Skip to main content
Top
Published in: BMC Primary Care 1/2021

Open Access 01-12-2021 | Care | Research

Care for caregivers- a mission for primary care

Authors: Aya Biderman, Sara Carmel, Shimon Amar, Yaacov G. Bachner

Published in: BMC Primary Care | Issue 1/2021

Login to get access

Abstract

Background

The number of elderly people living in the community who are limited in daily activities is increasing worldwide. This generates prolonged care, which usually falls on one family member, the family caregiver. Caregivers are prone to develop psychosocial and physical symptoms. As a result, the World Health Organization (WHO) issued a clear directive to assess and support these caregivers.
The main goals of this study were to assess primary care physicians’ (PCP) awareness to caregivers’ health risks and the extent that they recommended preventive measures to maintain the health of the caregivers. As no suitable instrument existed, a secondary goal was to develop a scale to measure physicians’ awareness to caregivers’ health and preventive treatment and test it’s psychometric properties.

Methods

Data were collected from a convenience sample of 201 PCP interviewed with structured questionnaires.

Results

The participants’ mean age was 48.5 ± 11.2 years and 53.5% were female. Only 48.5% were Israel medical graduates and 72% were board-certified family physicians. Nearly 34% had been primary caregivers of family members.
Most physicians (83.6%) were aware of the primary caregiver’s high-risk for morbidity and mortality, and recommended preventive care. On a multivariate regression, PCP's higher level of risk awareness, their country of medical school and board certification were significant for explaining recommendations for preventive care. However, being a primary caregiver for a sick family member neither contributed significantly to the physicians’ awareness to caregiving risks nor to their preventive care.

