Primary care provider attitudes and practices evaluating and managing patients with neurocognitive disorders

Bernstein, Alissa; Rogers, Kirsten M.; Possin, Katherine L.; Steele, Natasha Z. R.; Ritchie, Christine S.; Miller, Bruce L.; Rankin, Katherine P.

doi:10.1007/s11606-019-05013-7

Cited by 28Dementia and Cognitive Impairment ResearchHealthcare Systems and TechnologyPrimary Care and Health Outcomes

Primary care provider attitudes and practices evaluating and managing patients with neurocognitive disorders

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Bernstein, Alissa, Rogers, Kirsten M., Possin, Katherine L., Steele, Natasha Z. R., Ritchie, Christine S., Miller, Bruce L., Rankin, Katherine P.·2019·Journal of General Internal Medicine

DOI 10.1007/s11606-019-05013-7PMC PMC6712190

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Most primary care providers report lacking time and confidence for the diagnostic process and prefer referring patients to specialists.
“most PCPs cite a lack of time and confidence for the diagnostic process,7,8 preferring to refer patients to specialists.”
From Review of Artificial Intelligence for Clinical Use in Alzheimer's Disease and Related Dementias (2026) · cites this paper as [8]
The Results report low confidence in several diagnostic tasks and that 54% of surveyed PCPs referred at least 75% of patients with suspected neurocognitive disorders to specialists for a full workup. The Discussion mentions time as a commonly reported systems-level issue, but this study does not establish that most respondents cited lack of time as a reason for referral. (LLM, conf=0.84)
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Many PCPs report low confidence disclosing a dementia diagnosis and providing post-diagnostic care.
“Furthermore, the next steps following detection can be seen as a barrier as many PCPs report low confidence disclosing a dementia diagnosis and providing post‐diagnostic care.”
From 2024 Alzheimer's disease facts and figures (2024) · cites this paper as [718]
The Results report that only 23% of surveyed PCPs were highly confident in providing a prognosis and stage-appropriate care, supporting the post-diagnostic care part of the claim. The paper does not report PCPs’ confidence in disclosing a dementia diagnosis; its findings about making a diagnosis do not establish confidence in communicating one. (LLM, conf=0.88)
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Confidence in diagnosing and managing care for cognitive impairment in primary care: a survey comparing barriers by primary care clinician type
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Authors: Bernstein, A., Rogers, K. M., Possin, K. L., Steele, N. Z. R., Ritchie, C. S., Miller, B. L., & Rankin, K. P.
Affiliations: University of California, San Francisco (US)
ORCID: Possin, Katherine L.
Steele, Natasha Z. R.
Ritchie, Christine S.
Miller, Bruce L.
Rankin, Katherine P.
Venue: Journal of General Internal Medicine
Publisher: Springer Science and Business Media LLC
Published: 2019-05-01
Volume: 34
Issue: 9
Pages: 1691-1692
ISSN: 0884-8734 (ISSN-L)
1525-1497
DOI: 10.1007/s11606-019-05013-7
PMC: PMC6712190
OpenAlex: W2943507290
Cited by: 28
References: 6
Citations by year: 2026: 6 · 2025: 11 · 2024: 4 · 2023: 4 · 2022: 2 · 2020: 1
FWCI: 0.60
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.springer.com/tdm (tdm)
Locations: Journal of General Internal Medicine (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: Quest Diagnostics
Agency for Healthcare Research and Quality (T32HS022241)
University of California, San Francisco
National Institute on Aging (R01AG056715)
National Institute of Neurological Disorders and Stroke (UH3NS105557, UG3NS105557)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Healthcare Systems and Technology
Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
Keywords: neurocognitive disorders, primary care providers, provider attitudes, clinical confidence, cognitive screening, specialist referral, neuropsychological assessment, MRI interpretation, diagnostic criteria, decision support system, older adults
MeSH terms: Attitude of Health Personnel, Female, Humans, Health Knowledge, Attitudes, Practice, Male, Primary Health Care, Surveys and Questionnaires, Disease Management, Neurocognitive Disorders, Physicians, Primary Care

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