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Dementia management in France
 — health care and support services in the community
Author(s)Inge Cantegreil-Kallen, Clément Turbelin, Pierre Angel
Journal titleDementia: the international journal of social research and practice, vol 5, no 3, August 2006
Pagespp 317-326
Sourcehttp://www.dem.sagepub.com
KeywordsDementia ; General practice ; Services ; Community care ; Usage [services] ; Informal care ; Social surveys ; France.
AnnotationIn France, general practitioners (GPs) co-ordinate the provision of a wide range of care and support services for community dwelling people with Alzheimer's disease (AD). The authors investigated interventions that were "prescribed" by French GPs, and analysed their perceived barriers to arranging these. 39% of GPs responded to a postal survey which was sent to 1105 physicians belonging to the Sentinel GP Research Network and to 524 GPs consulting in Rhône-Alpes region. 50% of patients were treated with acetylcholinesterase inhibitors, and the following other support services were used: home help (63%), nursing care (48%), and physiotherapy (35%). Although GPs acknowledged carers' need for emotional support, only minimal levels of other interventions such as day care (12%) and psychotherapeutic interventions (12%) were prescribed. Reasons for under-use included non-availability and carers' reluctance to undergo psychotherapy. Lack of integrated community care services, insufficient information on services, lack of collaboration between health professionals and the frequent absence of a reliable carer were considered the most important barriers to the effective support of people with dementia in primary health care settings. (RH).
Accession NumberCPA-060918208 A
ClassmarkEA: L5: I: PA: QLD: P6: 3F: 765

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