‘Oral health is not my department’ Perceptions of elderly patients’ oral health by general medical practitioners in primary health care centres: a qualitative interview study
Identifieur interne : 006836 ( Main/Exploration ); précédent : 006835; suivant : 006837‘Oral health is not my department’ Perceptions of elderly patients’ oral health by general medical practitioners in primary health care centres: a qualitative interview study
Auteurs : Kerstin Andersson ; Anna-Karin Furhoff ; Gunilla Nordenram [Suède] ; Inger W Rdh [Suède]Source :
- Scandinavian Journal of Caring Sciences [ 0283-9318 ] ; 2007-03.
Descripteurs français
- Wicri :
- topic : Codage, Soins de santé, Stockholm, évaluation technologique.
English descriptors
- KwdEn :
- Acta odontol scand, Acute conditions, Analysis process, Aspiration pneumonia, Autonomous patients, Axial coding, Cardiovascular diseases, Central meaning, Centre, Clinical presentation, Closer integration, Closer interaction, Coding, Core category, Cultural differences, Dent, Dent educ, Dental, Dental care, Dental care services, Dental caries, Dental hygienist, Dental hygienists, Dental professionals, Dental services, Dental team, Dental treatment, Dentistry, Descriptive answers, Elderly, Elderly individuals, Elderly patient, Elderly patients, Elderly people, Family medicine, General examination, General health, General practitioners, Health care, Health perspective, Hygienist, Individual interviews, Individual patient, Inger wardh, Initial part, Interview guide, Interview study, Journal compilation, Karolinska institutet, Lundin norderyd, Many respondents, Medical care, Medical point, Medical services, Medical treatment, Medication, More knowledge, Mucous membranes, Mutual research, Nancial status, Natural dentitions, Next interview, Nordic, Nordic college, Nydell helkimo, Open coding, Open questions, Oral care, Oral diseases, Oral health, Oral health care, Oral problems, Oral status, Phcc, Pilot study, Potential barriers, Practitioner, Present study, Primary care, Primary health care centres, Professional experiences, Qualitative research, Qualitative study, Referral system, Relevant information, Respondent, Selective coding, Socioeconomic status, Statistics sweden, Stockholm, Study population, Subcategories, Substantive codes, Swed dent, Swedish council, Technology assessment, Traditional segregation.
- Teeft :
- Acta odontol scand, Acute conditions, Analysis process, Aspiration pneumonia, Autonomous patients, Axial coding, Cardiovascular diseases, Central meaning, Centre, Clinical presentation, Closer integration, Closer interaction, Coding, Core category, Cultural differences, Dent, Dent educ, Dental, Dental care, Dental care services, Dental caries, Dental hygienist, Dental hygienists, Dental professionals, Dental services, Dental team, Dental treatment, Dentistry, Descriptive answers, Elderly, Elderly individuals, Elderly patient, Elderly patients, Elderly people, Family medicine, General examination, General health, General practitioners, Health care, Health perspective, Hygienist, Individual interviews, Individual patient, Inger wardh, Initial part, Interview guide, Interview study, Journal compilation, Karolinska institutet, Lundin norderyd, Many respondents, Medical care, Medical point, Medical services, Medical treatment, Medication, More knowledge, Mucous membranes, Mutual research, Nancial status, Natural dentitions, Next interview, Nordic, Nordic college, Nydell helkimo, Open coding, Open questions, Oral care, Oral diseases, Oral health, Oral health care, Oral problems, Oral status, Phcc, Pilot study, Potential barriers, Practitioner, Present study, Primary care, Primary health care centres, Professional experiences, Qualitative research, Qualitative study, Referral system, Relevant information, Respondent, Selective coding, Socioeconomic status, Statistics sweden, Stockholm, Study population, Subcategories, Substantive codes, Swed dent, Swedish council, Technology assessment, Traditional segregation.
