Evidence map›Paper›PMID 25232368›Full record

ArticleCanadian geriatrics journal : CGJ2014

Role expectations in dementia care among family physicians and specialists.

Susan Hum, Carole Cohen, Malini Persaud, Joyce Lee, Neil Drummond, William Dalziel, Nicholas Pimlott

Open access · diamondAbstract read
In one paragraph

Article in Canadian geriatrics journal : CGJ, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.2field-weighted citation impact, top 9% of its field
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

24 citing papers in PubMed, 44 citations in OpenAlex.

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  18. Role of the family physician in dementia care.Canadian family physician Medecin de famille canadien · 2018
    Article
  19. Canadian family physician Medecin de famille canadien · 2018
    Article
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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

7 authors at 5 institutions in 1 country.

Susan HumDepartment of Family & Community Medicine, University of Toronto, Women's College Hospital, Toronto, ON;
Carole CohenDepartment of Psychiatry, University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON;
Malini PersaudDepartment of Health, Nursing & Environmental Studies, York University, Toronto, ON;
Joyce LeeDepartment of Family & Community Medicine, University of Toronto, North York General Hospital, Toronto, ON;
Neil DrummondDepartment of Family Medicine, University of Alberta, Edmonton, AB;
William DalzielDepartment of Medicine, University of Ottawa, Ottawa, ON.
Nicholas PimlottDepartment of Family & Community Medicine, University of Toronto, Women's College Hospital, Toronto, ON;
University of Toronto · CASunnybrook Health Science Centre · CAUniversity of Alberta · CAUniversity of Ottawa · CAYork University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe assessment and ongoing management of dementia falls largely on family physicians. This pilot study explored perceived roles and attitudes towards the provision of dementia care from the perspectives of family physicians and specialists.

methodsSemi-structured, one-to-one interviews were conducted with six family physicians and six specialists (three geriatric psychiatrists, two geriatricians, and one neurologist) from University of Toronto-affiliated hospitals. Transcripts were subjected to thematic content analysis.

resultsPhysicians' clinical experience averaged 16 years. Both physician groups acknowledged that family physicians are more confident in diagnosing/treating uncomplicated dementia than a decade ago. They agreed on care management issues that warranted specialist involvement. Driving competency was contentious, and specialists willingly played the "bad cop" to resolve disputes and preserve long-standing therapeutic relationships. While patient/caregiver education and support were deemed essential, most physicians commented that community resources were fragmented and difficult to access. Improving collaboration and communication between physician groups, and clarifying the roles of other multi-disciplinary team members in dementia care were also discussed.

conclusionsFuture research could further explore physicians' and other multi-disciplinary members' perceived roles and responsibilities in dementia care, given that different health-care system-wide dementia care strategies and initiatives are being developed and implemented across Ontario.

Indexed as

attitudesdementiadiagnosismanagementphysicians

Identifiers

PMID25232368
PMCPMC4164682
OpenAlexW2066543801

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.