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New research · Family Medicine
Family practice · 1d
StudyFamily practice · 2026

From guidelines to practice: general practitioners' consensus on indicators for managing selected multimorbidity in primary care in Western Australia.

Sage M C Ishimwe, Timothy A Carey, Jacquita S Affandi … Delia Hendrie
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General practitioners reached consensus on 61 indicators for multimorbidity management.

From guidelines to practice: general practitioners' consensus on indicators for managing selected multimorbidity in primary care in Western Australia.

Sage M C Ishimwe et al. · Family practice · 2026
Background

Multimorbidity is rising in primary care, yet adherence to guidelines is hindered by fragmented, disease-specific recommendations.

Purpose

This study sought to establish consensus among general practitioners (GPs) on indicators of adherence to Australian guidelines in managing five common chronic conditions [type 2 diabetes mellitus (T2DM), obesity, hypertension, cardiovascular disease, and chronic kidney disease (CKD)], aiming to develop a unified tool for holistic care.

Methods

Rated indicators for relevance and clarity on a 4-point Likert scale without a neutral option.

n = 21 GPs
Results

General practitioners agreed on 61 measures to guide care for patients with multiple health conditions

57indica
Round 1
61indica
Round 2
More results

In Round 1, 57 indicators achieved consensus on relevance, with four additional items suggested.

Most were rated clear, except two addressing pharmacological management of CKD with T2DM, which require clearer guidance.

“
Conclusion · 1 of 2

This study represents the first integration of disease-specific indicators into a GP-informed tool for multimorbidity management.

Conclusion · 2 of 2

Strong consensus highlights its practicality, warranting piloting to evaluate effects on guideline adherence and patient outcomes.

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