The DOI matches its Crossref record; 39 of the 39 references it cites were found in a registry or an index.
Rapid appraisal of barriers to the diagnosis and management of patients with dementia in primary care: a systematic review
Open accessAbstract
BACKGROUND: The diagnosis of dementia in primary care is perceived as a problem across countries and systems, resulting in delayed recognition and adverse outcomes for patients and their carers. Improving its early detection is an area identified for development in the English National Dementia Strategy 2009; there are thought to be multiple benefits to the patient, family, and resources by doing this. The aim of this review was to carry out a rapid appraisal in order to inform the implementation of this policy. METHOD: Publications in English up to August 2009 relating to barriers to the recognition of dementia, were identified by a broad search strategy, using electronic databases MEDLINE, EMBASE, and psycINFO. Exclusion criteria included non-English language, studies about pharmacological interventions or screening instruments, and settings without primary care. RESULTS: Eleven empirical studies were found: 3 quantitative, 6 qualitative, and 2 with mixed methodologies. The main themes from the qualitative studies were found to be lack of support, time constraints, financial constraints, stigma, diagnostic uncertainty, and disclosing the diagnosis. Quantitative studies yielded diverse results about knowledge, service support, time constraints, and confidence. The factors identified in qualitative and quantitative studies were grouped into 3 categories: patient factors, GP factors and system characteristics. CONCLUSION: Much can still be done in the way of service development and provision, GP training and education, and the eradication of stigma attached to dementia, to improve the early detection and management of dementia. Implementation of dementia strategies should include attention to all three categories of barriers. Further research should focus on their interaction, using different methods from studies to date.
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“Personal style, defined as the perceived fit between the intervention and the preferred style of clinical practice, such as clinicians’ communication style [78, 79], personality [54] and philosophical opposition to the intervention [69, 76], were presented exclusively as barriers.”
From Achieving change in primary care—causes of the evidence to practice gap: systematic reviews of reviews (2015) · cites this paper as [79]
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“Perceptions of barriers may be socially constructed, and addressing them may not necessarily improve implementation [79].”
From Achieving change in primary care—causes of the evidence to practice gap: systematic reviews of reviews (2015) · cites this paper as [79]
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Metadata
- Authors
- the EVIDEM-ED project, Koch, T., & Iliffe, S.
- Affiliations
- The Royal Free Hospital (GB)
- Corresponding author
- Koch, Tamar
- ORCID
- Iliffe, Steve
- Venue
- BMC Family Practice
- Published
- 2010-07-01
- Volume
- 11
- Issue
- 1
- Pages
- 52-52
- ISSN
- 1471-2296 (ISSN-L)
- PMC
- PMC2909966
- OpenAlex
- W2049017668
- Cited by
- 275
- References
- 39
- Citations by year
- 2026: 15 · 2025: 19 · 2024: 15 · 2023: 12 · 2022: 25 · 2021: 15 · 2020: 26 · 2019: 24 · 2018: 23 · 2017: 8 · 2016: 11 · 2015: 19 · 2014: 15 · 2013: 23 · 2012: 15
- FWCI
- 2.18
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Family Practice (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Institute for Health and Care Research (RP-PG-0606-1005)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Family Practice › Primary Care and Health Outcomes
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Keywords
- dementia, barriers to diagnosis, early detection, primary care, general practitioners, dementia stigma, diagnostic uncertainty, diagnosis disclosure, general practice training, time constraints, financial constraints, National Dementia Strategy, dementia management
- MeSH terms
- Attitude of Health Personnel, Dementia, Humans, Primary Health Care, Disease Management, Early Diagnosis
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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