Evidence map›Paper›PMID 19439708›Full record

ArticleCanadian family physician Medecin de famille canadien2009

Family physicians and dementia in Canada: Part 2. Understanding the challenges of dementia care.

Nicholas J G Pimlott, Malini Persaud, Neil Drummond, Carole A Cohen, James L Silvius, Karen Seigel, Gary R Hollingworth, William B Dalziel

Abstract readComparative StudyMulticenter Study
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
  3. Health care experiences of people with dementia and their caregivers: a meta-ethnographic analysis of qualitative studies.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2013
    Pooled it
  4. Article
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  7. Understanding Dementia Carer Experiences Before Admission to a Residential Aged Care Facility: Implications for Integrated Care.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024
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  8. Review
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  12. Canadian family physician Medecin de famille canadien · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Nicholas J G PimlottWomen's College Hospital, 60 Grosvenor St, Toronto, ON M5S 1B6, Canada. nick.pimlott@utoronto.ca
Malini Persaud
Neil Drummond
Carole A Cohen
James L Silvius
Karen Seigel
Gary R Hollingworth
William B Dalziel

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the challenges Canadian family physicians face in providing dementia care.

designQualitative study using focus groups.

settingAcademic family practice clinics in Calgary, Alta, Ottawa, Ont, and Toronto, Ont.

participantsEighteen family physicians.

methodsWe conducted 4 qualitative focus groups of 4 to 6 family physicians whose practices we had audited in a previous study. Focus group transcripts were analyzed using the principles of thematic analysis. MAIN

findingsFive major themes related to the provision of dementia care by family physicians emerged: 1) diagnostic uncertainty; 2) the complexity of dementia; 3) time as a paradox in the provision of dementia care; 4) the importance of patients' families; 5) and familiarity with patients. Participants expressed uncertainty about diagnosing dementia and a strong need for expert verification of diagnoses owing to the complexity of dementia. Time, patients' family members, and familiarity with patients were seen as both barriers and enablers in the provision of dementia care.

conclusionFamily physicians face many challenges in providing dementia care. The results of this study and the views of family physicians should be considered in the development and dissemination of future dementia guidelines, as well as by specialist colleagues, policy makers, and those involved in developing continuing physician education about dementia.

Indexed as

Attitude of Health PersonnelPhysician-Patient RelationsAgedAged, 80 and overClinical CompetenceDelivery of Health CareDementiaFemaleHumansMaleOntarioPhysicians, FamilyPractice Guidelines as TopicQuality Assurance, Health Care

Identifiers

PMID19439708
PMCPMC2682312

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.