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Primary care

The use of social healthcare resources and informal care characteristics care of immobilised homecare patients

Objective: To describe the use of social healthcare resources by immobilised patients and informal care characteristics and the level/degree of satisfaction with home care services.

Thu, 07/20/2017 - 15:24

Palliative and end of life care toolkit

This toolkit provides links to a range of resources to support GP practices and health professionals in ensuring patients nearing the end of life, and those close to them, receive the highest quality of care and support. It includes tools, guidance, current best practice policy, and legislation for healthcare professionals. It also provides links to training resources to help with continuing professional development and audit tools to evaluate practice. A section providing information for patients, informal carers, and those close to someone nearing the end of life is also included.

Thu, 07/20/2017 - 15:23

Case management in primary palliative care is associated more strongly with organisational than with patient characteristics: results from a cross-sectional prospective study

Background: Case managers have been introduced in Dutch primary palliative care; these are nurses with expertise in palliative care who offer support to patients and informal carers in addition to the care provided by the general practitioner and home care nurses. This study aims to describe support and investigate what characteristics of patients and the organizational setting are related to the number of contacts and to the number of times topics are discussed between the case manager and patients and/or informal carers.

Thu, 07/20/2017 - 15:21

Preferences for receiving information among frail older adults and their informal caregivers : a qualitative study

Background: Patient involvement in clinical decision making is increasingly advocated. Although older patients may be more reluctant to become involved, most do appreciate being informed. However, knowledge about their experiences with and preferences for receiving information is limited, and even less is known about these topics for frail older people.

Objective: To explore the experiences of frail older people and informal caregivers with receiving information from health care professionals as well as their preferences for receiving information.

Thu, 07/20/2017 - 15:21

Supporting carers: an action guide for general practitioners and their teams

This resource is a collaboration between the Royal College of General Practitioners (RCGP) and The Princess Royal Trust for Carers. It has been developed with the help of Sheffield University and over twenty GP practices who have piloted and evaluated some of the resources

Thu, 07/20/2017 - 15:21

Primary carers: identifying and providing support to carers in primary care

This report presents a series of recommendations for Government and Strategic Health Authorities, Primary Care Trusts, GPs and Primary Health Care Teams, with the aim of improving the way primary care services identify and support carers. The recommendations are based on conclusions which emerged from a nine-month primary care project for The Princess Royal Trust for Carers. The project aimed to find the most effective ways within primary care to identify carers and encourage them to use the services available.

Thu, 07/20/2017 - 15:20

Do older patients and their family caregivers agree about the quality of chronic illness care?

Objective: Family caregivers often accompany patients to medical visits; however, it is unclear whether caregivers rate the quality of patients' care similarly to patients. This study aimed to (1) quantify the level of agreement between patients' and caregivers' reports on the quality of patients' care and (2) determine how the level of agreement varies by caregiver and patient characteristics.

Design: Cross-sectional analysis. Participants: Multimorbid older (aged 65 and above) adults and their family caregivers (n = 247).

Thu, 07/20/2017 - 15:20

Quality of care provided to people with dementia: utilisation and quality of the annual dementia review in general practice

Background Primary care services are often the main healthcare service for people with dementia; as such, good-quality care at this level is important.

Aim To measure the quality of care provided to people with dementia in general practice using routinely collected data, and to explore associated patient and practice factors.

Design and setting Observational, cross-sectional review of medical records from general practices (n = 52) in five primary care trusts.

Thu, 07/20/2017 - 15:19