General practitioners' attitudes towards early diagnosis of dementia: a cross-sectional survey.

Détails

Ressource 1Télécharger: 31109304_BIB_49A053FDCB13.pdf (1031.38 [Ko])
Etat: Public
Version: Final published version
Licence: CC BY 4.0
ID Serval
serval:BIB_49A053FDCB13
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
General practitioners' attitudes towards early diagnosis of dementia: a cross-sectional survey.
Périodique
BMC family practice
Auteur⸱e⸱s
Giezendanner S., Monsch A.U., Kressig R.W., Mueller Y., Streit S., Essig S., Zeller A., Bally K.
ISSN
1471-2296 (Electronic)
ISSN-L
1471-2296
Statut éditorial
Publié
Date de publication
20/05/2019
Peer-reviewed
Oui
Volume
20
Numéro
1
Pages
65
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: epublish
Résumé
Dementia is often underdiagnosed in general practice, which may be based on general practitioners' (GPs') knowledge and emotional factors as well as external problems. This study aimed to describe GPs' attitudes toward early diagnosis of dementia.
Cross-sectional postal survey in Switzerland in 2017. Members of the Swiss Association of General Practitioners (N = 4460) were asked to participate in the survey. The questionnaire assessed attitudes, enablers and barriers to early dementia diagnosis and post-diagnostic intervention strategies. Exploratory factor analysis and linear regression were used.
The survey response rate was 21%. 85% of GPs agreed with enablers of early dementia recognition (e.g. "Plan for the future, organize support and care", "Minimize the strain and insecurity of patients and their informal family caregivers"). On the other hand, 15% of respondents perceived barriers towards early dementia recognition (e.g. "Time constraints in carrying out the necessary procedures to diagnose dementia"). GPs who were more likely to agree with barriers would less often counsel family members (β = - 0.05, 95% CI = - 0.09 - -0.02) or test fitness to drive (β = - 0.05, 95% CI = - 0.09 - -0.02), and more often choose a watchful waiting strategy (β = 0.05, 95% CI = 0.02-0.09).
The attitude of the majority of GPs is not characterized by diagnostic and therapeutic nihilism. However, negative attitudes were associated with sub-optimal management after the diagnosis. Thus, health systems are required to critically examine the use of available resources allowing GPs to look after patients and their relatives in a holistic way.
Mots-clé
Attitude of Health Personnel, Dementia/diagnosis, Dementia/therapy, Early Diagnosis, Factor Analysis, Statistical, Female, General Practitioners, Humans, Linear Models, Male, Middle Aged, Surveys and Questionnaires, Switzerland, Attitudes, Barriers, Dementia, Early diagnosis, Primary care
Pubmed
Web of science
Open Access
Oui
Création de la notice
25/05/2019 10:44
Dernière modification de la notice
15/01/2021 7:09
Données d'usage