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dc.contributor.authorWheatley, A
dc.contributor.authorBamford, C
dc.contributor.authorBrunskill, G
dc.contributor.authorHarrison Dening, K
dc.contributor.authorAllan, L
dc.contributor.authorRait, G
dc.contributor.authorRobinson, L
dc.date.accessioned2022-07-01T09:51:38Z
dc.date.available2022-07-01T09:51:38Z
dc.date.issued2020-09-21
dc.identifier.issn2044-6055
dc.identifier.issn2044-6055
dc.identifier.othere040348
dc.identifier.urihttp://hdl.handle.net/10026.1/19368
dc.description.abstract

<jats:sec><jats:title>Objectives</jats:title><jats:p>To explore the views of commissioners, service development leads, service managers and senior staff in selected dementia services on increasing the role of primary care in postdiagnostic support for people with dementia.</jats:p></jats:sec><jats:sec><jats:title>Design</jats:title><jats:p>Qualitative semi-structured telephone interviews and a focus group.</jats:p></jats:sec><jats:sec><jats:title>Setting</jats:title><jats:p>Participants were drawn from National Health Service (NHS) Clinical Commissioning Groups, social care commissioning and a range of dementia services across primary care, secondary mental healthcare, social care and the third sector. All participants were based in England or Wales.</jats:p></jats:sec><jats:sec><jats:title>Participants</jats:title><jats:p>61 professionals, comprising 25 commissioners or service development leads; 25 service managers; and 11 team leads or senior staff.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Participants had varied views on whether a primary care-based approach for postdiagnostic support for people with dementia and their families was appropriate, achievable and/or desirable. Potential benefits of a task-shifted approach were continuity and a more holistic approach to care; familiarity for both patients and staff; and reduction of stigma. Key challenges included the capacity, ability and inclination of primary care to deliver postdiagnostic support for people with dementia and their families. We discovered a number of conceptual challenges to implementing a task-shifted and task-shared approach, including uncertainties around the nature of postdiagnostic support, the definition of primary care and identification of tasks that could be shifted to primary care.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Our data highlight the concerns of key professional staff around greater involvement of primary care in postdiagnostic support for dementia. Further research is needed to achieve a shared understanding and consensus over what postdiagnostic support means in the context of dementia. We will be undertaking such research in the next phase of our programme.</jats:p></jats:sec>

dc.format.extente040348-e040348
dc.format.mediumElectronic
dc.languageen
dc.language.isoeng
dc.publisherBMJ
dc.subjectdementia
dc.subjectprimary care
dc.subjectqualitative research
dc.titleTask-shifted approaches to postdiagnostic dementia support: a qualitative study exploring professional views and experiences
dc.typejournal-article
dc.typeArticle
plymouth.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/32958494
plymouth.issue9
plymouth.volume10
plymouth.publisher-urlhttp://dx.doi.org/10.1136/bmjopen-2020-040348
plymouth.publication-statusPublished
plymouth.journalBMJ Open
dc.identifier.doi10.1136/bmjopen-2020-040348
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/Peninsula Medical School
plymouth.organisational-group/Plymouth/Faculty of Health/Peninsula Medical School/PMS - Manual
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
plymouth.organisational-group/Plymouth/Users by role/Researchers in ResearchFish submission
dc.publisher.placeEngland
dcterms.dateAccepted2020-08-05
dc.rights.embargodate2022-7-2
dc.identifier.eissn2044-6055
dc.rights.embargoperiodNot known
rioxxterms.versionofrecord10.1136/bmjopen-2020-040348
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.typeJournal Article/Review


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