ArticleZeitschrift fur Gerontologie und Geriatrie2018
[Indicators of an increase in dementia diagnosis rate in primary care].
Article in Zeitschrift fur Gerontologie und Geriatrie, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed, 6 citations in OpenAlex.
- General practitioners' attitudes towards early diagnosis of dementia: a cross-sectional survey.BMC family practice · 2019Article
- Association Between Hearing and Vision Impairment and Risk of Dementia: Results of a Case-Control Study Based on Secondary Data.Frontiers in aging neuroscience · 2019Article
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Authors and funding
4 authors at 3 institutions in 2 countries.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundIn 2013 and 2014 dementia diagnoses in general practitioner (GP) practices dramatically increased, a phenomenon most likely caused by monetary incentives.
objectiveWhich GP practice-dependent indicators are associated with the increase in dementia diagnoses and are thus decisive factors for the way in which physicians in GP practices respond to monetary incentives? MATERIAL AND
methodsWe performed a retrospective, longitudinal analysis of 856 GP practices. The increase in dementia diagnoses was calculated by comparing the number of newly diagnosed persons with dementia (PWD) per GP practice in 2012 and 2014. The indicators of the ability to respond included in this study were (1) practice size (number of patients treated per year), (2) geriatric focus (number of patients ≥70 years), and (3) willingness to diagnose (number of newly diagnosed PWD in 2012) and treat (number of antidementia prescriptions in 2012). The analysis of the association between the ability to respond and the indicators was performed using logistic regression.
resultsThe changes in the number of diagnoses in GP practices differed greatly. The incidence increase was associated with a higher number of patients treated in a practice and a higher number of patients aged 70 years or older. DISCUSSION: Physicians in general practices with a larger number of cases, especially of geriatric patients, showed a higher willingness to respond to monetary incentives introduced to improve the care of geriatric patients. Whether these monetary incentives also lead to an improvement in the quality of care and the lives of PWD should be examined in future analyses.
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