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Table 3 Five factors that contribute to the complexity of cases with older patients

From: Disentangling the concept of “the complex older patient” in general practice: a qualitative study

Factor

Theme

Not being “in charge”

No oversight on care delivered

 

Lack of an efficient registration system

 

Professional care is suboptimal

Different views on necessary care

Patient declines treatment

 

Family members of the patient pressure the GP

Encountering the boundaries of medicine

GPs doubt the benefits of treatment

 

Symptoms cannot be resolved.

Limits to providing social care

No informal care system

 

Not enough time

 

Not enough information on available social support options

Ill-equipped

Not enough knowledge on specific diseases

 

No professional support for GP [referral options, support of specialised nurses]