The Role of General Practitioners in the Diagnosis and Treatment of Alzheimer's Disease: A Multinational Survey

Wilkinson, D; Stave, Christopher D; Keohane, Denis; Vincenzino, O.

doi:10.1177/147323000403200207

Cited by 75 publications

(81 citation statements)

References 27 publications

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“…In the primary care surveys that explored the tasks of the general practitioner in dementia-care management, most general practitioners reported feeling highly involved in dementia care. In contrast, caregivers found communication unsatisfactory and strongly regretted the time delay between first symptoms and diagnosis [22,23,27]. In this light it is relevant to mention that caregivers admitted that they did not appreciate the use of explicit diagnostic terms [21].…”

Section: Communication and Coordination Skills Of The General Practitmentioning

confidence: 90%

“…In particular, behavioral disturbances and psychosocial aspects were rated as highly difficult and not necessarily part of their job [15,24,26]. Caregivers reported their general practitioner to be unaware of the daily homecare problems and only half of the caregivers had confidence in the general practitioner's dementiamanagement skills [23,27].…”

Section: Study Characteristicsmentioning

confidence: 99%

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What is the role of the general practitioner towards the family caregiver of a community-dwelling demented relative?

Schoenmakers

Buntinx

Delepeleire

2009

Scandinavian Journal of Primary Health Care

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Section: Communication and Coordination Skills Of The General Practitmentioning

confidence: 90%

Section: Study Characteristicsmentioning

confidence: 99%

What is the role of the general practitioner towards the family caregiver of a community-dwelling demented relative?

Schoenmakers

Buntinx

Delepeleire

2009

Scandinavian Journal of Primary Health Care

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“…AD duration, from onset to diagnosis, is varied. A report from Millward Brown, 182 on diagnosis of dementia, finds an average of 32 months between onset of symptoms and diagnosis in the UK, whereas Wilkinson and colleagues 183 report a period of 12 months from onset to diagnosis. A value of 12 months is used for the AD duration parameter in the SHTAC model (with an assumed SD of 6 months), which is the conservative estimate (favouring the drug treatment cohort), undertaking sensitivity analysis at an input of 32 months.…”

Section: Baseline Cohort Of Ad Patientsmentioning

confidence: 99%

The clinical and cost-effectiveness of donepezil, rivastigmine, galantamine and memantine for Alzheimer's disease

Loveman

Green²,

Kirby³

et al. 2006

Health Technol Assess

164

114

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“…Respondents were not confident to recommend medication on the time of diagnose but GPs are easily accessible [24]. The overall score reflects low confidence with the respondents.…”

Section: Confidence In Making Diagnosis Dementiamentioning

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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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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The Role of General Practitioners in the Diagnosis and Treatment of Alzheimer's Disease: A Multinational Survey

Cited by 75 publications

References 27 publications

What is the role of the general practitioner towards the family caregiver of a community-dwelling demented relative?

What is the role of the general practitioner towards the family caregiver of a community-dwelling demented relative?

The clinical and cost-effectiveness of donepezil, rivastigmine, galantamine and memantine for Alzheimer's disease

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

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