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

• Tipo: Artigo em Revista Científica Internacional
• Data: 2019

Autores

Alves, S (Autor) Outra; Teixeira, L (Autor) ICBAS; Azevedo, MJ (Autor) Outra; Duarte, M (Autor) Outra; Ribeiro, O (Autor) Outra; Constança Paúl (Autor) ICBAS

Revista

Título: International Journal for Quality in Health Care

Vol. 31

Páginas: 312-318

ISSN: 1353-4505

Editora: Oxford University Press

Indexação

ISI Web of Knowledge - 8 Citações

Scopus - 8 Citações

Outras Informações

ID Authenticus: P-00Q-7WZ

DOI: 10.1093/intqhc/mzy154

Abstract (EN): 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 InstrumentuCARI (Clarnette RM, Ryan JP, OHerlihy 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; OCaoimh 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. chronic diseases, vision deficits) and (4) IC ability to meet clients needs. From the categorical analysis of the ICs answers, an amount of unmet needs not only health related but also related with referrals and legal issues were found. This study shows a large number of unmet needs of older people. The evaluation of the clients combined with the evaluation of the testimonials of ICs enables the understanding of difficulties of both clients and caregivers, and which needs should be prioritized.

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 7