title: Who steers the ship? Rural family physicians' views on collaborative care models for patients with dementia.
abstract: 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.
authors.affiliation: 1 Canadian Centre for Health and Safety in Agriculture, University of Saskatchewan, Saskatoon, SK, Canada.
authors.forename: Julie
authors.initials: J
authors.lastname: Kosteniuk
authors.affiliation: 2 CIHR-SHRF Applied Chair in Health Services and Policy Research, College of Medicine Chair in Rural Health Delivery, Canadian Centre for Health and Safety in Agriculture, University of Saskatchewan, Saskatoon, SK, Canada.
authors.forename: Debra
authors.initials: D
authors.lastname: Morgan
authors.affiliation: 3Professor of Health and Social Care Research and Director, Director, Bournemouth University Dementia Institute, Bournemouth University, Dorset, UK.
authors.forename: Anthea
authors.initials: A
authors.lastname: Innes
authors.affiliation: 4Professor of Mental Health Nursing and Older People, School of Nursing, Midwifery and Social Work, University of Manchester, Manchester, UK.
authors.forename: John
authors.initials: J
authors.lastname: Keady
authors.affiliation: 5Professor of Nursing in the College of Nursing, University of Saskatchewan, Saskatoon, SK, Canada.
authors.forename: Norma
authors.initials: N
authors.lastname: Stewart
authors.affiliation: 6Professor in the Department of Psychiatry, University of Saskatchewan, Saskatoon, SK, Canada.
authors.forename: Carl
authors.initials: C
authors.lastname: D'Arcy
authors.affiliation: 7Professor and Head in the Neurology Division, Department of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
authors.forename: Andrew
authors.initials: A
authors.lastname: Kirk
mesh_terms: D000368:Aged; D000416:Alberta; D001291:Attitude of Health Personnel; D017028:Caregivers / Q000523:psychology*; D003299:Cooperative Behavior; D003704:Dementia / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D017146:Models, Organizational; D010821:Physicians, Family / Q000523:psychology* / Q000706:statistics & numerical data; D036301:Qualitative Research; D019035:Rural Health Services / Q000458:organization & administration*; D012944:Social Support; D000078329:Workforce