Conclusion

Although a high percentage of physicians were aware and concerned about caregivers’ health, their preventive care activities were relatively passive. PCPs should take a more active and preventive role for maintaining caregivers’ health.
Appendix
Available only for authorised users
Literature
1.
go back to reference Committee on Family Caregiving for Older Adults; Board on Health Care Services; Health and Medicine Division; National Academies of Sciences, Engineering, and Medicine. Families caring for an aging America. In: Schulz R, Eden J, editors. 3, family caregiving roles and impacts. Washington (DC): National Academies Press (US); 2016. Available from: https://www.ncbi.nlm.nih.gov/books/NBK396398/. Committee on Family Caregiving for Older Adults; Board on Health Care Services; Health and Medicine Division; National Academies of Sciences, Engineering, and Medicine. Families caring for an aging America. In: Schulz R, Eden J, editors. 3, family caregiving roles and impacts. Washington (DC): National Academies Press (US); 2016. Available from: https://​www.​ncbi.​nlm.​nih.​gov/​books/​NBK396398/​.
2.
go back to reference Adelman RD, Tmanova LL, Delgado D, Dion S, Lachs MS. Caregiver burden: a clinical review. JAMA. 2014;311(10):1052–60.CrossRef Adelman RD, Tmanova LL, Delgado D, Dion S, Lachs MS. Caregiver burden: a clinical review. JAMA. 2014;311(10):1052–60.CrossRef
5.
go back to reference Berg A, Palomaki H, Lonnqvist J, Lehtihalmes M, Kaste M. Depression among caregivers of stroke survivors. Stroke. 2005;36(3):639–43.CrossRef Berg A, Palomaki H, Lonnqvist J, Lehtihalmes M, Kaste M. Depression among caregivers of stroke survivors. Stroke. 2005;36(3):639–43.CrossRef
6.
go back to reference Swartz K, Collins LG. Caregiver care. Am Fam Physician. 2019;99(11):699–706.PubMed Swartz K, Collins LG. Caregiver care. Am Fam Physician. 2019;99(11):699–706.PubMed
9.
go back to reference Grunfeld E, Coyle D, Whelan T, Clinch J, Reyno L, Earle CC, et al. Family caregiver burden: results of a longitudinal study of breast cancer patients and their principal caregivers. Can Med Assoc J. 2004;170(12):1795–801.CrossRef Grunfeld E, Coyle D, Whelan T, Clinch J, Reyno L, Earle CC, et al. Family caregiver burden: results of a longitudinal study of breast cancer patients and their principal caregivers. Can Med Assoc J. 2004;170(12):1795–801.CrossRef
10.
go back to reference Oberst M, Thomas S, Gass K, Ward S. Caregiving demands and appraisal of stress among family caregivers. Cancer Nurs. 1989;12(4):209–15.CrossRef Oberst M, Thomas S, Gass K, Ward S. Caregiving demands and appraisal of stress among family caregivers. Cancer Nurs. 1989;12(4):209–15.CrossRef
11.
go back to reference Jensen S. Fatigue affecting family caregivers of cancer patients. Cancer Nurs. 1991;14(4):181–7.CrossRef Jensen S. Fatigue affecting family caregivers of cancer patients. Cancer Nurs. 1991;14(4):181–7.CrossRef
12.
go back to reference Kiecolt-Glaser JK, Dura JR, Speicher CE, Trask OJ, Glaser R. Spousal caregivers of dementia victims: longitudinal changes in immunity and health. Psychosom Med. 1991;53(4):345–62.CrossRef Kiecolt-Glaser JK, Dura JR, Speicher CE, Trask OJ, Glaser R. Spousal caregivers of dementia victims: longitudinal changes in immunity and health. Psychosom Med. 1991;53(4):345–62.CrossRef
13.
go back to reference Sansoni J, Riccio P, Vellone E, Piras G. Family dynamics: sleep quality of women caregivers of family members with Alzheimer disease. Professioni infermieristiche. 1999;52(2):73–9.PubMed Sansoni J, Riccio P, Vellone E, Piras G. Family dynamics: sleep quality of women caregivers of family members with Alzheimer disease. Professioni infermieristiche. 1999;52(2):73–9.PubMed
15.
go back to reference Schulz R, Beach SR. Caregiving as a risk factor for mortality: the caregiver health effects study. JAMA. 1999;282(23):2215–9.CrossRef Schulz R, Beach SR. Caregiving as a risk factor for mortality: the caregiver health effects study. JAMA. 1999;282(23):2215–9.CrossRef
16.
go back to reference Wright LK, Hickey JV, Buckwalter KC, Hendrix SA, Kelechi T. Emotional and physical health of spouse caregivers of persons with Alzheimer's disease and stroke. J Adv Nurs. 1999;30(3):552–63.CrossRef Wright LK, Hickey JV, Buckwalter KC, Hendrix SA, Kelechi T. Emotional and physical health of spouse caregivers of persons with Alzheimer's disease and stroke. J Adv Nurs. 1999;30(3):552–63.CrossRef
17.
go back to reference Holicky R. Caring for the caregivers. The hidden victims of illness and disability. Assoc Rehabil Nurs. 1996;21(5):247–52.CrossRef Holicky R. Caring for the caregivers. The hidden victims of illness and disability. Assoc Rehabil Nurs. 1996;21(5):247–52.CrossRef
