General practitioners and decision-making capacity assessment: the experiences and educational needs of New Zealand general practitioners

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dc.contributor.author Vara, Alisha en
dc.contributor.author Young, G en
dc.contributor.author Douglass, A en
dc.contributor.author Sundram, Frederick en
dc.contributor.author Henning, Marcus en
dc.contributor.author Cheung, G en
dc.date.accessioned 2020-04-09T01:28:04Z en
dc.date.issued 2020 en
dc.identifier.issn 0263-2136 en
dc.identifier.uri http://hdl.handle.net/2292/50348 en
dc.description.abstract Background: Assessing decision-making capacity to health care is within the scope of practice for all doctors, yet the experience of GPs in this area is unknown. Objective: To explore the experiences, perspectives, approaches and challenges for GPs in New Zealand when conducting decision-making capacity assessments. Methods: Qualitative study design comprising individual in-depth semi-structured interviews conducted with a convenience sample of GPs. Interview transcripts were transcribed verbatim and analysed using a thematic analysis approach. Results: Twelve participants were recruited. The following themes emerged: (i) GPs’ roles and responsibilities in decision-making capacity assessments; (ii) GPs lack formal training, knowledge, and confidence in decision-making capacity assessments; (iii) the legal interface of decisionmaking capacity assessments; (iv) GPs’ relationships with specialists and the resulting impact on their confidence in decision-making capacity assessments; and (v) opportunities to improve GPs’ knowledge and confidence in decision-making capacity assessments. Conclusions: GPs take responsibility for decision-making capacity assessments; however, assessments can be complex. There is a need to develop specific curriculum and training resources for GPs to improve their clinical skills and legal knowledge in decision-making capacity assessments. en
dc.publisher Oxford University Press (OUP) en
dc.relation.ispartofseries Family Practice en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title General practitioners and decision-making capacity assessment: the experiences and educational needs of New Zealand general practitioners en
dc.type Journal Article en
dc.identifier.doi 10.1093/fampra/cmaa022 en
pubs.volume online first en
dc.rights.holder Copyright: The author en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Article en
pubs.elements-id 796994 en
pubs.org-id Medical and Health Sciences en
pubs.org-id School of Medicine en
pubs.org-id Cent Medical & Hlth Sci Educat en
pubs.org-id Psychological Medicine Dept en
pubs.record-created-at-source-date 2020-03-26 en
pubs.online-publication-date 2020-03-24 en


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