball@griffith.edu.au

Australian Journal of Primary Health 20(1) 113-120 https://doi.org/10.1071/PY12127
Submitted: 5 October 2012  Accepted: 18 January 2013   Published: 22 February 2013

Abstract

This qualitative study explored individuals’ preferences regarding the provision of nutrition care from Australian health professionals and the factors influencing their preferences. Thirty-eight individuals aged 53 ± 8 years, living with a lifestyle-related chronic disease or risk factor for lifestyle-related chronic disease, participated in a semi-structured telephone interview. Participants were asked questions regarding their perceptions of which Australian health professionals provide nutrition care, their preferences for this care and the factors influencing their preferences. Interviews were transcribed verbatim and analysed thematically using a constant-comparison approach. General practitioners were the most recognised health professional that provided nutrition care to patients, followed by dietitians. General practitioners were regarded by most participants as the preferred provider of nutrition care because they were perceived to provide trustworthy and personalised nutrition care. Participants reported confusion regarding the professional differences between dietitians and nutritionists, and appealed for more information to be available to individuals that are considering consulting an Australian health professional for nutrition care. The findings of this study suggest that general practitioners are the preferred providers of nutrition care for many individuals living with a lifestyle-related chronic disease. Considering the increasing presentation of patients with lifestyle-related chronic disease in general practice, it is anticipated that the demand on general practitioners to provide nutrition care to patients will increase in the future.


References

Ashby S, James C, Plotnikoff R, Collins C, Guest M, Kable A, Snodgrass S (2012) Survey of Australian practitioners’ provision of healthy lifestyle advice to clients who are obese. Nursing & Health Sciences 14, 189–196.
Survey of Australian practitioners’ provision of healthy lifestyle advice to clients who are obese.Crossref | GoogleScholarGoogle Scholar |

Australian Government Department of Health and Ageing (2010) ‘Building a 21st century primary health care system: Australia’s first national primary health care strategy.’ (Australian Government Department of Health and Ageing: Canberra)

Australian Government Department of Health and Ageing, National Health Priority Action Council (2006) ‘National chronic disease strategy.’ (Australian Government Department of Health and Ageing: Canberra)

Australian Institute of Health and Welfare (2007) ‘Incidence and prevalence of chronic diseases.’ (Australian Institute of Health and Welfare: Canberra)

Australian Institute of Health and Welfare (2009) ‘Prevalence of risk factors for chronic diseases.’ (Australian Institute of Health and Welfare: Canberra)

Australian Naturopathic Practitioners Association (2012) Nutritional medicine. Available at http://www.anpa.asn.au/therapies/nutritional-medicine [Verified 20 February 2012]

Australian Nursing & Midwifery Council (2006) ‘National competency standards for the registered nurse.’ (Australian Nursing & Midwifery Council: Canberra)

Ball L, Hughes R, Desbrow B, Leveritt M (2012) Patients’ perceptions of nutrition care received from general practitioners: focus on type 2 diabetes. Family Practice 29, 719–725.
Patients’ perceptions of nutrition care received from general practitioners: focus on type 2 diabetes.Crossref | GoogleScholarGoogle Scholar |

Ball L, Hughes R, Leveritt M (2013a) Health professionals’ views of the effectiveness of nutrition care in general practice setting. Nutrition & Dietetics
Health professionals’ views of the effectiveness of nutrition care in general practice setting.Crossref | GoogleScholarGoogle Scholar |

Ball L, Desbrow B, Leveritt M (2013b) General practitioners are capable of providing effective nutrition care to patients with lifestyle-related chronic disease. Journal of Primary Health Care in press.

Ball LE, Hughes RM, Leveritt MM (2010) Nutrition in general practice: role and workforce preparation expectations of medical educators. Australian Journal of Primary Health 16, 304–310.
Nutrition in general practice: role and workforce preparation expectations of medical educators.Crossref | GoogleScholarGoogle Scholar |

Bornstein BH, Marcus D, Cassidy W (2000) Choosing a doctor: an exploratory study of factors influencing patients’ choice of a primary care doctor. Journal of Evaluation in Clinical Practice 6, 255–262.
Choosing a doctor: an exploratory study of factors influencing patients’ choice of a primary care doctor.Crossref | GoogleScholarGoogle Scholar |

Bowling A (2009) Unstructured interviewing and focus groups. In ‘Research methods in health: investigating health and health services’. 3rd edn. pp. 377–393. (Open University Press: New York)

Britt H, Miller G, Henderson J, Charles J, Valenti L, Harrison C, Bayram C, Zhang C, Pollack A, O’Halloran J, Pan Y (2012) ‘General practice activity in Australia 2011–12.’ General Practice Series Number 31. (Sydney University Press: Canberra)

Carman KL, Maurer M, Yegian JM, Dardess P, McGee J, Evers M, Marlo KO (2010) Evidence that consumers are skeptical about evidence-based health care. Health Affairs 29, 1400–1406.
Evidence that consumers are skeptical about evidence-based health care.Crossref | GoogleScholarGoogle Scholar |

