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Managing the transition to non-driving in patients with dementia in primary care settings: facilitators and barriers reported by primary care physicians
- Source :
- International Psychogeriatrics. 32:1419-1428
- Publication Year :
- 2019
- Publisher :
- Cambridge University Press (CUP), 2019.
-
Abstract
- Objectives:This research addresses dementia and driving cessation, a major life event for affected individuals, and an immense challenge in primary care. In Australia, as with many other countries, it is primarily general practitioners (GPs) who identify changes in cognitive functioning and monitor driving issues with their patients with dementia. Qualitative evidence from studies with family members and other health professionals shows it is a complicated area of practice. However we still know little from GPs about how they manage the challenges with their patients and the strategies that they use to facilitate driving cessation.Methods:Data were collected through five focus groups with 29 GPs at their primary care practices in metropolitan and regional Queensland, Australia. A semi-structured topic guide was used to direct questions addressing decision factors and management strategies. Discussions were audio recorded, transcribed verbatim and thematically analyzed.Results:Regarding the challenges of raising driving cessation, four key themes emerged. These included: (i) Considering the individual; (ii) GP-patient relationships may hinder or help; (iii) Resources to support raising driver retirement; and (iv) Ethical dilemmas and ethical considerations. The impact of discussing driving cessation on GPs is discussed.Conclusions:The findings of this study contribute to further understanding the experiences and needs of primary care physicians related to managing driving retirement with their patients with dementia. Results support a need for programs regarding identification and assessment of fitness to drive, to upskill health professionals and particularly GPs to manage the complex issues around dementia and driving cessation, and explore cost-effective and timely delivery of such support to patients.
- Subjects :
- Male
Automobile Driving
Decision Making
Primary care
Physicians, Primary Care
03 medical and health sciences
0302 clinical medicine
Nursing
General Practitioners
medicine
Humans
Dementia
In patient
030212 general & internal medicine
Cognitive skill
Driving cessation
Qualitative Research
Physician-Patient Relations
Primary Health Care
Accidents, Traffic
Focus Groups
medicine.disease
Focus group
Metropolitan area
Psychiatry and Mental health
Clinical Psychology
Identification (information)
Female
Geriatrics and Gerontology
Psychology
Gerontology
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 1741203X and 10416102
- Volume :
- 32
- Database :
- OpenAIRE
- Journal :
- International Psychogeriatrics
- Accession number :
- edsair.doi.dedup.....bce781a958b145ca52db9bceb0a1eda7