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Disentangling the concept of “the complex older patient” in general practice: a qualitative study

Overview of attention for article published in BMC Primary Care, June 2016
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Title
Disentangling the concept of “the complex older patient” in general practice: a qualitative study
Published in
BMC Primary Care, June 2016
DOI 10.1186/s12875-016-0455-6
Pubmed ID
Authors

S. A. Zwijsen, N. M. Nieuwenhuizen, O. R. Maarsingh, M. F. I. A. Depla, C. M. P. M. Hertogh

Abstract

The rising life expectancy in the developed world leads to an increase in the number of older patients and the complexity of their complaints in general practice. Although interventions and support for general practitioners are available, implementation lags. Knowledge on what determines a complex older patient, the problems of which general practitioners encounter and the situations they actually need support for, is necessary for better implementation. To provide support to general practitioners in their struggle with complex older patients, the aim of this research was to disentangle the concept of the complex older patient in general practice. A qualitative approach was used consisting of 15 semi-structured interviews with general practitioners. The general practitioner was asked to prepare a case of a complex older patient out of their own practice that could be discussed during the interview. Transcripts of the interview were analysed using inductive thematic analysis. Analysis of the interviews resulted in twelve themes that could be categorised into five factors that contribute to the complexity of cases of older patients. The five factors are: not being in charge, different views on necessary care, encountering the boundaries of medicine, limits to providing social care, ill-equipped. The factors that were found imply that a better organisational structure for elderly care and consulting elderly care physicians could support general practitioners in providing care for older complex patients. Furthermore, understanding the current concept of patient autonomy seems unjustified in cases of complex older patients.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 50 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 50 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 11 22%
Student > Ph. D. Student 7 14%
Student > Master 7 14%
Researcher 5 10%
Student > Doctoral Student 3 6%
Other 3 6%
Unknown 14 28%
Readers by discipline Count As %
Nursing and Health Professions 7 14%
Medicine and Dentistry 7 14%
Social Sciences 6 12%
Psychology 3 6%
Biochemistry, Genetics and Molecular Biology 2 4%
Other 10 20%
Unknown 15 30%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 16 June 2016.
All research outputs
#14,913,921
of 25,371,288 outputs
Outputs from BMC Primary Care
#1,330
of 2,359 outputs
Outputs of similar age
#185,424
of 354,225 outputs
Outputs of similar age from BMC Primary Care
#15
of 24 outputs
Altmetric has tracked 25,371,288 research outputs across all sources so far. This one is in the 40th percentile – i.e., 40% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,359 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.7. This one is in the 42nd percentile – i.e., 42% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 354,225 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 46th percentile – i.e., 46% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 24 others from the same source and published within six weeks on either side of this one. This one is in the 33rd percentile – i.e., 33% of its contemporaries scored the same or lower than it.