Original scientific paper
Say it in Croatian - Croatian translation of the EGPRN definition of Multimorbidity using a Delphi consensus technique
Đurđica Kašuba Lazić
; University of Zagreb, School of Medicine, Department of Family Medicine, Zagreb, Croatia
Jean-Yves Le Reste
; Université de Bretagne Occidentale, Department of General Practice, Brest, France
Lucija Murgić
; University of Zagreb, School of Medicine, Department of Family Medicine, Zagreb, Croatia
Goranka Petriček
; University of Zagreb, School of Medicine, Department of Family Medicine, Zagreb, Croatia
Milica Katić
; University of Zagreb, School of Medicine, Department of Family Medicine, Zagreb, Croatia
Zlata Ožvačić-Adžić
; University of Zagreb, School of Medicine, Department of Family Medicine, Zagreb, Croatia
Venija Cerovečki Nekić
; University of Zagreb, School of Medicine, Department of Family Medicine, Zagreb, Croatia
Patrice Nabbe
; Université de Bretagne Occidentale, Department of General Practice, Brest, France
Melida Hasanagić
; University of Sarajevo, Department of General Practice, Sarajevo, Bosnia and Herzegovina
Radost Assenova
; University of Plovdiv, Department of General Practice, Plovdiv, Bulgaria
Charilaos Lygidakis
; Associazione Italiana Medici di Famiglia (AIMEF), Bologna, Italy
Heidrun Linger
; Allgemein Medizin Hochschule Hannover, Hannover, Germany
Crista Doerr
; Allgemein Medizin Hochschule Gottingen, Gottingen, Germany
Slawomir Czachowski
; University Nicolaus Copernicus, Department of Family Doctor, Torun, Poland
Agnieszka Sowinska
; University Nicolaus Copernicus, Department of Family Doctor, Torun, Poland
Gaetan Le Floch
; Université de Bretagne Occidentale, Department of General Practice, Brest, France
Miquel Munoz
; Unitat de Suport a la Recerca, División de Atención Primaria de Salud, Institut Català de la Salut e IDIAP-Jordi Gol, Barcelona, Spain
Starge Argyriadou
; The Greek Association of General Practitioners (ELEGEIA), Thessaloniki, Greece
Harm Van Marwijk
; VU University Medical Center, Department of General Practice, Amsterdam, Netherlands
Claire Lietard
; Université de Bretagne Occidentale, Department of Public Health, Brest, France
Paul Van Royen
; Universiteit Antwerpen, Faculty of Medicine and Health Sciences, Department of Primary and Interdisciplinary Care, Antwerpen, Belgium
Abstract
Patients coming to their family physician (FP) usually have more than one condition or problem. Multimorbidity as well as dealing with it, is challenging for FPs even as a mere concept. The World Health Organization (WHO) has simply defined multimorbidity as two or more chronic conditions existing in one patient. However, this definition seems inadequate for a holistic approach to patient care within Family Medicine. Using systematic literature review the European General Practitioners Research Network (EGPRN) developed a comprehensive definition of multimorbidity. For practical and wider use, this definition had to be translated into other languages, including Croatian. Here presented is the Croatian translation of this comprehensive definition using a Delphi consensus procedure for Forward/Backward translation. 23 expert FPs fluent in English were asked to rank the translation from 1 (absolutely disagreeable) to 9 (fully agreeable) and to explain each score under 7. It was previously defined that consensus would be reached when 70 % of the scores are above 6. Finally, a backward translation from Croatian into English was undertaken and approved by the authors of the English definition. Consensus was reached after the first Delphi round with 100% of the scores above 6; therefore the Croatian translation was immediately accepted. The authors of the English definition accepted the backward translation. A comprehensive definition of multimorbidity is now available in English and Croatian, as well as other European languages which will surely make further implications for clinicians, researchers or policy makers.
Keywords
family medicine; multimorbidity; definition; Delphi procedure; Croatia
Hrčak ID:
128219
URI
Publication date:
30.9.2014.
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