Three Strategies for Delivering Continuing Medical Education in Geriatrics to General Practitioners

Rikkert, Marcel G M Olde; Rigaud, Anne‐Sophie

doi:10.1080/03601270490467083

Cited by 3 publications

(2 citation statements)

References 10 publications

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“…Usually, the general practitioner will see all patients and refer patients to specialists and therapists depending on his or her clinical evaluation. In Germany, as in other countries, the level of geriatric training varies highly among GPs [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

‘We can do only what we have the means for’ general practitioners’ views of primary care for older people with complex health problems

et al. 2015

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BackgroundDue to demographic change, general practitioners (GPs) are increasingly required to care for older people with complex health problems. Little is known about the subjective appraisals of GPs concerning the demanded changes. Our objective is to explore how general practitioners view their professional mandates and capacities to provide comprehensive care for older people with complex health problems. Do geriatric training or experience influence viewpoints? Can barriers for the implementation of changes in primary care for older people with complex health problems be detected?MethodsPreceding a controlled intervention study on case management for older patients in the primary care setting (OMAHA II), this qualitative study included 10 GPs with differing degrees of geriatric qualification. Semi structured interviews were conducted and audio-taped. Full interview transcripts were analyzed starting with open coding on a case basis and case descriptions. The emerging thematic structure was enriched with comparative dimensions through reiterated inter-case comparison and developed into a multidimensional typology of views.ResultsBased on the themes emerging from the data and their presentation by the interviewed general practitioners we could identify three different types of views on primary care for older people with complex health problems: ‘maneuvering along competence limits’, ‘Herculean task’, and ‘cooperation and networking’. The types of views differ in regard to role-perception, perception of their own professional domain, and action patterns in regard to cooperation. One type shows strong correspondence with a geriatrician. Across all groups, there is a shared concern with the availability of sufficient resources to meet the challenges of primary care for older people with complex health problems.ConclusionsLimited financial resources, lack of cooperational networks, and attitudes appear to be barriers to assuring better primary care for older people with complex health problems. To overcome these barriers, geriatric training is likely to have a positive impact but needs to be supplemented by regulations regarding reimbursement. Most of all, general practitioners’ care for older people with complex health problems needs a conceptual framework that provides guidance regarding their specific role and contribution and assisting networks. For example, it is essential that general practice guidelines become more explicit with respect to managing older people with complex health problems.

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Section: Introductionmentioning

confidence: 99%

‘We can do only what we have the means for’ general practitioners’ views of primary care for older people with complex health problems

et al. 2015

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“…In February 2006, several thousand articles were found with the same search strategy. Today knowledge translation has become one of the most favored terms in the health field (Armstrong, Waters, Roberts, Oliver, & Popay, 2006;Davis et al, 2003;Glasgow, Lichtenstein, & Marcus, 2003;Graham et al, 2006;Canadian Institutes of Health Research, 2004; National Center for the Dissemination of Disability Research, 2005;Schryer-Roy, 2005) and is used occasionally in other fields as well: for example, in geography (Williams, 2006); social work (Stevens, Liabo, & Frost, 2005;McNeill, 2006); and education, particularly relating to medical or health education (Rikkert & Rigaud, 2004;Kyrkjebo, 2006).…”

Section: Literature Searchmentioning

confidence: 99%

Knowledge translation: Implications for evaluation

Davison

2009

New Drctns Evaluation

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Translation theory originates in the field of applied linguistics and communication. The term knowledge translation has been adopted in health and other fields to refer to the exchange, synthesis, and application of knowledge. The logic model is a circular or iterative loop among various knowledge translation actors (knowledge producers and users) with translation activities evolving and occurring at various stages. Successful knowledge translation depends on the engagement of the target audience, as well as using the knowledge to inform decisions and have a positive influence on health outcomes. Understanding this alerts the evaluator to how to maximize the likely usefulness and sustainability of their evaluation research with local stakeholders. It also invites evaluators to help appreciate why programs have the short-and long-term effects that they have, particularly any unintended or unexpected program outcomes that might have otherwise been puzzling.

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Diseño, implementación y evaluación de un programa de educación para la salud con personas mayores

Pino

Lorenzo

Portela

2010

Ciênc. saúde coletiva

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Three Strategies for Delivering Continuing Medical Education in Geriatrics to General Practitioners

Cited by 3 publications

References 10 publications

‘We can do only what we have the means for’ general practitioners’ views of primary care for older people with complex health problems

‘We can do only what we have the means for’ general practitioners’ views of primary care for older people with complex health problems

Knowledge translation: Implications for evaluation

Diseño, implementación y evaluación de un programa de educación para la salud con personas mayores

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