Factors influencing appropriate vestibular care: An interview study with general practitioners and patients
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Le résumé fourni par la source
BACKGROUND: General practitioners (GPs) frequently prescribe anti-vertigo drugs (AVDs), even though there is limited evidence for their effectiveness. Meanwhile, they rarely apply vestibular rehabilitation, a treatment for various vestibular disorders with a strong evidence base. OBJECTIVES: This study aimed to identify barriers and facilitators to appropriate vestibular care in general practice. METHODS: We conducted a qualitative study in Dutch general practice using semi-structured interviews with GPs and patients with vestibular symptoms. We used purposive sampling to select participants. Interviews were audio-recorded, transcribed verbatim, and thematically analysed following the Template Analysis approach using MAXQDA 2022 software. RESULTS: We interviewed 11 GPs and 15 patients. We assessed barriers and facilitators to appropriate vestibular care for GPs (i.e. not prescribing AVDs, advising vestibular exercises) and patients (i.e. not using AVDs, doing vestibular exercises). We identified four themes: competence, mindset, relational determinants, and accessibility to care. Facilitators included adequate knowledge about vestibular disorders, GPs valuing delivering high-value care, positive experiences with physiotherapy, patients' coping skills, personal continuity, close collaboration between GP and colleagues, social support, and sufficient time and availability of providers. Barriers included diagnosis and treatment insecurity among GPs, patients doubting the GPs' competence, patients' desperation for treatment and GPs accommodating these wishes, positive experiences with AVDs, prescriptions by other providers, and insurance not covering physiotherapy. CONCLUSION: Multiple barriers and facilitators shape appropriate vestibular care in general practice. Interventions should strengthen GPs' and patients' knowledge of vestibular management. Internet-based vestibular rehabilitation may address key barriers, particularly logistic and financial ones.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Factors influencing appropriate vestibular care: An interview study with general practitioners and patients
- Date Crossref
- 16/12/2025
- Éditeur
- Informa UK Limited
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Amsterdam University Medical Centers pays non établi dans la noticeÉtablissement de santé
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Vrije Universiteit Amsterdam Department of General Practice pays non établi dans la noticeUniversité ou école supérieure
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University Medical Center Groningen pays non établi dans la noticeÉtablissement de santé
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Amsterdam Neuroscience pays non établi dans la noticeStructure de recherche
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Amsterdam Public Health research institute pays non établi dans la noticeStructure de recherche
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University Medical Centre Groningen Department of Primary and Long-term care pays non établi dans la noticeUniversité ou école supérieure
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Department of General Practice pays non établi dans la noticeInstitution
Amsterdam University Medical Centers, Department of General Practice — Vrije Universiteit Amsterdam et University Medical Center Groningen, avec 4 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.