| 42 Themes Categories Codes References Interaction with HCP 4.1.Dismissive reaction HCP to concerns HCP normalizes symptoms (38, 45,46) Doctor is dismissive (38, 43) The doctor takes concerns seriously immediately (38, 43) HCP confirms necessity of testing (41) 4.2. Consequences of reaction HCP Empowered by heightened concerns leads to concerns being taken seriously (P) (38) Seeking second opinion (38) 4.3. (shared) decision-making SDM is limited (41, 44) PwMC and SO ask clinician for advice on testing (44) Judgement HCP dependent on perceived qualifications HCP (age, education) (38) Ability of PwMC/SO to communicate about symptoms/needs (45) Trust in family doctor to follow advice (45) 5.Health status of PwMC Personal characteristics Mobility person with memory complaints (39) Family history of dementia (41) 5.2. Medical characteristics Need for medical intervention because of physical complaints (40, 46) Crisis (40, 43) Presence of comorbidities provides distraction for SO’s, PwMC and HCP (40, 45) 6. Societal factors 6.1 Stigmatization Avoid stigma Fear of stigmatization (45, 46) Self-stigmatization (avoiding social situations to avoid embarrassing situations) (P) (42) Hard to seek help for mental problems (46) 6.2. Cultural beliefs Outside help is intrusive, care is family responsibility (SO) (46) Expectations of skills later in life (SO) (46) Responsibility to take care of the elderly (SO) (39) Family hierarchy (SO) (46) 6.3. Socio-economic status (social capital) Knowledge on dementia (45) Language skills (45) Financial benefits (41) Note. PwMC = Person with Memory Complaints, HCP = Health Care Professional, P = code expressed by a person with memory complaints, SO = code expressed by a significant other.
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