ArticleBMJ open2018
Dementia case-finding in hospitals: a qualitative study exploring the views of healthcare professionals in English primary care and secondary care.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.
- Advancing dementia-friendly hospital care: a systematic review of healthcare professionals' reported barriers and facilitators using the theoretical domains framework.Age and ageing · 2026Pooled it
- AD-8 for detection of dementia across a variety of healthcare settings.The Cochrane database of systematic reviews · 2019Pooled it
- 'Take care of it, general practitioner' - a qualitative study about barriers and needs in general practice caring for people newly diagnosed with dementia.BMC primary care · 2026Article
- Bridging Dementia Care in Japan: The Emerging Role of General Medicine Physicians.Journal of clinical medicine · 2025Review
- Recognition of cognitive dysfunction in hospitalised older patients: a flash mob study.BMC geriatrics · 2024Observational
- Transition of patients with recently diagnosed Dementia from inpatient to outpatient setting- a scoping review.BMC geriatrics · 2024Article
- Ethico-Political aspects of clinical judgment in opportunistic screening for cognitive impairment: Arendtian and aristotelian perspectives.Medicine, health care, and philosophy · 2022Article
- Dementia diagnosis and utilization patterns in a racially diverse population within an integrated health care delivery system.Alzheimer's & dementia (New York, N. Y.) · 2022Article
- Opportunistic cognitive screening in Sweden: What the tests mean and do for patients and healthcare professionals.Dementia (London, England) · 2022Article
- Ethico-Political Aspects of Conceptualizing Screening: The Case of Dementia.Health care analysis : HCA : journal of health philosophy and policy · 2021Article
- What gets recorded, counts: dementia recording in primary care compared with a specialist database.Age and ageing · 2021Article
- Diagnostic accuracy of the Montreal Cognitive Assessment (MoCA) for cognitive screening in old age psychiatry: Determining cutoff scores in clinical practice. Avoiding spectrum bias caused by healthy controls.International journal of geriatric psychiatry · 2020Article
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Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesIn 2012-2013, the English National Health Service mandated hospitals to conduct systematic case-finding of people with dementia among older people with unplanned admissions. The method was not defined. The aim of this study was to understand current approaches to dementia case-finding in acute hospitals in England and explore the views of healthcare professionals on perceived benefits and challenges.
designQualitative study involving interviews, focus groups and thematic content analysis.
settingPrimary care and secondary care across six counties in the East of England.
participantsHospital staff involved in dementia case-finding and primary care staff in the catchment areas of those hospitals.
resultsWe recruited 23 hospital staff and 36 primary care staff, including 30 general practitioners (GPs). Analysis resulted in three themes: (1) lack of consistent approaches in case-finding processes, (2) barriers between primary care and secondary care which impact on case-finding outcomes and (3) perceptions of rationale, aims and impacts of case-finding. The study shows that there were variations in how well hospitals recorded and reported outcomes to GPs. Barriers between primary care and secondary care, including GPs' lack of access to hospital investigations and lack of clarity about roles and responsibilities, impacted case-finding outcomes. Staff in secondary care were more positive about the initiative than primary care staff, and there were conflicting priorities for primary care and secondary care regarding case-finding.
conclusionsThe study suggests a more evidence-based approach was needed to justify approaches to dementia case-finding. Information communicated to primary care from hospitals needs to be comprehensive, appropriate and consistent before GPs can effectively plan further investigation, treatment or care. Follow-up in primary care further requires access to options for postdiagnostic support. There is a need to evaluate the outcomes for patients and the economic impact on health and care services across settings.
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