A task-shifted approach to post-diagnostic dementia support: a qualitative study exploring professional views and experiences
dc.contributor.author | Wheatley, A | |
dc.contributor.author | Bamford, C | |
dc.contributor.author | Brunskill, G | |
dc.contributor.author | Harrison-Dening, K | |
dc.contributor.author | Allan, L | |
dc.contributor.author | Rait, G | |
dc.contributor.author | Robinson, L | |
dc.date.accessioned | 2020-08-10T10:45:29Z | |
dc.date.issued | 2020-09-21 | |
dc.description.abstract | Objectives: 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 post-diagnostic support for people with dementia. Design: qualitative semi-structured telephone interviews and a focus group. Setting: participants were drawn from NHS Clinical Commissioning Groups, social care commissioning, and a range of dementia services across primary care, secondary mental health care, social care and the third sector. All participants were based in England or Wales. Participants: 61 professionals, comprising 25 commissioners or service development leads; 25 service managers; and 11 team leads or senior staff. Results: participants had varied views on whether a primary care-based approach for post diagnostic 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 post16 diagnostic 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 post-diagnostic support, the definition of primary care, and identification of tasks that could be shifted to primary care. Conclusions: our data highlight the concerns of key professional staff around greater involvement of primary care in post-diagnostic support for dementia. Further research is needed to achieve a shared understanding and consensus over what post-diagnostic support means in the context of dementia. We will be undertaking such research in the next phase of our programme. | en_GB |
dc.description.sponsorship | Alzheimer’s Society Centre of Excellence | en_GB |
dc.identifier.citation | Vol. 10, article e040348 | en_GB |
dc.identifier.doi | 10.1136/bmjopen-2020-040348 | |
dc.identifier.uri | http://hdl.handle.net/10871/122392 | |
dc.language.iso | en | en_GB |
dc.publisher | BMJ Publishing Group | en_GB |
dc.rights | © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. 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, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. | |
dc.title | A task-shifted approach to post-diagnostic dementia support: a qualitative study exploring professional views and experiences | en_GB |
dc.type | Article | en_GB |
dc.date.available | 2020-08-10T10:45:29Z | |
dc.identifier.issn | 2044-6055 | |
dc.description | This is the final version. Available on open access from BMJ Publishing Group via the DOI in this record | en_GB |
dc.identifier.journal | BMJ Open | en_GB |
dc.rights.uri | https://creativecommons.org/licenses/by-nc/4.0/ | en_GB |
dcterms.dateAccepted | 2020-08-05 | |
rioxxterms.version | VoR | en_GB |
rioxxterms.licenseref.startdate | 2020-08-05 | |
rioxxterms.type | Journal Article/Review | en_GB |
refterms.dateFCD | 2020-08-10T10:23:23Z | |
refterms.versionFCD | AM | |
refterms.dateFOA | 2020-10-02T11:42:18Z | |
refterms.panel | A | en_GB |
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Except where otherwise noted, this item's licence is described as © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
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, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.