18.
go back to reference World Health Organization. World health report 2006: working together for health: World Health Organization; 2004. World Health Organization. World health report 2006: working together for health: World Health Organization; 2004.
19.
go back to reference Jindai K, Nielson CM, Vorderstrasse BA, Quiñones AR. Multimorbidity and functional limitations among adults 65 or older, NHANES 2005–12. Prev Chronic Dis. 2016;13:160174.CrossRef Jindai K, Nielson CM, Vorderstrasse BA, Quiñones AR. Multimorbidity and functional limitations among adults 65 or older, NHANES 2005–12. Prev Chronic Dis. 2016;13:160174.CrossRef
20.
go back to reference Shnoor Y, Be’er S. The 65+ population in Israel: statistical yearbook Jerusalem abstract 2018. Brookdale Institute. Shnoor Y, Be’er S. The 65+ population in Israel: statistical yearbook Jerusalem abstract 2018. Brookdale Institute.
24.
go back to reference Schoenmakers B, Buntinx F, Delepeleire J. What is the role of the general practitioner towards the family caregiver of a community-dwelling demented relative? Scand J Prim Health Care. 2009;27(1):31–40.CrossRef Schoenmakers B, Buntinx F, Delepeleire J. What is the role of the general practitioner towards the family caregiver of a community-dwelling demented relative? Scand J Prim Health Care. 2009;27(1):31–40.CrossRef
25.
go back to reference Parmar J, Anderson S, Abbasi M, Ahmadinejad S, Brémault-Phillips S, Chan K, et al. Support for family caregivers: a scoping review of family physician's perspectives on their role in supporting family caregivers. Health Soc Care Commun. 2020;28(3):716–33. https://doi.org/10.1111/hsc.12928 Epub 2019 Dec 19.CrossRef Parmar J, Anderson S, Abbasi M, Ahmadinejad S, Brémault-Phillips S, Chan K, et al. Support for family caregivers: a scoping review of family physician's perspectives on their role in supporting family caregivers. Health Soc Care Commun. 2020;28(3):716–33. https://​doi.​org/​10.​1111/​hsc.​12928 Epub 2019 Dec 19.CrossRef
28.
go back to reference Little RJ, Schenker N. In: Arminger G, Clogg CC, Sobel ME, editors. Handbook of statistical modeling for the social and behavioral sciences; 1995. p. 39–75.CrossRef Little RJ, Schenker N. In: Arminger G, Clogg CC, Sobel ME, editors. Handbook of statistical modeling for the social and behavioral sciences; 1995. p. 39–75.CrossRef
29.
go back to reference Yaffe MJ, Klvana J. Physician perspectives on the elderly patient-family caregiver-physician encounter. Israel Med Assoc J. 2002;4(10):785–9. Yaffe MJ, Klvana J. Physician perspectives on the elderly patient-family caregiver-physician encounter. Israel Med Assoc J. 2002;4(10):785–9.
31.
go back to reference Collins LG, Swartz K. Caregiver care. Am Fam Physician. 2011;83(11):1309–17.PubMed Collins LG, Swartz K. Caregiver care. Am Fam Physician. 2011;83(11):1309–17.PubMed
33.
go back to reference Liber T, Bachner YG, Azoury Y. An integrative model for explaining the association between the characteristics of a family doctor, his clinic and family physician's compliance with the quality standards for the treatment of diabetics. Tel- Aviv: 2th Biennial Conference of the Israel Gerontological Society; 2018. Liber T, Bachner YG, Azoury Y. An integrative model for explaining the association between the characteristics of a family doctor, his clinic and family physician's compliance with the quality standards for the treatment of diabetics. Tel- Aviv: 2th Biennial Conference of the Israel Gerontological Society; 2018.
35.
go back to reference Parmar J, Anderson S, Duggleby W, Holroyd-Leduc J, Pollard C, Brémault-Phillips S. Developing person-centred care competencies for the healthcare workforce to support family caregivers: caregiver centered care. Health Soc Care Commun. 2020. https://doi.org/10.1111/hsc.13173 Online ahead of print. PMID : 32949440. Parmar J, Anderson S, Duggleby W, Holroyd-Leduc J, Pollard C, Brémault-Phillips S. Developing person-centred care competencies for the healthcare workforce to support family caregivers: caregiver centered care. Health Soc Care Commun. 2020. https://​doi.​org/​10.​1111/​hsc.​13173 Online ahead of print. PMID : 32949440.
Metadata
Title
Care for caregivers- a mission for primary care
Authors
Aya Biderman
Sara Carmel
Shimon Amar
Yaacov G. Bachner
Publication date
01-12-2021
Publisher
BioMed Central
Keyword
Care
Published in
BMC Primary Care / Issue 1/2021
Electronic ISSN: 2731-4553
DOI
https://doi.org/10.1186/s12875-021-01579-6

Other articles of this Issue 1/2021

BMC Primary Care 1/2021 Go to the issue