Abstract
The purpose of this study was to explore general medical practitioners’ (GPs) perceptions of the oral health of their elderly patients. The design was a qualitative study based on individual in‐depth interviews with GPs. The criterion for inclusion in the study was that the GP was a specialist in family medicine working in a primary health care centre (PHCC:s) in the county of Stockholm. The participants took part in the study after informed consent. Eleven GPs were interviewed. The interview started with semi‐structured questions about the respondents’ clinical presentation of their elderly patients’, e.g. medication, medical treatment and socioeconomic status. The interview concluded with questions about the respondents’ experiences of and perceptions of the oral health of their patients. This process started with the first interview and proceeded with successive interviews until no new relevant information was forthcoming. The initial semi‐structured part of the interview guide was analysed for content with special reference to descriptive answers. The final open questions were analysed by a method inspired by grounded theory (GT) and comprised three stages: open coding, axial coding and selective coding. In the GT influenced analysis process, three categories, health perspective, working conditions and cultural differences, each in turn containing subcategories, were identified and labelled. The most significant category, cultural differences, was identified as the core category, explaining the central meaning of the respondents’ perceptions of the oral health of their elderly patients. The GPs in this study showed little or no awareness of the oral health of their elderly patients. The interviews disclosed several contributing factors. Barriers to closer integration of oral and general health in the elderly were identified. There existed a cultural gap between the disciplines of dentistry and medicine, which does not enhance and may be detrimental to the overall well‐being of elderly patients.
Url:
DOI: 10.1111/j.1471-6712.2007.00446.x
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Istex, to step Corpus: 007871
- to stream Istex, to step Curation: 007871
- to stream Istex, to step Checkpoint: 002786
- to stream Main, to step Merge: 006944
- to stream Main, to step Curation: 006836
Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">‘Oral health is not my department’ Perceptions of elderly patients’ oral health by general medical practitioners in primary health care centres: a qualitative interview study</title><author><name sortKey="Andersson, Kerstin" sort="Andersson, Kerstin" uniqKey="Andersson K" first="Kerstin" last="Andersson">Kerstin Andersson</name></author><author><name sortKey="Furhoff, Anna Arin" sort="Furhoff, Anna Arin" uniqKey="Furhoff A" first="Anna-Karin" last="Furhoff">Anna-Karin Furhoff</name></author><author><name sortKey="Nordenram, Gunilla" sort="Nordenram, Gunilla" uniqKey="Nordenram G" first="Gunilla" last="Nordenram">Gunilla Nordenram</name></author><author><name sortKey="W Rdh, Inger" sort="W Rdh, Inger" uniqKey="W Rdh I" first="Inger" last="W Rdh">Inger W Rdh</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:F38289B7C7227A0CEE26F6C60B20B1186FFF8B65</idno><date when="2007" year="2007">2007</date><idno type="doi">10.1111/j.1471-6712.2007.00446.x</idno><idno type="url">https://api.istex.fr/document/F38289B7C7227A0CEE26F6C60B20B1186FFF8B65/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">007871</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">007871</idno><idno type="wicri:Area/Istex/Curation">007871</idno><idno type="wicri:Area/Istex/Checkpoint">002786</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">002786</idno><idno type="wicri:doubleKey">0283-9318:2007:Andersson K:oral:health:is</idno><idno type="wicri:Area/Main/Merge">006944</idno><idno type="wicri:Area/Main/Curation">006836</idno><idno type="wicri:Area/Main/Exploration">006836</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main">‘Oral health is not my department’ Perceptions of elderly patients’ oral health by general medical practitioners in primary health care centres: a qualitative interview study</title><author><name sortKey="Andersson, Kerstin" sort="Andersson, Kerstin" uniqKey="Andersson K" first="Kerstin" last="Andersson">Kerstin Andersson</name><affiliation><wicri:noCountry code="subField">Odontology</wicri:noCountry></affiliation></author><author><name sortKey="Furhoff, Anna Arin" sort="Furhoff, Anna Arin" uniqKey="Furhoff A" first="Anna-Karin" last="Furhoff">Anna-Karin Furhoff</name><affiliation><wicri:noCountry code="subField">Neurotec</wicri:noCountry></affiliation></author><author><name sortKey="Nordenram, Gunilla" sort="Nordenram, Gunilla" uniqKey="Nordenram G" first="Gunilla" last="Nordenram">Gunilla Nordenram</name><affiliation wicri:level="3"><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Geriatric Dentistry, Institution of Odontology, Karolinska