ArticleDementia (London, England)2021
What is the present role for general practitioners in dementia care? Experiences of general practitioners, patients and family carers in Portugal.
Article in Dementia (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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Who cites it
5 citing papers in PubMed, 18 citations in OpenAlex.
- Inequalities in the Quality and Safety of Post-Diagnostic Primary Care for People With Dementia: A Scoping Review.International journal of geriatric psychiatry · 2024Article
- "VR is the future": perspectives of healthcare professionals on virtual reality as a diagnostic tool for dementia status in primary care.BMC medical informatics and decision making · 2024Article
- Telehealth memory clinics in primary healthcare: real-world experiences from low-resource settings in Greece.Frontiers in dementia · 2024Article
- Dementia and primary care teams: obstacles to the implementation of Portugal's Dementia Strategy.Primary health care research & development · 2022Article
- Educational interventions to improve detection and management of cognitive decline in primary care-An Italian multicenter pragmatic study.Frontiers in psychiatry · 2022Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGovernments are being challenged to integrate at least part of dementia care into primary care. However, little is known about the current role of general practitioners (GPs) regarding dementia care, especially in countries that do not have dementia strategies in place. The aim of this study was to explore the experiences of GPs, persons with dementia and their family carers in Portuguese primary care settings, to better understand GPs' contribution to dementia care.
methodsA qualitative interview study of participants recruited from six practices in different social contexts within the Lisbon metropolitan area was carried out. Purposive sampling was used to recruit GPs, persons with dementia and carers. Interviews with GPs explored dementia care comprehensiveness, including satisfactory and challenging aspects. Interviews with patients and carers explored the experience of talking to GPs about cognitive impairments and related difficulties and the type of help received. Thematic analysis of interview transcripts was carried out using the framework approach.
resultsFive major themes were identified: GPs have a limited contribution to dementia care, the case of advanced dementia, doctor-patient relationships, doctor-carer relationships and management of chronic conditions other than dementia.
conclusionGeneral practitioners seemed to contribute little to dementia care overall, particularly regarding symptom management. The exception was patients with advanced stages of dementia, given that specialists no longer followed them up. Remarkably, GPs seemed to be alone within primary care teams in providing dementia care. These findings strongly suggest that Portuguese primary care is not yet prepared to comply with policy expectations regarding the management of dementia.
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