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dc.date.accessioned2017-03-06T09:03:41Z
dc.date.available2017-03-06T09:03:41Z
dc.date.created2015-01-09T14:36:10Z
dc.date.issued2014
dc.identifier.citationAakhus, Eivind Oxman, Andrew David Flottorp, Signe Agnes . Determinants of adherence to recommendations for depressed elderly patients in primary care: A multi-methods study. Scandinavian Journal of Primary Health Care. 2014, 32(4), 170-179
dc.identifier.urihttp://hdl.handle.net/10852/54480
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.languageEN
dc.relation.ispartofEivind Aakhus (2017). Tailored implementation for chronic diseases. Depression in the elderly. Doctoral thesis. http://urn.nb.no/URN:NBN:no-57289
dc.rightsAttribution-NonCommercial 3.0 Unported
dc.rights.urihttps://creativecommons.org/licenses/by-nc/3.0/
dc.rights.urihttp://urn.nb.no/URN:NBN:no-57289
dc.titleDeterminants of adherence to recommendations for depressed elderly patients in primary care: A multi-methods study
dc.typeJournal article
dc.creator.authorAakhus, Eivind
dc.creator.authorOxman, Andrew David
dc.creator.authorFlottorp, Signe Agnes
cristin.unitcode185,52,11,0
cristin.unitnameAvdeling for helseledelse og helseøkonomi
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1
dc.identifier.cristin1194309
dc.identifier.bibliographiccitationinfo:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Scandinavian Journal of Primary Health Care&rft.volume=32&rft.spage=170&rft.date=2014
dc.identifier.jtitleScandinavian Journal of Primary Health Care
dc.identifier.volume32
dc.identifier.issue4
dc.identifier.startpage170
dc.identifier.endpage179
dc.identifier.doihttp://dx.doi.org/10.3109/02813432.2014.984961
dc.identifier.urnURN:NBN:no-57598
dc.type.documentTidsskriftartikkel
dc.type.peerreviewedPeer reviewed
dc.source.issn0281-3432
dc.identifier.fulltextFulltext https://www.duo.uio.no/bitstream/handle/10852/54480/2/DOI-10-3109-02813432-2014-984961.pdf
dc.type.versionPublishedVersion


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