ArticleWiener medizinische Wochenschrift (1946)2020
Dementia diagnostics in general practitioner care : Do general practitioners have reservations? The findings of a qualitative study in Germany.
Article in Wiener medizinische Wochenschrift (1946), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Navigating the Threshold: Barriers and Facilitators to Accessing Primary Care Among People Living with Dementia-A Systematic Review and Meta-Synthesis.International journal of environmental research and public health · 2026Pooled it
- From suspicion of cognitive decline to dementia diagnosis: a systematic review of healthcare professionals' considerations and attitudes.Age and ageing · 2025Pooled it
- Dementia in primary care: a qualitative study with general practitioners and caregivers with and without migration backgrounds.BMC primary care · 2025Article
- Speech-language therapy and occupational therapy for patients with mild cognitive impairment and dementia: a retrospective cohort study using German health claims data.BMC health services research · 2025Article
- Dementia diagnosis and prescription of antidementia drugs: An analysis of German claims data (2006-2016).Journal of Alzheimer's disease : JAD · 2025Article
- Development of a Tablet-Based Outpatient Care Application for People With Dementia: Interview and Workshop Study.JMIR human factors · 2024Article
- The Comprehensive Resilience-building psychosocial Intervention (CREST) for people with dementia in the community: a feasibility and acceptability study.Pilot and feasibility studies · 2024Article
- [DemStepCare: Risk-stratified support for primary care-based dementia care - evaluation from general practitioner's view].Psychiatrische Praxis · 2024Article
- Essential New Complexity-Based Themes for Patient-Centered Diagnosis and Treatment of Dementia and Predementia in Older People: Multimorbidity and Multilevel Phenomenology.Journal of clinical medicine · 2024Review
- "VR is the future": perspectives of healthcare professionals on virtual reality as a diagnostic tool for dementia status in primary care.BMC medical informatics and decision making · 2024Article
- The Room Where It Happens: Clinician Reflections on Returning Preclinical Alzheimer's Biomarker Results to Research Participants.The journal of prevention of Alzheimer's disease · 2024Observational
- Telehealth memory clinics in primary healthcare: real-world experiences from low-resource settings in Greece.Frontiers in dementia · 2024Article
- What requirements do primary care physicians have with regard to dementia diagnostics and dementia care? - a survey study among general practitioners in Germany 2022/2023.Archives of public health = Archives belges de sante publique · 2023Article
- Exploring barriers to dementia screening and management services by general practitioners in China: a qualitative study using the COM-B model.BMC geriatrics · 2023Article
- Slowing dementia symptoms - a qualitative study on attitudes and experiences of general practitioners in Germany.The European journal of general practice · 2022Article
- Barriers and Best Practices in Disclosing a Dementia Diagnosis: A Clinician Interview Study.Health services insights · 2022Article
- Article
- Factors influencing general practitioners' perception of and attitude towards dementia diagnostics and care-results of a survey among primary care physicians in Germany.Wiener medizinische Wochenschrift (1946) · 2021Article
- Primary dementia care based on the individual needs of the patient: study protocol of the cluster randomized controlled trial, DemStepCare.BMC geriatrics · 2021Article
- Clinical staging in Swedish primary care using the Amsterdam Instrumental Activities of Daily Living Questionnaire.Alzheimer's & dementia (Amsterdam, Netherlands)Article
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
General practitioner (GP) treatment of dementia is often criticized as being ineffective and not implemented consistently enough. The causes and specific standpoints of GPs have not previously been thoroughly investigated. This paper focuses on the reasons and the criticisms levelled at GPs with regard to diagnosing dementia, and identifies approaches to enable optimization. The analysis is based on 41 semi-structured interviews with GPs in Hesse, Germany, in 2018. During the course of a content analysis, the interviewees' attitudes and behavioral patterns towards dementia diagnostics were to be analyzed. The results of the study show various challenges and problems of primary care in this field. The majority of the sample showed skepticism and reluctance with regard to the diagnosis of dementia. Six key problem areas were extracted from the interviews, which can be seen as root causes for the distance kept by GPs: 1) early delegation of patients due to role understanding, 2) attitude of pessimism towards dementia, 3) differential diagnosis perceived as an obstacle, 4) insufficient remuneration, 5) fear of patient stigmatization, and 6) lack of application. Some GPs demonstrated personal initiative with the aim of optimizing dementia diagnostics. Three approaches can be derived which could be used to improve the GP-based care of dementia: 1) self-efficacy, 2) differential diagnostics and treatment pathways, and 3) physician-patient communication.
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