Institutet, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author><author><name sortKey="W Rdh, Inger" sort="W Rdh, Inger" uniqKey="W Rdh I" first="Inger" last="W Rdh">Inger W Rdh</name><affiliation wicri:level="3"><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Geriatric Dentistry, Institution of Odontology, Karolinska Institutet, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Scandinavian Journal of Caring Sciences</title><title level="j" type="alt">SCANDINAVIAN JOURNAL CARING SCIENCES</title><idno type="ISSN">0283-9318</idno><idno type="eISSN">1471-6712</idno><imprint><biblScope unit="vol">21</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="126">126</biblScope><biblScope unit="page" to="133">133</biblScope><biblScope unit="page-count">8</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2007-03">2007-03</date></imprint><idno type="ISSN">0283-9318</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0283-9318</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acta odontol scand</term><term>Acute conditions</term><term>Analysis process</term><term>Aspiration pneumonia</term><term>Autonomous patients</term><term>Axial coding</term><term>Cardiovascular diseases</term><term>Central meaning</term><term>Centre</term><term>Clinical presentation</term><term>Closer integration</term><term>Closer interaction</term><term>Coding</term><term>Core category</term><term>Cultural differences</term><term>Dent</term><term>Dent educ</term><term>Dental</term><term>Dental care</term><term>Dental care services</term><term>Dental caries</term><term>Dental hygienist</term><term>Dental hygienists</term><term>Dental professionals</term><term>Dental services</term><term>Dental team</term><term>Dental treatment</term><term>Dentistry</term><term>Descriptive answers</term><term>Elderly</term><term>Elderly individuals</term><term>Elderly patient</term><term>Elderly patients</term><term>Elderly people</term><term>Family medicine</term><term>General examination</term><term>General health</term><term>General practitioners</term><term>Health care</term><term>Health perspective</term><term>Hygienist</term><term>Individual interviews</term><term>Individual patient</term><term>Inger wardh</term><term>Initial part</term><term>Interview guide</term><term>Interview study</term><term>Journal compilation</term><term>Karolinska institutet</term><term>Lundin norderyd</term><term>Many respondents</term><term>Medical care</term><term>Medical point</term><term>Medical services</term><term>Medical treatment</term><term>Medication</term><term>More knowledge</term><term>Mucous membranes</term><term>Mutual research</term><term>Nancial status</term><term>Natural dentitions</term><term>Next interview</term><term>Nordic</term><term>Nordic college</term><term>Nydell helkimo</term><term>Open coding</term><term>Open questions</term><term>Oral care</term><term>Oral diseases</term><term>Oral health</term><term>Oral health care</term><term>Oral problems</term><term>Oral status</term><term>Phcc</term><term>Pilot study</term><term>Potential barriers</term><term>Practitioner</term><term>Present study</term><term>Primary care</term><term>Primary health care centres</term><term>Professional experiences</term><term>Qualitative research</term><term>Qualitative study</term><term>Referral system</term><term>Relevant information</term><term>Respondent</term><term>Selective coding</term><term>Socioeconomic status</term><term>Statistics sweden</term><term>Stockholm</term><term>Study population</term><term>Subcategories</term><term>Substantive codes</term><term>Swed dent</term><term>Swedish council</term><term>Technology assessment</term><term>Traditional segregation</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Acta odontol scand</term><term>Acute conditions</term><term>Analysis process</term><term>Aspiration pneumonia</term><term>Autonomous patients</term><term>Axial coding</term><term>Cardiovascular diseases</term><term>Central meaning</term><term>Centre</term><term>Clinical presentation</term><term>Closer integration</term><term>Closer interaction</term><term>Coding</term><term>Core category</term><term>Cultural differences</term><term>Dent</term><term>Dent educ</term><term>Dental</term><term>Dental care</term><term>Dental care services</term><term>Dental caries</term><term>Dental hygienist</term><term>Dental hygienists</term><term>Dental professionals</term><term>Dental services</term><term>Dental team</term><term>Dental treatment</term><term>Dentistry</term><term>Descriptive answers</term><term>Elderly</term><term>Elderly individuals</term><term>Elderly patient</term><term>Elderly patients</term><term>Elderly people</term><term>Family medicine</term><term>General examination</term><term>General health</term><term>General practitioners</term><term>Health care</term><term>Health perspective</term><term>Hygienist</term><term>Individual interviews</term><term>Individual patient</term><term>Inger wardh</term><term>Initial part</term><term>Interview guide</term><term>Interview