Evidence map›Paper›PMID 41261798›Full record

ArticleJournal of primary care & community health

Provider, Interdisciplinary Staff, and Patient Perspectives on the Potential for Cognitive Assessment and Care Plan Services in Primary Care.

John F Mulcahy, Obehiaghe Oniha, Emmanuel Angomas, Elizabeth Kelly, Maura McGuire, Jessica L Colburn, Jennifer L Wolff, Cynthia M Boyd, Quincy M Samus, Marcela D Blinka and 1 more

Abstract read
In one paragraph

Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

John F MulcahyUniversity of Minnesota School of Public Health, Minneapolis, MN, USA.ORCID 0000-0001-7860-8225
Obehiaghe OnihaJohns Hopkins University School of Medicine, Baltimore, MD, USA.
Emmanuel AngomasJohns Hopkins University School of Medicine, Baltimore, MD, USA.
Elizabeth KellyJohns Hopkins University School of Medicine, Baltimore, MD, USA.
Maura McGuireJohns Hopkins University School of Medicine, Baltimore, MD, USA.
Jessica L ColburnJohns Hopkins University School of Medicine, Baltimore, MD, USA.
Jennifer L WolffJohns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
Cynthia M BoydJohns Hopkins University School of Medicine, Baltimore, MD, USA.
Quincy M SamusJohns Hopkins University School of Nursing, Baltimore, MD, USA.
Marcela D BlinkaJohns Hopkins University School of Medicine, Baltimore, MD, USA.
Halima AmjadJohns Hopkins University School of Medicine, Baltimore, MD, USA.

Funding

Health Services and Outcomes Research for Aging PopulationsT32AG066576 · NIA · JOHNS HOPKINS UNIVERSITY · PI CYNTHIA Melinda BOYD, Jennifer L. Wolff · 2020 to 2026
$3.8M
Patient-Centered Care for Older Adults with Multiple Chronic Conditions: Research and Mentoring ProgramK24AG056578 · NIA · JOHNS HOPKINS UNIVERSITY · PI BOYD, CYNTHIA MELINDA · 2017 to 2021
$1.1M
Improving Post-Diagnosis Dementia Care in Primary CareK23AG064036 · NIA · JOHNS HOPKINS UNIVERSITY · PI AMJAD, HALIMA · 2020 to 2024
$932k
NIA NIH HHS K23 AG064036NIA NIH HHS K24 AG056578NIA NIH HHS T32 AG066576
6 · The paper itself

Abstract

introductionIn 2017, Medicare introduced the cognitive assessment and care plan (CACP) billing code to incentivize comprehensive care for people living with dementia (PLWD). CACP requires addressing 8 care domains. Adoption of CACP has been limited, particularly in primary care. We identified barriers and facilitators of implementing CACP in primary care.

methodsPrimary care providers (PCP), interdisciplinary staff, and PLWD and/or caregivers from primary care practices participated in semi-structured interviews about dementia care. We applied content analysis methods to analyze qualitative data mapped to 3 CACP implementation outcomes: acceptability, appropriateness, and feasibility.

resultMost participants found CACP acceptable due to its comprehensive nature and addressing unmet needs. PCPs and staff felt CACP was appropriate for primary care because they were already addressing many of the required care domains during Medicare Annual Wellness Visits (AWV). Concerns about the time, resources, and coordination needed made feasibility unclear. Potential strategies for implementation included using interdisciplinary team members, data and workflows from AWV implementation, and health information technology.

conclusionsCACP is acceptable and appropriate for primary care though comprehensiveness and requirements limit feasibility. Implementation strategies must address time, resource, coordination, and awareness/education needs to successfully deliver this Medicare benefit at a large scale.

Indexed as

Attitude of Health PersonnelDementiaPatient Care PlanningPrimary Health CareAgedCaregiversFemaleHumansInterviews as TopicMaleMedicarePatient Care TeamQualitative ResearchUnited Statescare planningdementiaimplementationmedicareprimary care

Identifiers

PMID41261798
PMCPMC12638652

What OpenQuestion holds

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LicenceCC BY-NC
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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.