General Practice is the primary provider of health care in Denmark from cradle to grave and has consequently the main responsibility for coordinating care and treating most chronic diseases.
GPs incorporate their patient's needs and preferences when providing healthcare to their patients, but huge variation in quality and services provided by general practice can be observed. Even though old people account for the majority of the GPs’ consultations, research has not addressed the quality of care and services provided to old people in the last years of their lives, and how these matters relate to functioning, well-being and socioeconomic position.
Survey information on functioning and perceived well-being of Danes born between 1895 and 1915 combined with the Danish registers are a perfect match to investigate time trends among the oldest old in a general practice setting as well as the interaction with the rest of the health care sector.
- Have health care management changed over time for different chronic diseases in the general practice, and how do patients and health care professionals perceive health care provided by GPs?
- To what extent are level of function, socioeconomic position and existence of chronic diseases associated with health care management in general practice, and how have the observed pattern(s) changed over time?
- To what extent has the perception of well-being changed over time and how is this linked to health care management?
The combination of qualitative data based on interviews with users (old patients) and health care providers as well as our our user-panel raises the potential, through this work package, to identify areas in which the services provided by general practice to the oldest old patients during the last years of their lives could be improved.
Publication
Ane Riels roman Urværk og gerontologiens ukendte
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“I simply don't know, because I don't know which drugs I get”: Perspectives on deprescribing among older adults with limited life expectancy and their relatives
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Brief Assessment of Impaired Cognition Questionnaire (BASIC-Q)-Development and validation of a new tool for identification of cognitive impairment in community settings
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Revisiting the trajectory of medical students' empathy, and impact of gender, specialty preferences and nationality: A systematic review
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2019
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BMC Health Serv Res. 2019 Nov;19(1):795. PubMed
Brief Assessment of Impaired Cognition (BASIC)-Validation of a new dementia case-finding instrument integrating cognitive assessment with patient and informant report.
Jørgensen K, Nielsen TR, Nielsen A, Waldorff FB, Høgh P, Jakobsen S, Gottrup H, Vestergaard K, Waldemar G.
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Hvad hvis sygehusene og det nære sundhedsvæsen bytter plads?
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Health care professionals' attitudes towards deprescribing in older patients with limited life expectancy: a systematic review
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The Effect of Economic Assets on Mortality in Patients with Dementia: A Population-Based Cohort Study
Bebe A, Siersma V, Kragstrup J, Nielsen ABS, Møller A, Søndergaard J, Rós Nicolaisdóttir D, Waldorff FB.
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Tools for Deprescribing in Frail Older Persons and Those with Limited Life Expectancy: A Systematic Review
Thompson W, Lundby C, Graabaek T, Nielsen DS, Ryg J, Søndergaard J, Pottegård A.
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2018
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'I've put diabetes completely on the shelf till the mental stuff is in place'
How patients with doctor-assessed impaired self-care perceive disease, self-care, and support from general practitioners. A qualitative study.
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How well do general practitioners know their elderly patients' social relations and feelings of loneliness?
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