Fahrtauglichkeit bei Demenz – Theoretische Rahmung und Konzept einer Vorgehensempfehlung für die Hausarztpraxis

Pentzek, Michael; Michel, Jacqueline Verena; Ufert, Marie; Vollmar, Horst Christian; Wilm, Stefan; Leve, Verena

doi:10.1016/j.zefq.2015.03.005

Cited by 4 publications

(3 citation statements)

References 37 publications

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“…With regard to the present result on fitness to driving, the GDG specifically provides a section on dementia and driving and outlines the importance of evaluating current driving skills with the progression of dementia [ 28 ]. Previous research has acknowledged, that GPs play a key role in the assessment of fitness to drive in dementia, a topic of uncertainty and conflict for GPs [ 43 ]. A recent study found that GPs discussed fitness to drive with only 32.1% of potentially driving elderly patients [ 44 ].…”

Section: Discussionmentioning

confidence: 99%

Dementia care and the role of guideline adherence in primary care: cross-sectional findings from the DemTab study

et al. 2021

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Background General practitioners (GPs) play a key role in the care of people with dementia (PwD). However, the role of the German Dementia Guideline in primary care remains unclear. The main objective of the present study was to examine the role of guideline-based dementia care in general practices. Methods A cross-sectional analysis of data obtained from the DemTab study was conducted. Descriptive analyses of sociodemographic and clinical characteristics for GPs (N = 28) and PwD (N = 91) were conducted. Adherence to the German Dementia Guideline of GPs was measured at the level of PwD. Linear Mixed Models were used to analyze the associations between adherence to the German Dementia Guideline and GP factors at individual (age, years of experience as a GP, frequency of utilization of guideline, perceived usefulness of guideline) and structural (type of practice, total number of patients seen by a participating GP, and total number of PwD seen by a participating GP) levels as well as between adherence to the German Dementia Guideline and PwD’s quality of life. Results Self-reported overall adherence of GPs was on average 71% (SD = 19.4, range: 25–100). Adherence to specific recommendations varied widely (from 19.2 to 95.3%) and the majority of GPs (79.1%) reported the guideline as only partially or somewhat helpful. Further, we found lower adherence to be significantly associated with higher numbers of patients (γ10 = − 5.58, CI = − 10.97, − 0.19, p = .04). No association between adherence to the guideline and PwD’s quality of life was found (γ10 = −.86, CI = − 4.18, 2.47, p = .61). Conclusion The present study examined the role of adherence to the German Dementia Guideline recommendations in primary care. Overall, GPs reported high levels of adherence. However, major differences across guideline recommendations were found. Findings highlight the importance of guidelines for the provision of care. Dementia guidelines for GPs need to be better tailored and addressed. Further, structural changes such as more time for PwD may contribute to a sustainable change of dementia care in primary care. Trial registration The DemTab trial was prospectively registered with the ISRCTN registry (Trial registration number: ISRCTN15854413). Registered 01 April 2019.

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Section: Discussionmentioning

confidence: 99%

Dementia care and the role of guideline adherence in primary care: cross-sectional findings from the DemTab study

et al. 2021

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“…With regard to the present result on tness to driving, the GDG speci cally provides a section on dementia and driving and outlines the importance of evaluating current driving skills with the progression of dementia (28). Previous research has acknowledged, that GPs play a key role in the assessment of tness to drive in dementia, a topic of uncertainty and con ict for GPs (44). A recent study found that GPs discussed tness to drive with only 32.1% of potentially driving elderly patients (45).…”

Section: Adherence To the German Dementia Guideline In Primary Carementioning

confidence: 99%

Dementia Care and the Role of Guideline Adherence in Primary Care: Cross-Sectional Findings From the DemTab Study

