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  • Stephan, AstridInstitute for Health and Nursing Science, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany (author)

Barriers and facilitators to the access to and use of formal dementia care : findings of a focus group study with people with dementia, informal carers and health and social care professionals in eight European countries

  • Article/chapterEnglish2018

Publisher, publication year, extent ...

  • 2018-06-04
  • BioMed Central,2018
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:hig-26942
  • https://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-26942URI
  • https://doi.org/10.1186/s12877-018-0816-1DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:138435261URI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • BACKGROUND: People with dementia and informal carers often access formal care late in the process of dementia. The barriers and facilitators to service use from the perspectives of different stakeholders involved are not well understood. Thus, we aimed to explore the barriers and facilitators of access to and utilisation of formal care from the perspectives of people with dementia, their informal carers and health and social care professionals.METHOD: Focus groups with people with dementia, informal carers and professionals were conducted in eight European countries. Recruitment targeted people with dementia, informal carers with experience of formal care and professionals involved in providing (access to) formal care. Qualitative content analysis using open coding was used on a national level. Cross-national synthesis was based on the translated national reports.RESULTS: Overall, 55 focus groups with 261 participants were conducted, involving 51 people with dementia, 96 informal carers and 114 professionals. Sixteen categories describing barriers and facilitators were identified, referring to three global themes: Aspects related to 1) individuals involved, 2) the system or 3) overarching aspects. The attitudes and beliefs of people with dementia and their carers may have a major impact, and they often serve as barriers. Formal care was perceived as a threat to the individual independence of people with dementia and was thus avoided as long as possible. A healthcare professional serving as a constant key contact person could be an essential facilitator to overcome these barriers. Contact should be initiated proactively, as early as possible, and a trusting and consistent relationship needs to be established. Beyond that, the findings largely confirm former research and show that barriers to accessing and using formal care still exist across Europe despite a number of national and European initiatives.CONCLUSION: Further investigations are needed to elaborate how the concept of a key contact person could be integrated with existing case management approaches and how the independence and autonomy of people with dementia can be strengthened when formal care needs to be accessed and used. These may be meaningful facilitators regarding enhanced access to formal care for people with dementia and their families.

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  • Bieber, AnjaInstitute for Health and Nursing Science, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany (author)
  • Hopper, LouiseSchool of Nursing and Human Sciences, Dublin City University, Dublin, Ireland (author)
  • Joyce, RachaelSchool of Nursing and Human Sciences, Dublin City University, Dublin, Ireland (author)
  • Irving, KateSchool of Nursing and Human Sciences, Dublin City University, Dublin, Ireland (author)
  • Zanetti, OrazioAlzheimer Unit, Brescia (BS), Italy (author)
  • Portolani, ElisaAlzheimer Unit, Brescia (BS), Italy (author)
  • Kerpershoek, LiselotAlzheimer Center Limburg, Maastricht University, Maastricht, The Netherlands (author)
  • Verhey, FransAlzheimer Center Limburg, Maastricht University, Maastricht, The Netherlands (author)
  • de Vugt, MarjoleinAlzheimer Center Limburg, Maastricht University, Maastricht, The Netherlands (author)
  • Wolfs, ClaireAlzheimer Center Limburg, Maastricht University, Maastricht, The Netherlands (author)
  • Eriksen, SirenNorwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway (author)
  • Røsvik, JanneDepartment of Geriatric Medicine, Oslo University Hospital, Aldring og Helse, Oslo, Norway (author)
  • Marques, Maria J.Chronic Diseases Research Center, Nova Medical School | Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisbon, Portuga (author)
  • Gonçalves-Pereira, ManuelChronic Diseases Research Center, Nova Medical School | Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisbon, Portuga (author)
  • Sjölund, Britt-Marie,1958-Karolinska Institutet,Högskolan i Gävle,Medicin- och vårdvetenskap(Swepub:hig)bresjd (author)
  • Jelley, HannahDementia Services Development Centre Wales, Bangor University, Bangor, UK (author)
  • Woods, BobDementia Services Development Centre Wales, Bangor University, Bangor, UK (author)
  • Meyer, GabrieleInstitute for Health and Nursing Science, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany (author)
  • Handels, R. (contributor)
  • Broda, A. (contributor)
  • Bartoszek, G. (contributor)
  • Orrell, M. (contributor)
  • Wimo, A. (contributor)
  • Sköldunger, A. (contributor)
  • Engedal, K. (contributor)
  • Selbæk, G. (contributor)
  • Michelet, M. (contributor)
  • Irving, K. (contributor)
  • Conceição Balsinha, M. (contributor)
  • Bárrios, H. (contributor)
  • Machado, A. (contributor)
  • Institute for Health and Nursing Science, Martin Luther University Halle-Wittenberg, Halle (Saale), GermanySchool of Nursing and Human Sciences, Dublin City University, Dublin, Ireland (creator_code:org_t)

Related titles

  • In:BMC Geriatrics: BioMed Central18:11471-2318

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