The attitudes and practices of general practitioners regarding dementia diagnosis in Ireland

Cahill, Suzanne; Clark, Maeve; O’Connell, Henry; Lawlor, Brian A.; Coen, Robert F.; Walsh, Cathal

doi:10.1002/gps.1956

Cited by 126 publications

(138 citation statements)

References 20 publications

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“…An Ireland [16] finding was the similar with our result. Also, we found, the general concept of dementia in not positive-it is considered a disease of elderly.…”

Section: Mostly Dementia Patients Visited In Primary Caresupporting

confidence: 92%

“…In next study, only 47.6% of GPs received training in the diagnosis and management of dementia and only 43.9% used specific protocols to diagnosis. As well as rest of them focused some need for more support for families, more respite care, day centres and social activities for people with dementia [16]. A growing number of studies [17] [18].…”

Section: -4 Minute Gpcog (Verbal 4-5) Minute and Minute Screenmentioning

confidence: 99%

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Multidisciplinary Doctor’s Clinical Practice, Confident And Difficulties To Manage And Care For Dementia In Remote Area Hospital

Pathak

Montgomery

2017

JBTM

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Objectives: To examine multidisciplinary doctor's clinical practice, confident and difficulties to manage and care for dementia in remote area hospital. Method:A structured self-completed questionnaire, purposive sampling method with 18 multi-specialist doctors from united mission hospital.Results: Key findings are dementia is a complex condition to diagnose and management that takes time to diagnose and current dementia assessment process is conflict between GPs and other professionals. As well as specialist did not consider that diagnosing dementia was benefited, nor current applied diagnostic methods are appropriate and they are skeptical about the advantages of dementia medications and methods which they have practice on primary care. Similarly, GPs detection is not final decision therefore better to make collaboration with others specialist professionals-neither confident to diagnose nor easy to get medicine in the local market.Likewise, neither social support nor day care and memory clinic services are available in the community. Lack of epidemiology knowledge, practice and experience, cost of dementia care, no governmental policy, no early diagnosis are additional barriers aspects to reach accurate diagnosis. Conclusions:Still the diagnostic methodology and practice has not similar to screening dementia so it does not seem significantly benefit in screening. Rather early diagnosis, collaboration with multi specialist doctors, appropriate referral pathways, diagnostic guideline and refined MMSE tool is far better. It is not only issue of primary care doctors'-and not possible to detect the dementia without collaboration of multi experts group. The burden impact of dementia prevalence has been underestimated in developing countries. DOI DesignPurposive sampling method was used to achieve the objectives and it was conducted after the taking permission using self-completed question (English version) set with the specialist doctors in hospital. All these questions were both distributed and collected by the hospital director and it was collected after the information by the same director with in one months of the distributed date. There was not any bias to distribute the questions to the specialist. It was requested to complete questionnaire set according to their own current knowledge but not taking any support from out.These question set were distributed for those specialists only who were wishing to fill-up question- Results Demographic Characteristics of SubjectsThis paper describes diagnosis practices, and among of them 6 were foreigner specialist from UK, Australia, Africa, USA, Germany and China, who were working in that hospital since long years ago.The proportion of female number is nearly 50%; that was equal with the male experts. We could not find the diagnostic and management experiences difference between the male and female respondents. More than eighty percent doctors were full timer and the diagnosis process handling by them in the out-patient's department. Neither there was Geriatric ...

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“…An Ireland [16] finding was the similar with our result. Also, we found, the general concept of dementia in not positive-it is considered a disease of elderly.…”

Section: Mostly Dementia Patients Visited In Primary Caresupporting

confidence: 92%

Section: -4 Minute Gpcog (Verbal 4-5) Minute and Minute Screenmentioning

confidence: 99%

Multidisciplinary Doctor’s Clinical Practice, Confident And Difficulties To Manage And Care For Dementia In Remote Area Hospital

Pathak

Montgomery

2017

JBTM

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“…General practitioners have highlighted their lack of knowledge about community services and resources, about making the diagnosis and the ability to distinguish between dementia and normal ageing (and the subsequent fear of making a false diagnosis), and about how to communicate the diagnosis (216). Other themes which have been identified as potential barriers to diagnosis include perceived lack of available support services, therapeutic nihilism, late presentation (which is sometimes due to mistaking the signs of dementia for normal ageing), practitioners' own emotional responses and stigma (216)(217)(218).…”

Section: Workforce Attitudes and Knowledgementioning

confidence: 99%

“…Some recent studies have specifically highlighted stigma as a factor that may interfere with timely diagnosis (218)(219)(220)(221) and with communicating the diagnosis (175,218,222,223). On the basis of a five-country qualitative study involving multidisciplinary focus groups, the researchers concluded that stigma is the most powerful obstacle to timely diagnosis (220).…”

Section: Workforce Attitudes and Knowledgementioning

confidence: 99%

Betyr Alzheimers sykdom demens?

Rosness¹

2015

Tidsskriftet

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“…The former includes stigma or delayed presentation (9,10). The practitioner factors include diagnostic uncertainty or perceived lack of knowledge (11,12), therapeutic nihilism (13), and concerns about disclosing the diagnosis (14). These factors are shared by primary care and community nurses (15).…”

Section: Introductionmentioning

confidence: 99%