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Who steers the ship? Rural family physicians’ views on collaborative care models for patients with dementia

  • Julie Kosteniuk (a1), Debra Morgan (a2), Anthea Innes (a3), John Keady (a4), Norma Stewart (a5), Carl D'Arcy (a6) and Andrew Kirk (a7)...


Little is known about the views of rural family physicians (FPs) regarding collaborative care models for patients with dementia. The study aims were to explore FPs’ views regarding this issue, their role in providing dementia care, and the implications of providing dementia care in a rural setting. This study employed an exploratory qualitative design with a sample of 15 FPs. All rural FPs indicated acceptance of collaborative models. The main disadvantages of practicing rural were accessing urban-based health care and related services and a shortage of local health care resources. The primary benefit of practicing rural was FPs’ social proximity to patients, families, and some health care workers. Rural FPs provided care for patients with dementia that took into account the emotional and practical needs of caregivers and families. FPs described positive and negative implications of rural dementia care, and all were receptive to models of care that included other health care professionals.

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Corresponding author

Correspondence to: Dr Julie Kosteniuk, Canadian Centre for Health and Safety in Agriculture, 103 Hospital Drive, Royal University Hospital, 103 Hospital Drive, Saskatoon, Saskatchewan, Canada S7N 0W8. Email:


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