Evidence map›Paper›PMID 37768660›Full record

ArticleJAMA network open2023

Primary Care Practitioner Perspectives on the Role of Primary Care in Dementia Diagnosis and Care.

Alissa Bernstein Sideman, Melissa Ma, Alma Hernandez de Jesus, Cecilia Alagappan, Na'amah Razon, Daniel Dohan, Anna Chodos, Tala Al-Rousan, Loren I Alving, Freddi Segal-Gidan and 4 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in JAMA network open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 61 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 3 pooled it
19.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 3 syntheses or guidelines pooled it, 66 citations in OpenAlex.

  1. Pooled it
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  11. Documented follow-up to memory concerns reported at the Medicare Annual Wellness Visit.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  12. Characterizing treatment initiation with central nervous system-active polypharmacy among adults with dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
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  18. Patient views on blood-based biomarker tests for Alzheimer's disease in primary care.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  19. Article
  20. Article

1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 6 institutions in 1 country.

Alissa Bernstein SidemanPhilip R. Lee Institute for Health Policy Studies, University of California, San Francisco.
Melissa MaPhilip R. Lee Institute for Health Policy Studies, University of California, San Francisco.
Alma Hernandez de JesusPhilip R. Lee Institute for Health Policy Studies, University of California, San Francisco.
Cecilia AlagappanGlobal Brain Health Institute, University of California, San Francisco.
Na'amah RazonDepartment of Family and Community Medicine, University of California, Davis, Sacramento.
Daniel DohanPhilip R. Lee Institute for Health Policy Studies, University of California, San Francisco.
Anna ChodosDivision of Geriatrics, Department of Medicine, University of California, San Francisco.
Tala Al-RousanHerbert Wertheim School of Public Health and Human Longevity Science, University of California, San Diego, La Jolla.
Loren I AlvingCalifornia Alzheimer's Disease Center, University of California, San Francisco at Fresno.
Freddi Segal-GidanDepartment of Neurology, Keck School of Medicine, University of Southern California, Los Angeles.
Howie RosenDepartment of Neurology, University of California, San Francisco.
Katherine P RankinDepartment of Neurology, University of California, San Francisco.
Katherine L PossinDepartment of Neurology, University of California, San Francisco.
Soo BorsonDepartment of Family Medicine, Keck School of Medicine, University of Southern California, Los Angeles.
University of California, San Francisco · USUniversity of Southern California · USGlobal Brain Health Institute · USHuman Longevity (United States) · USUniversity Memory and Aging Center · USUniversity of California, Davis · US

Funding

UC Davis Clinical and Translational Science CenterUL1TR001860 · NCATS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI KENYON, NICHOLAS J., LYLES, COURTNEY REES · 2016 to 2025
$47.3M
Institutional Career Development Core (KL2)KL2TR001859 · NCATS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI HOLMES, JAMES F. · 2016 to 2025
$10.1M
The Care Ecosystem Response to COVID-19: Accelerating Research on Dementia Care that Meets the Needs of Caregivers and Persons with Dementia during COVID-19R01AG074710 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI POSSIN, KATHERINE LAUREL · 2022 to 2024
$9.1M
Augmenting Nurse Support and EHR Integration for the Pragmatic Trial of the UCSF-BHAU01NS128913 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Katherine Laurel Possin · 2022 to 2026
$8.2M
The Care Ecosystem: Navigating patients and caregivers through stages of dementia careR01AG056715 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI POSSIN, KATHERINE LAUREL · 2017 to 2021
$6.0M
Reimagining Precision Medicine Approaches to AD DiagnosisR35AG072362 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI POSSIN, KATHERINE LAUREL, RABINOVICI, GIL DAN · 2021 to 2025
$4.8M
Blood Pressure Control Advancing Refugee Health Equity (BPCARE): an RCT of adherenceR01HL173155 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Tala Al-Rousan · 2025 to 2026
$1.3M
Hypertension Self-management in Refugees Living in San DiegoK23HL148530 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI AL-ROUSAN, TALA · 2020 to 2024
$882k
Leadership to Enhance Aging Research and Innovation in Medical Culture (LEARN-MC)K07AG066814 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DOHAN, DANIEL P. · 2020 to 2024
$675k
Mapping the Dynamics of Caregiver Burden in Alzheimer's DiseaseK01AG059840 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SIDEMAN, ALISSA BERNSTEIN · 2020 to 2024
$652k
NCATS NIH HHS KL2 TR001859NCATS NIH HHS UL1 TR001860NHLBI NIH HHS K23 HL148530NHLBI NIH HHS R01 HL173155NIA NIH HHS K01 AG059840NIA NIH HHS K07 AG066814NIA NIH HHS R01 AG056715NIA NIH HHS R01 AG074710NIA NIH HHS R35 AG072362NINDS NIH HHS U01 NS128913
6 · The paper itself

Abstract

Importance: Although the barriers to dementia care in primary care are well characterized, primary care practitioner (PCP) perspectives could be used to support the design of values-aligned dementia care pathways that strengthen the role of primary care. Objective: To describe PCP perspectives on their role in dementia diagnosis and care. Design, Setting, and Participation: In this qualitative study, interviews were conducted with 39 PCPs (medical doctors, nurse practitioners, and doctors of osteopathic medicine) in California between March 2020 and November 2022. Results were analyzed using thematic analysis. Main Outcomes and Measures: Overarching themes associated with PCP roles in dementia care. Results: Interviews were conducted with 39 PCPs (25 [64.1%] were female; 16 [41%] were Asian). The majority (36 PCPs [92.3%]) reported that more than half of their patients were insured via MediCal, the California Medicaid program serving low-income individuals. Six themes were identified that convey PCPs' perspectives on their role in dementia care. These themes focused on (1) their role as first point of contact and in the diagnostic workup; (2) the importance of long-term, trusting relationships with patients; (3) the value of understanding patients' life contexts; (4) their work to involve and educate families; (5) their activities around coordinating dementia care; and (6) how the care they want to provide may be limited by systems-level constraints. Conclusions and Relevance: In this qualitative study of PCP perspectives on their role in dementia care, there was alignment between PCP perspectives about the core values of primary care and their work diagnosing and providing care for people living with dementia. The study also identified a mismatch between these values and the health systems infrastructure for dementia care in their practice environment.

Indexed as

DementiaPhysicians, Primary CarePrimary Health CareFemaleHealth PersonnelHumansMalePhysician's RoleUnited States

Identifiers

PMID37768660
PMCPMC10539983
OpenAlexW4387114331

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.