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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]