TY - JOUR
KW - Attitude of Health Personnel
KW - Community-Institutional Relations
KW - Dementia/therapy
KW - Denmark
KW - Education, Medical, Continuing
KW - Family Practice/education/standards
KW - Focus Groups
KW - Humans
KW - Interprofessional Relations
KW - Observation
KW - Physicians, Family/education/psychology
KW - Primary Health Care/methods/standards
KW - Program Evaluation
KW - Qualitative Research
KW - Quality of Health Care/trends
AU - T. Dalsgaard
AU - H. Kallerup
AU - M. Rosendal
A1 - 
AB - BACKGROUND: Outreach visits reflect newer developments in adult learning theory, where the learner is actively involved in the session. Previous studies have indicated a positive effect of outreach visits on GPs' behaviour. However, the empirical role of the facilitator in the visits is poorly described. OBJECTIVE: To explore general practitioners' perception of the outcome of a facilitator programme about dementia, in relation to central aspects of the facilitator's communicative role during the visits. METHOD: Observational studies, and focus group discussions with participating general practitioners (3 groups, 19 participants) as well as with facilitators (4 participants) in Vejle County, Denmark. RESULTS: Facilitators drew both on a 'factual' knowledge of dementia and a more 'experience-based' knowledge when conveying programme messages. They described themselves as 'carriers of experience'. All general practitioners described an outcome of the programme, and all wished to receive a future visit by a facilitator on new topics. The outcome was described not as ground-breaking medical news, but as practical effects in terms of knowledge of dementia, motivation for working with dementia, structured assessment and management of dementia and critical reflection of established practices regarding dementia. Some general practitioners remained critical as to whether this outcome justified the resources used in the programme. The experience-based dialogue was described as central to the outcome as it linked factual knowledge to clinical practice. CONCLUSION: This study confirms that outreach visits contribute to the integration of factual knowledge in clinical practice, but it also underscores the importance of addressing tacit communicative practices during facilitator visits and their implications for the outcome of the programme.
BT - International journal for quality in health care : journal of the International Society for Quality in Health Care / ISQua
C5 - Education & Workforce
CP - 5
CY - England
DO - 10.1093/intqhc/mzm033
IS - 5
JF - International journal for quality in health care : journal of the International Society for Quality in Health Care / ISQua
N2 - BACKGROUND: Outreach visits reflect newer developments in adult learning theory, where the learner is actively involved in the session. Previous studies have indicated a positive effect of outreach visits on GPs' behaviour. However, the empirical role of the facilitator in the visits is poorly described. OBJECTIVE: To explore general practitioners' perception of the outcome of a facilitator programme about dementia, in relation to central aspects of the facilitator's communicative role during the visits. METHOD: Observational studies, and focus group discussions with participating general practitioners (3 groups, 19 participants) as well as with facilitators (4 participants) in Vejle County, Denmark. RESULTS: Facilitators drew both on a 'factual' knowledge of dementia and a more 'experience-based' knowledge when conveying programme messages. They described themselves as 'carriers of experience'. All general practitioners described an outcome of the programme, and all wished to receive a future visit by a facilitator on new topics. The outcome was described not as ground-breaking medical news, but as practical effects in terms of knowledge of dementia, motivation for working with dementia, structured assessment and management of dementia and critical reflection of established practices regarding dementia. Some general practitioners remained critical as to whether this outcome justified the resources used in the programme. The experience-based dialogue was described as central to the outcome as it linked factual knowledge to clinical practice. CONCLUSION: This study confirms that outreach visits contribute to the integration of factual knowledge in clinical practice, but it also underscores the importance of addressing tacit communicative practices during facilitator visits and their implications for the outcome of the programme.
PP - England
PY - 2007
SN - 1353-4505; 1353-4505
SP - 267
EP - 273
EP - 
T1 - Outreach visits to improve dementia care in general practice: A qualitative study
T2 - International journal for quality in health care : journal of the International Society for Quality in Health Care / ISQua
TI - Outreach visits to improve dementia care in general practice: A qualitative study
U1 - Education & Workforce
U2 - 17693445
U3 - 10.1093/intqhc/mzm033
VL - 19
VO - 1353-4505; 1353-4505
Y1 - 2007
ER -