Primary care training needs about dementia. A Qualitative study

Abstract

AbstractIntroductionThe prevalence of dementia in Chile is 1.06%, and it is expected to triple in the next 30 years. The current regulations establish that over 80% of the people living with dementia and their care partners should receive care in primary care with only the hard or atypical cases. However, the knowledge and confidence of primary care teams are low, and there is no current training scheme for them.ObjectivesTo identify the training needs of primary care teams, people living with dementia and their care partners, gathering information to create a course on dementia for primary care teams.MethodologyQualitative research methods were used, including focus group interviews for health professionals and individual interviews for people living with dementia and their care partners. A complete analysis of the recorded interviews was performed.ResultsDisregarding their previous training or background, all primary care professionals recognise the importance of continuous instruction. There is also a lack of preparation for interpersonal skills, like providing bad news and empathy. Caregivers and people living with dementia highlight a lack of continuity in their care team, being unaware of their diagnosis and low support.ConclusionsOur study supports the need for training for primary care on dementia. Even more, it finds some areas, like interpersonal skills, that are usually not covered in dementia education. Adding the patient’s and care partners' voices will allow our course to be adapted to their reality and expectations.