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Published on: June 6, 2020
Prioritising national dementia guidelines for general practice: A Delphi approach
Danielle Mazza1, Edwina McCarthy1, Vera Camões-Costa1
1Department of General Practice, Faculty of Medicine, Nursing and Health Sciences, School of Primary and Allied Health Care, Monash University, Notting Hill, Victoria, Australia.
Objectives:
Australian guidelines for dementia cover 109 recommendations for dementia care. Knowing which recommendations to implement poses a challenge for general practitioners (GPs). This study aimed to gather general practice perspectives of priority recommendations for GPs in their practice.
Methods:
To explore which recommendations are most important and those requiring the greatest support in GP implementation, a Delphi study was conducted. Thirty-six GPs, 4 practice nurses and 1 medical services director completed two rounds of email questionnaires.
Results:
Recommendations requiring support for GP implementation relate to early assessment of behavioural and psychological symptoms; mental health interventions tailored to the person's preferences and abilities; language and cultural barriers in access to information and services; and cognitive and learning needs in treatment delivery.
Conclusions:
It is critical to understand where support may be needed for GPs to successfully implement recommendations to improve care provided to people with dementia and their carers.
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