Dementia and primary care teams
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , |
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). |
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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 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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