Exploring dementia management attitudes in primary care: a key informant survey to primary care physicians in 25 European countries

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskrift

Abstract

Background:: Strategies for the involvement of primary care in the management of patients with presumed or diagnosed dementia are heterogeneous across Europe. We wanted to explore attitudes of primary care physicians (PCPs) when managing dementia: (i) the most popular cognitive tests, (ii) who had the right to initiate or continue cholinesterase inhibitor or memantine treatment, and (iii) the relationship between the permissiveness of these rules/guidelines and PCP's approach in the dementia investigations and assessment. Methods:: Key informant survey. Setting: Primary care practices across 25 European countries. Subjects: Four hundred forty-five PCPs responded to a self-administered questionnaire. Two-step cluster analysis was performed using characteristics of the informants and the responses to the survey. Main outcome measures: Two by two contingency tables with odds ratios and 95% confidence intervals were used to assess the association between categorical variables. A multinomial logistic regression model was used to assess the association of multiple variables (age class, gender, and perceived prescription rules) with the PCPs’ attitude of “trying to establish a diagnosis of dementia on their own.” Results:: Discrepancies between rules/guidelines and attitudes to dementia management was found in many countries. There was a strong association between the authorization to prescribe dementia drugs and pursuing dementia diagnostic work-up (odds ratio, 3.45; 95% CI 2.28–5.23). Conclusions:: Differing regulations about who does what in dementia management seemed to affect PCP's engagement in dementia investigations and assessment. PCPs who were allowed to prescribe dementia drugs also claimed higher engagement in dementia work-up than PCPs who were not allowed to prescribe.

Detaljer

Författare
  • Shlomo Vinker
  • Tuomas H. Koskela
  • Thomas Frese
  • Nicola Buono
  • Jean Karl Soler
  • Jette Ahrensberg
  • Radost Asenova
  • Quintí Foguet Boreu
  • Gülsen Ceyhun Peker
  • Claire Collins
  • Miro Hanževački
  • Kathryn Hoffmann
  • Claudia Iftode
  • Donata Kurpas
  • Jean Yves Le Reste
  • Bjørn Lichtwarck
  • Davorina Petek
  • Daniel Pinto
  • Diego Schrans
  • Sven Streit
  • Eugene Yee Hing Tang
  • Athina Tatsioni
  • Péter Torzsa
  • Pemra C. Unalan
  • Harm Van Marwijk
Enheter & grupper
Externa organisationer
  • Tel-Aviv University
  • University of Tampere
  • Martin-Luther-Universität Halle-Wittenberg
  • National Italian Society of Medical Education In General Practice
  • Mediterranean Institute of Primary Care
  • Medical University of Plovdiv
  • Autonomous University of Barcelona
  • Ankara University
  • Irish College of General Practitioners
  • Health Care Center of Zagreb
  • Medical University of Vienna
  • Timis Society of Family Medicine
  • Wrocław Medical University
  • University of Western Brittany
  • Innlandet Hospital Trust
  • University of Ljubljana
  • Universidade Nova de Lisboa
  • Ghent University
  • University of Bern
  • University of Newcastle upon Tyne
  • University of Ioannina
  • Semmelweis University
  • Marmara University
  • Aarhus University
  • University of Manchester
Forskningsområden

Ämnesklassifikation (UKÄ) – OBLIGATORISK

  • Geriatrik

Nyckelord

Originalspråkengelska
Sidor (från-till)11413-1423
Antal sidor11
TidskriftInternational Psychogeriatrics
Volym29
Utgivningsnummer9
Tidigt onlinedatum2017 apr 18
StatusPublished - 2017
PublikationskategoriForskning
Peer review utfördJa

Relaterad forskningsoutput

Ferdinando Petrazzuoli, 2019, Lund: Lund University, Faculty of Medicine. 107 s.

Forskningsoutput: AvhandlingDoktorsavhandling (sammanläggning)

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