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dc.contributor.authorBurn, Anne-Marie
dc.contributor.authorFleming, Jane
dc.contributor.authorBrayne, Carol
dc.contributor.authorFox, Chris
dc.contributor.authorBunn, Frances
dc.date.accessioned2018-06-27T17:06:27Z
dc.date.available2018-06-27T17:06:27Z
dc.date.issued2018-03-17
dc.identifier.citationBurn , A-M , Fleming , J , Brayne , C , Fox , C & Bunn , F 2018 , ' Dementia case-finding in hospitals: a qualitative study exploring the views of healthcare professionals in English primary care and secondary care ' , BMJ Open , vol. 8 , no. 3 , e020521 . https://doi.org/10.1136/bmjopen-2017-020521
dc.identifier.issn2044-6055
dc.identifier.otherPURE: 13594209
dc.identifier.otherPURE UUID: 158c8b7f-caf2-48d3-b602-1a78c367e89d
dc.identifier.otherScopus: 85044227997
dc.identifier.urihttp://hdl.handle.net/2299/20203
dc.description© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
dc.description.abstractObjectives In 2012-2013, the English National Health Service mandated hospitals to conduct systematic case-finding of people with dementia among older people with unplanned admissions. The method was not defined. The aim of this study was to understand current approaches to dementia case-finding in acute hospitals in England and explore the views of healthcare professionals on perceived benefits and challenges. Design Qualitative study involving interviews, focus groups and thematic content analysis. Setting Primary care and secondary care across six counties in the East of England. Participants Hospital staff involved in dementia case-finding and primary care staff in the catchment areas of those hospitals. Results We recruited 23 hospital staff and 36 primary care staff, including 30 general practitioners (GPs). Analysis resulted in three themes: (1) lack of consistent approaches in case-finding processes, (2) barriers between primary care and secondary care which impact on case-finding outcomes and (3) perceptions of rationale, aims and impacts of case-finding. The study shows that there were variations in how well hospitals recorded and reported outcomes to GPs. Barriers between primary care and secondary care, including GPs' lack of access to hospital investigations and lack of clarity about roles and responsibilities, impacted case-finding outcomes. Staff in secondary care were more positive about the initiative than primary care staff, and there were conflicting priorities for primary care and secondary care regarding case-finding. Conclusions The study suggests a more evidence-based approach was needed to justify approaches to dementia case-finding. Information communicated to primary care from hospitals needs to be comprehensive, appropriate and consistent before GPs can effectively plan further investigation, treatment or care. Follow-up in primary care further requires access to options for postdiagnostic support. There is a need to evaluate the outcomes for patients and the economic impact on health and care services across settings.en
dc.language.isoeng
dc.relation.ispartofBMJ Open
dc.rightsOpen
dc.subjectcognitive impairment
dc.subjectdementia
dc.subjectdementia case-finding
dc.subjectAttitude of Health Personnel
dc.subjectHumans
dc.subjectMiddle Aged
dc.subjectFocus Groups
dc.subjectMass Screening/organization & administration
dc.subjectEngland
dc.subjectDelivery of Health Care/standards
dc.subjectMale
dc.subjectSecondary Care
dc.subjectDementia/diagnosis
dc.subjectHealth Services for the Aged/organization & administration
dc.subjectAdult
dc.subjectHealth Services Accessibility/standards
dc.subjectPrimary Health Care
dc.subjectQualitative Research
dc.subjectMedicine(all)
dc.titleDementia case-finding in hospitals: a qualitative study exploring the views of healthcare professionals in English primary care and secondary careen
dc.contributor.institutionCentre for Research in Public Health and Community Care
dc.contributor.institutionWeight and Obesity Research Group
dc.description.statusPeer reviewed
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85044227997&partnerID=8YFLogxK
dc.description.versiontypeFinal Published version
dcterms.dateAccepted2018-03-17
rioxxterms.versionVoR
rioxxterms.versionofrecordhttps://doi.org/10.1136/bmjopen-2017-020521
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by-nc/4.0/
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue
herts.rights.accesstypeOpen


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