Cristin-resultat-ID: 1194309
Sist endret: 28. oktober 2016 16:36
NVI-rapporteringsår: 2014
Resultat
Vitenskapelig artikkel
2014

Determinants of adherence to recommendations for depressed elderly patients in primary care: A multi-methods study

Bidragsytere:
  • Eivind Aakhus
  • Andrew David Oxman og
  • Signe Agnes Flottorp

Tidsskrift

Scandinavian Journal of Primary Health Care
ISSN 0281-3432
e-ISSN 1502-7724
NVI-nivå 1

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2014
Trykket: 2014
Volum: 32
Hefte: 4
Sider: 170 - 179
Open Access

Importkilder

Scopus-ID: 2-s2.0-84917738374

Beskrivelse Beskrivelse

Tittel

Determinants of adherence to recommendations for depressed elderly patients in primary care: A multi-methods study

Sammendrag

Objective: It is logical that tailoring implementation strategies to address identified determinants of adherence to clinical practice guidelines should improve adherence. This study aimed to identify and prioritize determinants of adherence to six recommendations for elderly patients with depression. Design and setting: Group and individual interviews and a survey were conducted in Norway. Method: Individual and group interviews with healthcare professionals and patients, and a mailed survey of healthcare professionals. A generic checklist of determinants of practice was used to categorize suggested determinants. Participants. Physicians and nurses from primary and specialist care, psychologists, researchers, and patients. Main outcome measures. Determinants of adherence to recommendations for depressed elderly patients in primary care. Results: A total of 352 determinants were identified, of which 99 were prioritized. The most frequently identified factors had to do with dissemination of guidelines, general practitioners’ time constraints, the low prioritization of elderly patients with depression, and the patients’ or relatives’ wish for medication. Approximately three-quarters of the determinants were from three of the seven domains in the generic checklist: individual healthcare professional factors, patient factors, and incentives and resources. The survey did not provide useful information due to a low response rate and a lack of responses to open-ended questions. Implications. The list of prioritized determinants can inform the design of interventions to implement recommendations for elderly patients with depression. The importance of the determinants that were identified may vary across communities, practices. and patients. Interventions that address important determinants are necessary to improve practice.

Bidragsytere

Eivind Aakhus

  • Tilknyttet:
    Forfatter
    ved Div Psykisk helsevern ved Sykehuset Innlandet HF
  • Tilknyttet:
    Forfatter
    ved Folkehelseinstituttet

Andrew David Oxman

  • Tilknyttet:
    Forfatter
    ved Avdeling for global helse ved Folkehelseinstituttet

Signe Agnes Flottorp

  • Tilknyttet:
    Forfatter
    ved Avdeling for vurdering av tiltak ved Folkehelseinstituttet
  • Tilknyttet:
    Forfatter
    ved Avdeling for helseledelse og helseøkonomi ved Universitetet i Oslo
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