Vanya C Jones, Juhee Cho, Jackie Abendschoen-Milani, Andrea Gielen
Driving habits and risk exposure in older drivers: lessons learned from the implementation of a self-regulation curriculum
Traffic injury prevention
prevalence persons complex needs singapore rising poor understanding constitutes complexity impedes identification care gaps development interventions improve care individuals aim identify characteristics contributing complexity primary care family physicians fp perspectives focus group discussions fgds conducted january september 2021 experienced fps across 14 study sites employing qualitative descriptive approach based complexity framework data coded independently categorised using thematic analysis two independent investigators five fgds conducted 18 fps aged 32 57 years old working different primary care settings mean 135 years primary care experience participants emphasised need unified definition complexity complexity characterised presence issues spanning across two domains medical psychological social behavioural adversely impact medical care outcomes persons complex needs contrast persons medically difficult issues medical domain issues include number active medical problems poor chronic disease control treatment interactions illdefined symptoms management endoflife conditions functional impairment psychological domain issues include presence mental health conditions cognitive impairment social domain issues include lack social support competing social responsibilities financial issues behavioural domain issues include lack trust healthcare workers fixed health beliefs poor health literacy recognising medical psychological social behavioural factors contribute complexity aids discerning diverse needs individuals complex needs underscores need additional support pertinent areas