Lech

O’Sullivan

Drewelies³

et al. 2021

Preprint

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Background: General practitioners (GPs) play a key role in the care of people with dementia (PwD). However, the role of the German Dementia Guideline in primary care remains unclear. The main objective of the present study was to examine the role of guideline-based dementia care in general practices.Methods: A cross-sectional analysis of data obtained from the DemTab study was conducted. Descriptive analyses of sociodemographic and clinical characteristics for GPs (N = 28) and PwD (N = 91) were conducted. Adherence to the German Dementia Guideline of GPs was measured at the level of PwD. Linear Mixed Models were used to analyze the associations between adherence to the German Dementia Guideline and GP factors at individual (age, years of experience as a GP, frequency of utilization of guideline, perceived usefulness of guideline) and structural (type of practice, total number of patients seen by a participating GP, and total number of PwD seen by a participating GP) levels as well as between adherence to the German Dementia Guideline and PwD’s quality of life. Results: Self-reported overall adherence of GPs was on average 71% (SD = 19.4, range: 25 – 100). Adherence to specific recommendations varied widely (from 19.2% to 95.3%) and the majority of GPs (79.1%) reported the guideline as only partially or somewhat helpful. Further, we found lower adherence to be significantly associated with higher numbers of patients (γ10 = -5.58, CI = -10.97, -0.19, p = .04). No association between adherence to the guideline and PwD’s quality of life was found (γ10 = -.86, CI = -4.18, 2.47, p = .61). Conclusion: The present study examined the role of adherence to the German Dementia Guideline recommendations in primary care. Overall, GPs reported high levels of adherence. However, major differences across guideline recommendations were found. Findings highlight the importance of guidelines for the provision of care. Dementia guidelines for GPs need to be better tailored and addressed. Further, structural changes such as more time for PwD may contribute to a sustainable change of dementia care in primary care.Trial registration: The DemTab trial was prospectively registered with the ISRCTN registry (Trial registration number: ISRCTN15854413). Registered 01 April 2019, https://doi.org/10.1186/ISRCTN15854413

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“…In Germany, general practitioners (GPs) usually carry out this function and act as a navigator in the healthcare system for planning further care. GPs are often the first point of contact for health issues and therefore play an important role as confidants, especially for older people, based on a long-term, well-established patient-doctor relationship [ 5 , 6 ]. GPs are expected to take a central role and act as case managers in the diagnosis process and subsequent care of PwD [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Transition of patients with recently diagnosed Dementia from inpatient to outpatient setting– a scoping review

Hegerath,

Giehl,

Pentzek

et al. 2024

BMC Geriatr

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Introduction After being diagnosed with dementia, patients need a medical professional to empathetically address their fears and get initial questions answered. This scoping review therefore addresses how patients newly diagnosed with dementia are cared for in the general practitioner (GP) setting and how the communication between different healthcare professionals and the GP is handled. Methods The scoping review was conducted based on the PRISMA Extension for Scoping Reviews checklist. After developing a search algorithm, literature searches were performed in PubMed, Scopus, Web of Science, Cochrane Library, PsychInfo, GeroLit and Cinahl using defined search criteria, such as a focus on qualitative study designs. After the removal of duplicates, title/abstract and full text screening was carried out. Results Final data extraction included 10 articles out of 12,633 records. Strategies regarding the post-acute care of newly diagnosed patients included providing clarity and comfort to the patients and giving support and information both pre- and post-diagnosis. Care efforts were focused on advanced care planning and deprescribing. Involving people with dementia and their caregivers in further care was seen as crucial to provide them with the support needed. GPs emphasised the importance of listening to concerns, as well as ensuring wishes are respected, and autonomy is maintained. All studies found communication between the GP setting and other healthcare professionals regarding post-acute care to be inadequate. Lack of information sharing, clinical notes and recommendations for the GP setting resulted in inefficient provision of support, as GPs feel limited in their ability to act. Discussion Sharing necessary information with the GP setting could promote patient-centred care for people living with dementia and facilitate appropriate and timely resource allocation and effective healthcare collaboration between the settings, for example, by defining clear care pathways and clarifying roles and expectations.

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Fahrtauglichkeit bei Demenz – Theoretische Rahmung und Konzept einer Vorgehensempfehlung für die Hausarztpraxis

Cited by 4 publications

References 37 publications

Dementia care and the role of guideline adherence in primary care: cross-sectional findings from the DemTab study

Dementia care and the role of guideline adherence in primary care: cross-sectional findings from the DemTab study

Dementia Care and the Role of Guideline Adherence in Primary Care: Cross-Sectional Findings From the DemTab Study

Transition of patients with recently diagnosed Dementia from inpatient to outpatient setting– a scoping review

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