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Unburdening dementi...
Unburdening dementia a basic social process grounded theory - based on a primary care physician survey from 25 countries
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- Petrazzuoli, Ferdinando (författare)
- Lund University,Lunds universitet,Allmänmedicin och samhällsmedicin,Forskargrupper vid Lunds universitet,Family Medicine and Community Medicine,Lund University Research Groups
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- Vinker, Shlomo (författare)
- Tel Aviv Univ, Israel,Tel-Aviv University
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- Palmqvist, Sebastian (författare)
- Lund University,Lunds universitet,Klinisk minnesforskning,Forskargrupper vid Lunds universitet,Clinical Memory Research,Lund University Research Groups
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- Midlöv, Patrik (författare)
- Lund University,Lunds universitet,Allmänmedicin och samhällsmedicin,Forskargrupper vid Lunds universitet,Family Medicine and Community Medicine,Lund University Research Groups
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- Lepeleire, Jan (författare)
- Univ Leuven, Belgium,Catholic University of Leuven
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- Pirani, Alessandro (författare)
- Alzheimers Assoc Francesco Mazzucca Onlus, Italy
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- Frese, Thomas (författare)
- Martin Luther Univ Halle Wittenberg, Germany,Martin-Luther-Universität Halle-Wittenberg
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- Buono, Nicola (författare)
- SNAMID Natl Soc Med Educ Gen Practice, Italy,National Society of Medical Education in General Practice (SNAMID)
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- Ahrensberg, Jette (författare)
- Aarhus Univ, Denmark,Aarhus University
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- Asenova, Radost (författare)
- Med Univ Plovdiv, Bulgaria,Medical University of Plovdiv
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- Boreu, Quinti Foguet (författare)
- Univ Autonoma Barcelona, Spain,Institut Universitari d’Investigació en Atenció Primària Jordi Gol
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- Peker, Gulsen Ceyhun (författare)
- Ankara Univ, Turkey,Ankara University
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- Collins, Claire (författare)
- Irish Coll Gen Practitioners, Ireland,Irish College of General Practitioners,Marmara University
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- Hanzevacki, Miro (författare)
- Director Hlth Care Ctr Zagreb, Croatia,Director Health Care Center of Zagreb
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- Hoffmann, Kathryn (författare)
- Med Univ Vienna, Austria,Medical University of Vienna
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- Iftode, Claudia (författare)
- Timis Soc Family Med, Romania,Timis Society of Family Medicine, Romania
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- Koskela, Tuomas H. (författare)
- Univ Tampere, Finland,University of Tampere
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- Kurpas, Donata (författare)
- Wroclaw Med Univ, Poland,Wroclaw University
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- Reste, Jean Yves Le (författare)
- Univ Bretagne Occidentale, France,University of Western Brittany
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- Lichtwarck, Bjorn (författare)
- Innlandet Hosp Trust, Norway,Innlandet Hospital Trust
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- Petek, Davorina (författare)
- Univ Ljubljana, Slovenia,University of Ljubljana
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- Schrans, Diego (författare)
- Hlth Care Ghent Univ, Belgium,Ghent University
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- Soler, Jean Karl (författare)
- Mediterranean Inst Primary Care, Malta,University of Malta
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- Streit, Sven (författare)
- Univ Bern, Switzerland,University of Bern
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- Tatsioni, Athina (författare)
- Univ Ioannina, Greece,University of Ioannina
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- Torzsa, Peter (författare)
- Semmelweis Univ, Hungary,Semmelweis University
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- Unalan, Pemra C. (författare)
- Marmara Univ, Turkey
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- Marwijk, Harm van (författare)
- Univ Brighton, UK,University of Brighton
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- Thulesius, Hans (författare)
- Lunds universitet,Linnéuniversitetet,Institutionen för medicin och optometri (MEO),Lund University, Sweden,Allmänmedicin och samhällsmedicin,Forskargrupper vid Lunds universitet,Family Medicine and Community Medicine,Lund University Research Groups
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(creator_code:org_t)
- 2020-07-28
- 2020
- Engelska.
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Ingår i: Scandinavian Journal of Primary Health Care. - : Taylor & Francis Group. - 0281-3432 .- 1502-7724. ; 38:3, s. 253-264
- Relaterad länk:
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https://doi.org/10.1...
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https://www.tandfonl...
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http://dx.doi.org/10... (free)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://lup.lub.lu.s...
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Abstract
Ämnesord
Stäng
- Objective To explore dementia management from a primary care physician perspective. Design One-page seven-item multiple choice questionnaire; free text space for every item; final narrative question of a dementia case story. Inductive explorative grounded theory analysis. Derived results in cluster analyses. Appropriateness of dementia drugs assessed by tertiary care specialist. Setting Twenty-five European General Practice Research Network member countries. Subjects Four hundred and forty-five key informant primary care physician respondents of which 106 presented 155 case stories. Main outcome measures Processes and typologies of dementia management. Proportion of case stories with drug treatment and treatment according to guidelines. Results Unburdeningdementia - a basic social process - explained physicians' dementia management according to a grounded theory analysis using both qualitative and quantitative data. Unburdening starts withRecognizingthe dementia burden byBurden IdentificationandBurden Assessmentfollowed byBurden Relief. Drugs to relieve the dementia burden were reported for 130 of 155 patients; acetylcholinesterase inhibitors or memantine treatment in 89 of 155 patients - 60% appropriate according to guidelines and 40% outside of guidelines. More Central and Northern primary care physicians were allowed to prescribe, and more were engaged in dementia management than Eastern and Mediterranean physicians according to cluster analyses. Physicians typically identified and assessed the dementia burden and then tried to relieve it, commonly by drug prescriptions, but also by community health and home help services, mentioned in more than half of the case stories. Conclusions Primary care physician dementia management was explained by anUnburdeningprocess with the goal to relieve the dementia burden, mainly by drugs often prescribed outside of guideline indications. Implications:Unique data about dementia management by European primary care physicians to inform appropriate stakeholders.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Annan medicin och hälsovetenskap -- Gerontologi, medicinsk/hälsovetenskaplig inriktning (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Other Medical and Health Sciences -- Gerontology, specialising in Medical and Health Sciences (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Nyckelord
- Dementia
- drug prescription
- primary care
- unburdening
- elderly people
- grounded theory
- Gerontology
- Gerontologi
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Petrazzuoli, Fer ...
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Vinker, Shlomo
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Palmqvist, Sebas ...
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Midlöv, Patrik
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Lepeleire, Jan
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Pirani, Alessand ...
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visa fler...
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Frese, Thomas
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Buono, Nicola
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Ahrensberg, Jett ...
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Asenova, Radost
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Boreu, Quinti Fo ...
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Peker, Gulsen Ce ...
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Collins, Claire
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Hanzevacki, Miro
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Hoffmann, Kathry ...
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Iftode, Claudia
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Koskela, Tuomas ...
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Kurpas, Donata
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Reste, Jean Yves ...
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Lichtwarck, Bjor ...
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Petek, Davorina
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Schrans, Diego
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Soler, Jean Karl
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Streit, Sven
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Tatsioni, Athina
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Torzsa, Peter
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Unalan, Pemra C.
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Marwijk, Harm va ...
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Thulesius, Hans
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