General practitioner's clinical practices, difficulties and educational needs to manage Alzheimer's disease in France : analysis of national telephone-inquiry data

Details

Serval ID
serval:BIB_A7C5375B5B53
Type
Article: article from journal or magazin.
Collection
Publications
Title
General practitioner's clinical practices, difficulties and educational needs to manage Alzheimer's disease in France : analysis of national telephone-inquiry data
Journal
BMC Family Practice
Author(s)
Somme D., Gautier A., Pin S., Corvol A.
ISSN
1471-2296 (Electronic)
ISSN-L
1471-2296
Publication state
Published
Issued date
2013
Volume
14
Pages
81
Language
english
Notes
Article en open access.
Abstract
BACKGROUND: The literature has emphasized the role of general practitioners (GPs) in caring for Alzheimer's disease (AD) patients. Within the framework of the French national AD plan, an inquiry was undertaken to identify the clinical practices, difficulties and training needs of GPs managing this pathology.
METHODS: A random sample from a representative national listing of continental French GPs following ≥1 AD patients comprised the study population. Participants completed a standard questionnaire on their clinical practices, difficulties and educational needs for AD management. Feeling insufficiently trained was subjected to univariate and multivariate analyses.
RESULTS: A minority of the 974 respondents declared using questionnaires in their diagnostic evaluation (15.2%), told the patient the diagnosis (8.2%) and was aware of the national recommendations for AD (41.9%). Behavioral disorders represented the most common (73.5%) problem encountered, while half of the GPs considered management of comorbidities easy roles to fulfill. In comparison, coordination of care and assistance did not seem to be a primary problem. A score was calculated, attributing 1 point to each of the following items: need for further education in terms of communications with the family, with patients, disclosing the diagnosis, and non-drug treatments. The factors linked to feeling insufficiently trained for 3 or 4 of the 4 items were: female sex; not involved in educational programs (for parents/family and patients) and no activity related to training medical students.
CONCLUSIONS: Our study identified gaps in French GP training concerning AD diagnosis practices and diagnosis announcement. GPs seemed aware of their educational needs and described difficulties in managing behavioral disorders. Our findings enabled the definition of policy priorities to provide training and disseminate information.
Pubmed
Open Access
Yes
Create date
15/01/2015 21:03
Last modification date
20/08/2019 15:12
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