{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T11:55:25Z","timestamp":1777550125194,"version":"3.51.4"},"reference-count":42,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2020,12,19]],"date-time":"2020-12-19T00:00:00Z","timestamp":1608336000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Dementia"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Governments are being challenged to integrate at least part of dementia care into primary care. However, little is known about the current role of general practitioners (GPs) regarding dementia care, especially in countries that do not have dementia strategies in place. The aim of this study was to explore the experiences of GPs, persons with dementia and their family carers in Portuguese primary care settings, to better understand GPs\u2019 contribution to dementia care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A qualitative interview study of participants recruited from six practices in different social contexts within the Lisbon metropolitan area was carried out. Purposive sampling was used to recruit GPs, persons with dementia and carers. Interviews with GPs explored dementia care comprehensiveness, including satisfactory and challenging aspects. Interviews with patients and carers explored the experience of talking to GPs about cognitive impairments and related difficulties and the type of help received. Thematic analysis of interview transcripts was carried out using the framework approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Five major themes were identified: GPs have a limited contribution to dementia care, the case of advanced dementia, doctor\u2013patient relationships, doctor\u2013carer relationships and management of chronic conditions other than dementia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>General practitioners seemed to contribute little to dementia care overall, particularly regarding symptom management. The exception was patients with advanced stages of dementia, given that specialists no longer followed them up. Remarkably, GPs seemed to be alone within primary care teams in providing dementia care. These findings strongly suggest that Portuguese primary care is not yet prepared to comply with policy expectations regarding the management of dementia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1471301220977710","type":"journal-article","created":{"date-parts":[[2020,12,19]],"date-time":"2020-12-19T08:43:55Z","timestamp":1608367435000},"page":"1988-2006","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["What is the present role for general practitioners in dementia care? Experiences of general practitioners, patients and family carers in Portugal"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4654-5378","authenticated-orcid":false,"given":"Concei\u00e7\u00e3o","family":"Balsinha","sequence":"first","affiliation":[{"name":"Comprehensive Health Research Centre (CHRC); NOVA Medical School\/Faculdade de Ci\u00eancias M\u00e9dicas, Universidade Nova de Lisboa, Lisboa, Portugal; Unidade de Sa\u00fade Familiar Marginal, S\u00e3o Jo\u00e3o do Estoril, Portugal"}]},{"given":"Steve","family":"Iliffe","sequence":"additional","affiliation":[{"name":"Research Department of Primary Care & Population Health, University College London, London, UK"}]},{"given":"S\u00f3nia","family":"Dias","sequence":"additional","affiliation":[{"name":"Comprehensive Health Research Centre (CHRC); NOVA National School of Public Health, Public Health Research Centre, Universidade NOVA de Lisboa, Portugal"}]},{"given":"Alexandre","family":"Freitas","sequence":"additional","affiliation":[{"name":"NOVA Medical School\/Faculdade de Ci\u00eancias M\u00e9dicas, Universidade Nova de Lisboa, Lisboa, Portugal; Unidade de Sa\u00fade Familiar Ilumina,S\u00e3o Domingos de Rana, Portugal"}]},{"given":"Joana","family":"Grave","sequence":"additional","affiliation":[{"name":"NOVA Medical School\/Faculdade de Ci\u00eancias M\u00e9dicas, Universidade Nova de Lisboa, Lisboa, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1419-1306","authenticated-orcid":false,"given":"Manuel","family":"Gon\u00e7alves-Pereira","sequence":"additional","affiliation":[{"name":"Comprehensive Health Research Centre (CHRC); NOVA Medical School\/Faculdade de Ci\u00eancias M\u00e9dicas, Universidade Nova de Lisboa, Lisboa, Portugal"}]}],"member":"179","published-online":{"date-parts":[[2020,12,19]]},"reference":[{"key":"bibr1-1471301220977710","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/45.2.231"},{"key":"bibr2-1471301220977710","unstructured":"Alzheimer-Europe (2017). National dementia strategies. http:\/\/www.alzheimer-europe.org\/Policy-in-Practice2\/National-Dementia-Strategies."},{"key":"bibr3-1471301220977710","doi-asserted-by":"publisher","DOI":"10.5770\/cgj.15.42"},{"key":"bibr4-1471301220977710","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-10814-4_23"},{"key":"bibr5-1471301220977710","doi-asserted-by":"publisher","DOI":"10.1177\/104973299129121677"},{"key":"bibr6-1471301220977710","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"bibr7-1471301220977710","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/19.3.285"},{"key":"bibr8-1471301220977710","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp13X663046"},{"key":"bibr9-1471301220977710","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp12X625148"},{"key":"bibr10-1471301220977710","volume-title":"Research design - quantitative, qualitative and mixed methods approaches","author":"Creswell J.","year":"2014"},{"key":"bibr11-1471301220977710","unstructured":"Directorate General of Health. (2011). Therapeutic approach to cognitive changes. https:\/\/www.dgs.pt\/directrizes-da-dgs\/normas-e-circulares-normativas\/norma-n-0532011-de-27122011-jpg.aspx"},{"key":"bibr12-1471301220977710","volume-title":"Republic diary, n.\u00b0 188 - 2nd series","author":"Dispatch n\u00b0 13020","year":"2011"},{"key":"bibr13-1471301220977710","volume-title":"Republic diary, n\u00b0 116 - 2nd series. 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A., Knapp M., Guerchet M., Karagiannidou M. M. (2016). World Alzheimer report 2016: Improving healthcare for people living with dementia - Coverage, quality and costs now and in the future. Chapter 2: The role of primary care in the dementia healthcare system (pp. 25-42)."},{"key":"bibr33-1471301220977710","first-page":"77","volume-title":"Qualitative research practice","author":"Ritchie J.","year":"2003"},{"key":"bibr34-1471301220977710","first-page":"219","volume-title":"Qualitative research practice","author":"Ritchie J.","year":"2003"},{"key":"bibr35-1471301220977710","volume-title":"Statistics Portugal","author":"Statistics National Institute","year":"2018"},{"key":"bibr36-1471301220977710","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.17m11991"},{"key":"bibr37-1471301220977710","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-018-0890-7"},{"key":"bibr38-1471301220977710","doi-asserted-by":"publisher","DOI":"10.3109\/13814780009069953"},{"key":"bibr39-1471301220977710","unstructured":"WHO. (2010). 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Global action plan on the public health response to dementia 2017\u20132025. http:\/\/www.who.int\/mental_health\/neurology\/dementia\/action_plan_2017_2025\/en\/."},{"key":"bibr41-1471301220977710","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2015.1011082"},{"key":"bibr42-1471301220977710","first-page":"10","volume-title":"The perspectives of people with dementia: Research methods and motivations","author":"Wilkinson H.","year":"2005"}],"container-title":["Dementia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1471301220977710","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1471301220977710","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1471301220977710","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T17:50:03Z","timestamp":1777398603000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1471301220977710"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,19]]},"references-count":42,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021,8]]}},"alternative-id":["10.1177\/1471301220977710"],"URL":"https:\/\/doi.org\/10.1177\/1471301220977710","relation":{},"ISSN":["1471-3012","1741-2684"],"issn-type":[{"value":"1471-3012","type":"print"},{"value":"1741-2684","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,19]]}}}