Communication problems between dementia carers and general practitioners: effect on access to community support services

摘要: Objectives: To investigate the circumstances that led general practitioners to refer dementia sufferers and their carers community support services. Design: Qualitative study using semi-structured interviews, carried out between 1 September 1999 30 April 2000. Setting participants: 21 live-in of patients with referred for first time a Western Australian metropolitan Aged Care Assessment Team, 19 referring practitioners. Results: Most referrals occurred after had been experiencing carer stress, were precipitated by crisis situations. Carers failed discuss difficulties GP variety reasons, including belief they should cope because it was duty. The doctors found difficult know how coping or when intervene, some tended resist attempts help. Time constraints significant problem both groups. Conclusion: Attitudinal barriers in GPs, combined constraints, often lead inadequate assessment problems. While is important strategies improve communication GPs are developed, would be sensible assume at risk stress encouraged use care