Connelly JE, Philbrick JT, Smith GR, Kaiser DL, Wymer A (1989) Health perceptions of primary care patients and the influence on health care utilization. Medical Care 27, S99–S109.
Health perceptions of primary care patients and the influence on health care utilization.Crossref | GoogleScholarGoogle Scholar |

Dietitians Association of Australia (2009) ‘National competency standards for entry level dietitians in Australia.’ (Dietitians Association of Australia: Canberra)

Dietitians Association of Australia (2012a) Accredited nutritionist. Available at http://www.daa.asn.au/for-health-professionals/choosing-your-nutrition-expert/accredited-nutritionist [Verified February 2012]

Dietitians Association of Australia (2012b) Accredited practising dietitians. Available at http://www.daa.asn.au/for-the-public/find-an-apd/what-is-an-accredited-practising-dietitian [Verified August 2012]

Exercise and Sports Science Australia, Dietitians Association of Australia (2012) The collaboration of exercise physiologists and dietitians in chronic disease management: a joint position statement of Exercise and Sports Science Australia (ESSA) and the Dietitians Association of Australia (DAA). Canberra.

Fade SA, Swift JA (2011) Qualitative research in nutrition and dietetics: data analysis issues. Journal of Human Nutrition and Dietetics 24, 106–114.
Qualitative research in nutrition and dietetics: data analysis issues.Crossref | GoogleScholarGoogle Scholar |

Hall MA, Schneider CE (2008) Patients as consumers: courts, contracts, and the new medical marketplace. Michigan Law Review 106, 643–689.

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 |

Mainous AG, Baker R, Love MM, Gray DP, Gill JM (2001) Continuity of care and trust in one’s physician: evidence from primary care in the United States and the United Kingdom. Family Medicine 33, 22–27.

Minichiello V, Aroni R, Hays T (2008) ‘In-depth interviewing: principles, techniques, analysis.’ (Pearson Education Australia: Melbourne)

Mitchell L, Capra S, MacDonald-Wicks L Mitchell L, Capra S, MacDonald-Wicks L (2009) Structural change in Medicare funding: impact on the dietetics workforce. Nutrition & Dietetics 66, 170–175.

National Health and Hospitals Reform Commission (2009) A healthier future for all Australians – final report of the National Health and Hospitals Reform Commission. Commonwealth of Australia, Canberra.

National Public Health Partnership (2001) Preventing chronic disease: a strategic framework. National Public Health Partnership, Canberra.

O’Connor AM, Bennett CL, Stacey D, Barry M, Col NF, Eden KB, Entwistle VA, Fiset V, Holmes-Rovner M, Khangura S, Llewellyn-Thomas H, Rovner D (2009) Decision aids for people facing health treatment or screening decisions. Cochrane Database of Systematic Reviews CD001431

Pastors JG, Warshaw H, Daly A, Franz M, Kulkarni K (2002) The evidence for the effectiveness of medical nutrition therapy in diabetes management. Diabetes Care 25, 608–613.
The evidence for the effectiveness of medical nutrition therapy in diabetes management.Crossref | GoogleScholarGoogle Scholar |

Royal Australian College of General Practitioners (2012) What is general practice? Definition of general practice and general practitioners. Available at http://www.racgp.org.au/whatisgeneralpractice [Verified October 2012]

Schwartz LM, Woloshin S, Birkmeyer JD (2005) How do elderly patients decide where to go for major surgery? Telephone interview survey. British Medical Journal 331, 821–827.
How do elderly patients decide where to go for major surgery? Telephone interview survey.Crossref | GoogleScholarGoogle Scholar |

Stewart M (2001) Towards a global definition of patient centred care. British Medical Journal 322, 444–445.
Towards a global definition of patient centred care.Crossref | GoogleScholarGoogle Scholar |

Strauss A, Corbin J (2007) ‘Basics of qualitative research: techniques and procedures for developing grounded theory’, 3rd edn. (Sage Publications: Thousand Oaks, CA)

Royal Australian College of General Practitioners (2004) ‘Smoking, nutrition, alcohol and physical activity: a population health guide to behavioural risk factors for general practices.’ (RACGP: Melbourne)

Thorne S (2000) Data analysis in qualitative research. Evidence-Based Nursing 3, 68–70.
Data analysis in qualitative research.Crossref | GoogleScholarGoogle Scholar |

World Health Organization (2003) ‘WHO technical report series: diet, nutrition, and the prevention of chronic diseases.’ (World Health Organization: Geneva)

World Health Organization (2011) ‘WHO global infobase: data for saving lives.’ (World Health Organization: Geneva)

Wun YT, Lam TP, Lam KF, Goldberg D, Li DKT, Yip KC (2010) How do patients choose their doctors for primary care in a free market? Journal of Evaluation in Clinical Practice 16, 1215–1220.
How do patients choose their doctors for primary care in a free market?Crossref | GoogleScholarGoogle Scholar |