study</term><term>Journal compilation</term><term>Karolinska institutet</term><term>Lundin norderyd</term><term>Many respondents</term><term>Medical care</term><term>Medical point</term><term>Medical services</term><term>Medical treatment</term><term>Medication</term><term>More knowledge</term><term>Mucous membranes</term><term>Mutual research</term><term>Nancial status</term><term>Natural dentitions</term><term>Next interview</term><term>Nordic</term><term>Nordic college</term><term>Nydell helkimo</term><term>Open coding</term><term>Open questions</term><term>Oral care</term><term>Oral diseases</term><term>Oral health</term><term>Oral health care</term><term>Oral problems</term><term>Oral status</term><term>Phcc</term><term>Pilot study</term><term>Potential barriers</term><term>Practitioner</term><term>Present study</term><term>Primary care</term><term>Primary health care centres</term><term>Professional experiences</term><term>Qualitative research</term><term>Qualitative study</term><term>Referral system</term><term>Relevant information</term><term>Respondent</term><term>Selective coding</term><term>Socioeconomic status</term><term>Statistics sweden</term><term>Stockholm</term><term>Study population</term><term>Subcategories</term><term>Substantive codes</term><term>Swed dent</term><term>Swedish council</term><term>Technology assessment</term><term>Traditional segregation</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Codage</term><term>Soins de santé</term><term>Stockholm</term><term>évaluation technologique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The purpose of this study was to explore general medical practitioners’ (GPs) perceptions of the oral health of their elderly patients. The design was a qualitative study based on individual in‐depth interviews with GPs. The criterion for inclusion in the study was that the GP was a specialist in family medicine working in a primary health care centre (PHCC:s) in the county of Stockholm. The participants took part in the study after informed consent. Eleven GPs were interviewed. The interview started with semi‐structured questions about the respondents’ clinical presentation of their elderly patients’, e.g. medication, medical treatment and socioeconomic status. The interview concluded with questions about the respondents’ experiences of and perceptions of the oral health of their patients. This process started with the first interview and proceeded with successive interviews until no new relevant information was forthcoming. The initial semi‐structured part of the interview guide was analysed for content with special reference to descriptive answers. The final open questions were analysed by a method inspired by grounded theory (GT) and comprised three stages: open coding, axial coding and selective coding. In the GT influenced analysis process, three categories, health perspective, working conditions and cultural differences, each in turn containing subcategories, were identified and labelled. The most significant category, cultural differences, was identified as the core category, explaining the central meaning of the respondents’ perceptions of the oral health of their elderly patients. The GPs in this study showed little or no awareness of the oral health of their elderly patients. The interviews disclosed several contributing factors. Barriers to closer integration of oral and general health in the elderly were identified. There existed a cultural gap between the disciplines of dentistry and medicine, which does not enhance and may be detrimental to the overall well‐being of elderly patients.</div></front></TEI><affiliations><list><country><li>Suède</li></country><region><li>Svealand</li></region><settlement><li>Stockholm</li></settlement></list><tree><noCountry><name sortKey="Andersson, Kerstin" sort="Andersson, Kerstin" uniqKey="Andersson K" first="Kerstin" last="Andersson">Kerstin Andersson</name><name sortKey="Furhoff, Anna Arin" sort="Furhoff, Anna Arin" uniqKey="Furhoff A" first="Anna-Karin" last="Furhoff">Anna-Karin Furhoff</name></noCountry><country name="Suède"><region name="Svealand"><name sortKey="Nordenram, Gunilla" sort="Nordenram, Gunilla" uniqKey="Nordenram G" first="Gunilla" last="Nordenram">Gunilla Nordenram</name></region><name sortKey="W Rdh, Inger" sort="W Rdh, Inger" uniqKey="W Rdh I" first="Inger" last="W Rdh">Inger W Rdh</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/EdenteV2/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 006836 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 006836 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Santé
|area= EdenteV2
|flux= Main
|étape= Exploration
|type= RBID
|clé= ISTEX:F38289B7C7227A0CEE26F6C60B20B1186FFF8B65
|texte= ‘Oral health is not my department’ Perceptions of elderly patients’ oral health by general medical practitioners in primary health care centres: a qualitative interview study
}}
| This area was generated with Dilib version V0.6.32. |  |