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Primary health care practitioner perspectives on the management of insomnia: a pilot study
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmaceutical Biosciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmaceutical Biosciences.
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2014 (English)In: Australian Journal of Primary Health, ISSN 1448-7527, E-ISSN 1836-7399, Vol. 20, no 1, 103-112 p.Article in journal (Refereed) Published
Abstract [en]

This paper reports a qualitative pilot study exploring primary care health practitioners' perspectives on the management of insomnia following the extensive media coverage on the adverse effects of zolpidem in 2007-08. General practitioners and community pharmacists were recruited throughout metropolitan Sydney, New South Wales using a convenience sampling and snowballing technique. Demographic information was collected from each participant followed by a semistructured interview. In total 22 participants were interviewed, including eight general practitioners and 14 community pharmacists. Interview transcripts were analysed using 'framework analysis'. Participants' responses illuminated some of the key issues facing primary care practitioners in the management of insomnia. Practitioners perceived there to be an overreliance on pharmacotherapy among insomnia patients and inadequate support for directing patients to alternative treatment pathways if they require or prefer non-pharmacological management. Current prescribing trends appear to favour older benzodiazepines in new cases of insomnia whereas some successful sporadic users of zolpidem have continued to use zolpidem after the media coverage in 2007-08. The findings of this pilot study suggest the need to address the limitations in the management of insomnia within the current health care system, to revise and disseminate updated insomnia guidelines and to provide educational opportunities and resources to primary care practitioners concerning management options.

Place, publisher, year, edition, pages
2014. Vol. 20, no 1, 103-112 p.
Keyword [en]
framework analysis, general practitioner, insomnia management, pharmacist, primary care, provider perspectives, qualitative research, zolpidem
National Category
Occupational Health and Environmental Health
Identifiers
URN: urn:nbn:se:uu:diva-227957DOI: 10.1071/PY12021ISI: 000336520500016OAI: oai:DiVA.org:uu-227957DiVA: diva2:732969
Available from: 2014-07-07 Created: 2014-07-02 Last updated: 2018-01-11Bibliographically approved

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