Dementia and primary care teams

Detalhes bibliográficos
Autor(a) principal: Balsinha, Conceição
Data de Publicação: 2022
Outros Autores: Iliffe, Steve, Dias, Sónia, Freitas, Alexandre, Barreiros, Filipa F., Gonçalves-Pereira, Manuel
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/134130
Resumo: Financial support. The present publication was funded by Fundação Ciência e Tecnologia, IP national support through CHRC (UIDP/04923/2020).
id RCAP_0bd9db02512fbc1f06efd88417d6f14a
oai_identifier_str oai:run.unl.pt:10362/134130
network_acronym_str RCAP
network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository_id_str 7160
spelling Dementia and primary care teamsobstacles to the implementation of Portugal's Dementia Strategycarerdementiageneral practitionerhealth servicesperson with dementiapractice nurseprimary carequalitative methodssocial workerteamworkPublic Health, Environmental and Occupational HealthCare PlanningSDG 3 - Good Health and Well-beingFinancial support. The present publication was funded by Fundação Ciência e Tecnologia, IP national support through CHRC (UIDP/04923/2020).BACKGROUND: Portugal has a Dementia Strategy that endorses care coordination in the community, but the strategy is not implemented despite there being a network of multidisciplinary primary care clinics that could support it. Recent research into barriers to dementia management in primary care has focused essentially on general practitioners' (GPs) factors and perspectives. A comprehensive triangulated view on the barriers to dementia management emphasising teamwork is missing. AIM: To explore the barriers to the implementation of the Portuguese Dementia Strategy by primary care teams, from the perspectives of service users and professionals. METHODS: Purposive sampling was used to recruit 10 GPs, 8 practice nurses, 4 social workers, 8 people with dementia and 10 family carers from 6 practices in different social contexts within the Lisbon metropolitan area. The analytical framework combined codes derived from the transcripts with codes from the available literature. Themes focused on the access to professionals/community services, care coordination within healthcare teams, and between health and community services. FINDINGS: Several system barriers were identified (undefined roles/coordination within teams, time constraints, insufficient signposting to community services) along with individual barriers (limited competence in dementia, unrecognised autonomy, limited views on social health and quality of life (QoL)), hindering users access to dementia services. CONCLUSION: Enhanced competence in dementia, and nurse-led systematic care of people with dementia and their carers, are necessary. They can be effective in improving the QoL in dementia, but only if associated with better community support.Comprehensive Health Research Centre (CHRC) - pólo NMSNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)Centro de Estudos de Doenças Crónicas (CEDOC)Comprehensive Health Research Centre (CHRC) - Pólo ENSPEscola Nacional de Saúde Pública (ENSP)Centro de Investigação em Saúde Pública (CISP/PHRC)RUNBalsinha, ConceiçãoIliffe, SteveDias, SóniaFreitas, AlexandreBarreiros, Filipa F.Gonçalves-Pereira, Manuel2022-03-08T23:23:01Z2022-02-182022-02-18T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/134130eng1463-4236PURE: 41998087https://doi.org/10.1017/S1463423621000876info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:12:35Zoai:run.unl.pt:10362/134130Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:47:59.534963Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Dementia and primary care teams
obstacles to the implementation of Portugal's Dementia Strategy
title Dementia and primary care teams
spellingShingle Dementia and primary care teams
Balsinha, Conceição
carer
dementia
general practitioner
health services
person with dementia
practice nurse
primary care
qualitative methods
social worker
teamwork
Public Health, Environmental and Occupational Health
Care Planning
SDG 3 - Good Health and Well-being
title_short Dementia and primary care teams
title_full Dementia and primary care teams
title_fullStr Dementia and primary care teams
title_full_unstemmed Dementia and primary care teams
title_sort Dementia and primary care teams
author Balsinha, Conceição
author_facet Balsinha, Conceição
Iliffe, Steve
Dias, Sónia
Freitas, Alexandre
Barreiros, Filipa F.
Gonçalves-Pereira, Manuel
author_role author
author2 Iliffe, Steve
Dias, Sónia
Freitas, Alexandre
Barreiros, Filipa F.
Gonçalves-Pereira, Manuel
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Comprehensive Health Research Centre (CHRC) - pólo NMS
NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
Centro de Estudos de Doenças Crónicas (CEDOC)
Comprehensive Health Research Centre (CHRC) - Pólo ENSP
Escola Nacional de Saúde Pública (ENSP)
Centro de Investigação em Saúde Pública (CISP/PHRC)
RUN
dc.contributor.author.fl_str_mv Balsinha, Conceição
Iliffe, Steve
Dias, Sónia
Freitas, Alexandre
Barreiros, Filipa F.
Gonçalves-Pereira, Manuel
dc.subject.por.fl_str_mv carer
dementia
general practitioner
health services
person with dementia
practice nurse
primary care
qualitative methods
social worker
teamwork
Public Health, Environmental and Occupational Health
Care Planning
SDG 3 - Good Health and Well-being
topic carer
dementia
general practitioner
health services
person with dementia
practice nurse
primary care
qualitative methods
social worker
teamwork
Public Health, Environmental and Occupational Health
Care Planning
SDG 3 - Good Health and Well-being
description Financial support. The present publication was funded by Fundação Ciência e Tecnologia, IP national support through CHRC (UIDP/04923/2020).
publishDate 2022
dc.date.none.fl_str_mv 2022-03-08T23:23:01Z
2022-02-18
2022-02-18T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/134130
url http://hdl.handle.net/10362/134130
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1463-4236
PURE: 41998087
https://doi.org/10.1017/S1463423621000876
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
_version_ 1799138081577631744

Registros relacionados