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General practice and dementia: A national survey of Australian GPs
Abstract
Objective To find out what difficulties general practitioners (GPs) experience with diagnosing and managing dementia. Design Postal questionnaire to a random stratified sample of one in seven active Australian GPs (2182 of 14932). Results 1473 GPs (67.5%) responded to the questionnaire. The results indicated reasonable knowledge about diagnostic features of dementia and good insight into common issues facing family carers. Even so, GPs had difficulties with diagnosis and management of dementia and wanted assessment protocols and educational programs. A minority of GPs regularly screened elderly patients for cognitive impairment but the majority relied on passive means of diagnosing dementia. Although generally positive about Aged Care Assessment Teams (ACATs) and Aged Care Community Services (ACCS), GPs expressed some concerns about these services. Conclusions Recommendations arising from the survey were: development of an assessment protocol and a screening instrument, regular cognitive check-ups for patients over 75 years, educational programs, improved coordination with Aged Care Assessment Teams and Community Services, inventories and registers of local community services and residential facilities, and appropriate Medicare rebates.
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“Given the nature of the condition, date of dementia diagnosis is difficult to define.”
From The Impact of demographic, socio-economic and geographic factors on mortality risk among people living with dementia in England (2002–2016) (2021) · cites this paper as [65]
In the citing paper
“Though screening and testing can indicate dementia symptomology, there is a reliance on clinical judgement during healthcare interactions [65].”
From The Impact of demographic, socio-economic and geographic factors on mortality risk among people living with dementia in England (2002–2016) (2021) · cites this paper as [65]
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Linden, M. (1999) · Springer eBooks · doi:10.1007/978-3-642-59910-1_13 · Cited by 2
Dementia: current and future challenges
LoGiudice, D., & Ames, D. J. (1999) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.1999.tb123624.x · Cited by 2
The mental health of older people in the community
Draper, B. (2000) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.2000.tb139248.x · Cited by 2
11. Assessing and managing old age psychiatric disorders in community practice
Hall, K. A., & Hassett, A. M. (1998) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.1998.tb140166.x · Cited by 1
Dementie: een moeilijk te vertellen diagnose
Janson, J., Derksen, E. W. C., Vernooij-Dassen, M. J. F. J., Lucassen, P. L., & Rikkert, M. G. M. O. (2006) · Huisarts en Wetenschap · doi:10.1007/bf03084929 · Cited by 1
Nagaratnam, N., Nagaratnam, K., & Cheuk, G. (2018) · Springer eBooks · doi:10.1007/978-3-319-33434-9_70 · Cited by 1
Screening for Psychosocial Distress and Psychiatric Disorders in Medicine: From Concepts to Evidence
Mitchell, A. J. (2018) · Integrating psychiatry and primary care · doi:10.1007/978-3-319-74736-1_4 · Cited by 2
Metadata
- Authors
- Brodaty, H., Howarth, G. C., & Kurrle, S. E.
- Affiliations
- UNSW Sydney (AU)
- Hornsby Ku-ring-gai Hospital (AU)
- Venue
- Medical Journal of Australia
- Publisher
- AMPCo
- Published
- 1994-01
- Volume
- 160
- Issue
- 1
- Pages
- 10-14
- ISSN
- 0025-729X (ISSN-L)
- 1326-5377
- OpenAlex
- W4323254326
- Cited by
- 142
- References
- 15
- Citations by year
- 2026: 1 · 2024: 1 · 2022: 3 · 2021: 1 · 2020: 35 · 2019: 3 · 2018: 6 · 2017: 2 · 2016: 6 · 2015: 2 · 2014: 3 · 2013: 2 · 2012: 5
- FWCI
- 1.82
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- The Medical Journal of Australia (publishedVersion)
- 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 › Medicine › Geriatrics and Gerontology › Geriatric Care and Nursing Homes
- Keywords
- dementia, general practitioners, dementia diagnosis, dementia management, cognitive screening, family caregivers, general practice training, Medicare rebates, elderly patients
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