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Box 1 Exemplifying quotes from the interviews

From: Disentangling the concept of “the complex older patient” in general practice: a qualitative study

1a. And when I make arrangements, well, I can write it down in the file for the home-carers, but then I encounter the problem of how to inform the physical therapist or the people of the day care centre, that kind of stuff

1b. Yes, there are different shifts and 15 different people are involved with one lady. So then they must have a team meeting and they all must understand how to approach such a person. And that’s just…well, I can see it’s not working

2a. Maybe she is becoming demented…she is suspicious… Well, may she? Yes, maybe an 88-year old woman is allowed to go through a slight character change…But well…It does go too far when she won’t accept visitors. But maybe I am seeing things too negatively

2b. Somebody who does not want anything has that right, so then you are trapped…While simultaneously you feel pressure from the family, pointing out that he is not doing well.

3. One and a half years ago, she went to see the cardiologist because of some valve problems, but no cause was found. Very frustrating […] You would think we have a cure. So I prescribe something, but she complains again.

4. My weekly attendance prevents escalation. […]. Yes, actually, I am over there too often […]. Well, really, there should be nursing professionals with more experience with Parkinson patients. That would reduce my presence to only once a month [instead of once a week].

5a. I thought you should stay mobile, especially when you have Parkinson’s disease you should practice that. But that was just a thought I had and I have no idea if it is actually true

5b. Can we make it possible for them to stay living in their own home (with M. Parkinson)? I don’t think the neurologist knows. I fear that a geriatrician also doesn’t know.