Show simple item record

dc.contributor.authorAakhus, Eivind
dc.contributor.authorOxman, Andrew David
dc.contributor.authorFlottorp, Signe Agnes
dc.date.accessioned2017-05-24T11:53:23Z
dc.date.available2017-05-24T11:53:23Z
dc.date.created2015-01-09T14:36:10Z
dc.date.issued2014
dc.identifier.citationScandinavian Journal of Primary Health Care. 2014, 32 (4), 170-179.
dc.identifier.issn0281-3432
dc.identifier.urihttp://hdl.handle.net/11250/2443455
dc.description.abstractObjective: 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.
dc.language.isoeng
dc.titleDeterminants of adherence to recommendations for depressed elderly patients in primary care: A multi-methods study
dc.typePeer reviewed
dc.typeJournal article
dc.source.pagenumber170-179
dc.source.volume32
dc.source.journalScandinavian Journal of Primary Health Care
dc.source.issue4
dc.identifier.doi10.3109/02813432.2014.984961
dc.identifier.cristin1194309
dc.subject.keywordEldre
dc.subject.keywordDepresjon
dc.subject.keywordPrimærhelsetjeneste
dc.subject.keywordNorge
cristin.unitcode1991,9,0,0
cristin.unitnameDiv Psykisk helsevern
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record