Curing and caring: The work of primary care physicians with dementia patients

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

The symbolic framework guiding primary care physicians' (PCPs) practice is crucial in shaping the quality of care for those with degenerative dementia. Examining the relationship between the cure and care models in primary care offers a unique opportunity for exploring change toward a more holistic approach to health care. The aims of this study were to (a) explore how PCPs approach the care of patients with Alzheimer's disease (AD), and (b) describe how this care unfolds from the physicians' perspectives. This was a cross-sectional study of 40 PCPs who completed semistructured interviews as part of a dementia caregiving study. Findings show that PCPs recognize the limits of the cure paradigm and articulate a caring, more holistic model that addresses the psychosocial needs of dementia patients. However, caring is difficult to uphold because of time constraints, emotional burden, and jurisdictional issues. Thus, the care model remains secondary and temporary.

Original languageEnglish (US)
Pages (from-to)1469-1483
Number of pages15
JournalQualitative Health Research
Volume21
Issue number11
DOIs
StatePublished - Nov 2011

Fingerprint

Primary Care Physicians
Dementia
Quality of Health Care
Primary Health Care
Patient Care
Alzheimer Disease
Cross-Sectional Studies
Interviews
Delivery of Health Care
Physicians

Keywords

  • Alzheimer's disease
  • emotions/emotion work
  • empathy
  • health care professionals
  • health care, primary
  • holistic care
  • interviews, semistructured
  • medicine
  • practice guidelines
  • psychosocial issues
  • qualitative analysis

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Curing and caring : The work of primary care physicians with dementia patients. / Apesoa-Varano, Ester Carolina; Barker, Judith C.; Hinton, W Ladson.

In: Qualitative Health Research, Vol. 21, No. 11, 11.2011, p. 1469-1483.

Research output: Contribution to journalArticle

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