A more proactive approach by GPs would help to ease the burden on family carers
In Australia, up to 2.3 million people are involved in informal care of children, adults and older persons with disabling chronic and terminal conditions.1 Their role includes managing medications, therapies and medical emergencies; providing supervision and emotional support; and assisting with personal care, mobility and household tasks.1-3 While caring can provide considerable satisfaction and strengthen relationships, carers often feel exhausted, isolated and burdened by their responsibilities.1,3,4 In a recent survey of carers, 58% reported their physical health had been adversely affected, a third said they had sustained a physical injury, and over half reported depression, anxiety, high levels of stress and other impacts on their mental health.2
- 1 Carer Representation Stream, Carers Victoria, Melbourne, VIC.
- 2 Primary and Community Health Branch, Department of Human Services Victoria, Melbourne, VIC.
- 3 Williamstown General Practice Group, Williamstown, VIC.
- 1. Australian Bureau of Statistics. Disability, ageing and carers: summary of findings. 1998. (ABS Catalogue No. 4430.0.)
- 2. Briggs H, Fisher D. Warning: caring is a health hazard. Canberra: Carers Association of Australia, 2000.
- 3. Schofield H, Bloch S. Disability and chronic illness: the role of the family carer [editorial]. Med J Aust 1998; 169: 405-406.
- 4. Payda C, Draper B, Luscombe G, et al. Stress in carers of the elderly: a controlled study of patients attending a Sydney medical practice. Aust Fam Physician 1999; 28: 233-237.
- 5. Murphy B, Nankervis J, Schofield H, et al. The role of general practitioners and pharmacists in information exchange with family carers. Aust N Z J Public Health 1997; 21: 317-322.
- 6. Henderson M. Building partnerships with GPs: a resource guide. Outcomes from the General Practice Project funded by DHAC. Melbourne: Carers Links North, 2000.
- 7. Payne T. The carers checklist trial: final report. Sydney: Carers NSW Inc., 1999.
- 8. Carers NSW. Carer profile for health professionals. May 1998. Available at: <http://www.carernsw.asn.au>. Accessed 30 August 2002.
- 9. A guide to general practice engagement in primary care partnerships. Melbourne: Aged, Community and Mental Health Division, Victorian Department of Human Services, 2001.
- 10. Bruce D, Paley G, Underwood P, et al. Communication problems between dementia carers and general practitioners: effect on access to community support services. Med J Aust 2002; 177: 186-188. <eMJA full text>
- 11. Simon C, Kendrick T. Informal carers: the role of general practitioners and district nurses. Br J Gen Pract 2001; 51: 655-657.
- 12. Royal Australian College of General Practitioners. Practical guide to quality implementation of EPC MBS items. Available at: <http://www.racgp.org.au/folder.asp?id=649>.
- 13. Mathews M. Supporting GPs in enhanced primary care: identifying role for Divisions and practice nurses. Final report to ADGP. Melbourne: Monash Division of General Practice (Vic), June 2001.
- 14. Better outcomes in mental health. Commonwealth Department of Health and Ageing. Available at: <http://www.health.gov.au/internet/wcms/publishing.nsf/Content/mental-outcomes>. Accessed 9 September 2002, link updated October 2005.
- 15. Primary Health Care Research Evaluation and Development Strategy. Commonwealth Department of Health and Ageing. December 2001. Available at: <http://www.health.gov.au/internet/wcms/publishing.nsf/Content/health-pcd-programs-pcprograms-collab.htm>. Accessed 2 September 2002, link updated October 2005.