Unmet needs in Primary Care of older clients with mental health concerns

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
Sara AlvesConstança Paúl

Abstract

To examine the unmet needs of older clients with perceived mental health problems who attend primary healthcare services. Unmet needs were derived from (i) the health concerns and caregiver network availability provided by a General Practitioner (GPs) and from (ii) a qualitative analysis of an open question about needs completed by informal caregivers (ICs) of those clients. The sample comprised 436 clients with mean age of 75.2 years and 110 ICs with mean age of 56.7 years. Primary healthcare centers in the North of Portugal. The Community Assessment of Risk Instrument-CARI (Clarnette RM, Ryan JP, O'Herlihy E, et al. The community assessment of risk instrument: investigation of inter-rater reliability of an instrument measuring risk of adverse outcomes. J Frailty Aging 2015;4: 80-9; O'Caoimh R, Healy E, Connell EO, et al. The Community Assessment of Risk Tool (CART): investigation of inter-rater reliability for a new instrument measuring risk of adverse outcomes in community dwelling older adults. Irish J Med Sci 2012.) and qualitative data about needs. Several needs were observed in relation to (1) mental state (e.g. cognition, anxiety/depression); (2) functionality (e.g. IADLS, bathing, mobility); (3) medical state (e.g. chr...Continue Reading

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Citations

Jun 18, 2020·Health & Social Care in the Community·Sara AlvesConstança Paúl
Dec 2, 2019·Archives of Gerontology and Geriatrics·Daniela BrandãoConstança Paúl
Jun 21, 2021·Archives of Gerontology and Geriatrics·Lee HyejinLee Kiheon
Nov 20, 2021·Medicine·Bruno Araújo da Silva DantasGilson de Vasconcelos Torres

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