Examination of level of knowledge in Italian general practitioners attending an education session on diagnosis and management of the early stage of Alzheimer's disease: pass or fail?

Veneziani, F.; Solfrizzi, Vincenzo; Capozzo, Rosa; Barulli, Maria Rosaria; Leo, Antonio; Lozupone, Madia; Fontana, Andrea; Arcuti, Simona; Copetti, Massimiliano; Cardinali, Valentina; Grasso, Alessandra; Tursi, Marianna; Iurillo, Annalisa; Imbimbo, Bruno P.; Seripa, Davide; Logroscino, Giancarlo

doi:10.1017/s1041610216000041

Cited by 21 publications

(22 citation statements)

References 59 publications

(86 reference statements)

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“…However, the barriers were still existed. For example, they were not confident in their skills on making the early diagnosis or screening patients to be referred to the specialists [11,13,14]. In order to address these problems, further education of GPs has been widely advocated [15].…”

Section: Introductionmentioning

confidence: 99%

Knowledge, attitudes and skills of dementia care in general practice: a cross-sectional study in primary health settings in Beijing, China

Wang

Huang

et al. 2020

BMC Fam Pract

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Background: General practitioners (GPs) play a significant role in dementia care. However, the knowledge and attitudes of them towards dementia care are poorly characterized. The present study aimed to investigate GPs' knowledge, attitudes and skills of dementia care in primary health settings in Beijing. Methods: A cross-sectional survey was conducted in 27 community health service centers (CHSCs) in Beijing. The GPs' knowledge, attitudes and skills were assessed utilizing the Alzheimer's Disease Knowledge Scale (ADKS), Dementia Care Attitude Scale (DCAS) and self-designed questionnaire, respectively. Results: A total of 341 participants returned the questionnaire. The overall mean score of GPs' dementia knowledge measured by the ADKS was 21.42 (SD = 2.73) out of 30 (71.4%), GPs' attitudes to dementia care was 36.25 (SD = 5.12) out of 50 (72.5%), and GPs' self-confidence on dementia care skills was 53.93 (SD = 9.57) out of 75 (71.9%). GPs' overall knowledge towards dementia care was limited and the attitudes were generally positive. They had low level recognition of their roles towards dementia care. The majority of GPs believed that dementia care was within a specialist's domain not that of general practice. Conclusion: GPs demonstrate low levels of dementia knowledge and skills, but express generally positive attitudes towards dementia in this study. It is much needed to translate detailed dementia care handbook, and adequate dementia knowledge training for GPs into practice to improve care outcomes for people with dementia in China. In addition, dementia management should be covered in the national basic package of public health services in primary care.

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Section: Introductionmentioning

confidence: 99%

Knowledge, attitudes and skills of dementia care in general practice: a cross-sectional study in primary health settings in Beijing, China

Wang

Huang

et al. 2020

BMC Fam Pract

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“…GPs characteristics play an important role in the diagnosis of AD, as confirmed by previous research [16]. Eligibility in this research, however, was based on their professional duties as GPs in the primary care setting; those who have had the responsibility of the diagnosis and management of AD patients within the last ten years, with responses similar around the themes.…”

Section: Discussionmentioning

confidence: 62%

Perspectives of General Practitioners on the Issues Surrounding the Late Diagnosis of Alzheimer’s Disease

Bature

Guinn

Pang

et al. 2018

Journal of Alzheimer's Disease Reports

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We set out to investigate the insights general practitioners (GPs) have into the early signs and symptoms of Alzheimer’s disease (AD), factors that may be responsible for the late diagnosis, as well as their recommendations for early diagnosis of AD. This was a semi-structured, qualitative and audio-recorded interview of seven GPs, from five GP surgeries in Milton Keynes and Luton, using the framework analysis. GPs reported challenges with the current patient’s consultation time, a lack of continuity of care, inadequate training, limited support for patients after diagnosis, and poor treatment of the UK’s aging population. The study highlights important changes that would facilitate the earlier diagnosis of AD.

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“…[ 21,27,28,30] Clinicians' training Easier access to medico-scientific databases/guidelines/tools [1,3,30,34,35] More information about the research activities of the hospital [11,27] Trainings about specific diagnostic guidelines [5,7,29,30,35,36] Financing of the participation to international scientific conferences [3,21] Establishment of healthcare algorithms [5,30,35] Existing legal framework for the reimbursement of cross-country care within the ERN [7] Existing legal framework for the recognition of expertise in Europe [8] Financial support for ERN's activities and missions [ A short description and/or definition of highly specific or complex activities has been mentioned in the third column. The fourth column contains the bibliographic sources that support the relevance of each strategy/aspect investigated and provide practical examples of the use of these strategy.…”

Section: Methodsmentioning

confidence: 99%

Strategies to improve the quality of reference networks for rare diseases

Vandevelde

2020

TRD

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BACKGROUND: In 2017, 24 European Reference Networks (ERNs) have been recognized in order to improve rare diseases' management. However, a lack of practical information persists regarding the most adequate ways to fulfil ERNs' quality criteria. OBJECTIVE: Identify the most efficient strategies to improve ERNs' quality. METHODS: 67 strategies, related to 8 activity domains (Quality Management System, healthcare coordination, clinicians' training, inter-ERNs' members collaborations, clinical data management, ERNs' external collaborations/supports, information provided to patients, and ERNs' financing) were selected from peer-reviewed scientific publications. Their usefulness, feasibility and adequacy was evaluated by 17 ERNs-related clinicians and 10 Belgian health policy makers. RESULTS: Results showed that the most efficient strategies are the participation of quality controls, satisfaction surveys among patients and external physicians, diffusion of information about the hospitals' research activities, specific trainings addressed to clinicians, exchange of medical samples between hospitals, and development of adequate clinical databases. The poor practical feasibility of 7 highly-useful strategies was also highlighted, such as major clinicians' concerns regarding legal/ethical frameworks for the reimbursement of crosscountry care and exchange of patients' data. CONCLUSIONS: This study enabled identification of efficient strategies to improve and validate ERNs' quality, expertise and functioning, as well as weaknesses that should be addressed.

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Examination of level of knowledge in Italian general practitioners attending an education session on diagnosis and management of the early stage of Alzheimer's disease: pass or fail?

Cited by 21 publications

References 59 publications

Knowledge, attitudes and skills of dementia care in general practice: a cross-sectional study in primary health settings in Beijing, China

Knowledge, attitudes and skills of dementia care in general practice: a cross-sectional study in primary health settings in Beijing, China

Perspectives of General Practitioners on the Issues Surrounding the Late Diagnosis of Alzheimer’s Disease

Strategies to improve the quality of reference networks for rare diseases

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