GENERAL-PRACTICE AND DEMENTIA - A NATIONAL SURVEY OF AUSTRALIAN GPS
GENERAL-PRACTICE AND DEMENTIA - A NATIONAL SURVEY OF AUSTRALIAN GPS
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DOI：
10.5694/j.1326-5377.1994.tb138193.x
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发表时间：
1994-01-03
影响因子：
11.4
通讯作者：
KURRLE, SE
中科院分区：
文献类型：
--
作者：
BRODATY, H;HOWARTH, GC;KURRLE, SE
目的：为了找出什么困难的全科医生（GP）的经验与诊断和管理dementions.Design：邮寄问卷，以随机分层抽样的七分之一活跃的澳大利亚全科医生（2182 14932）。结果表明，合理的知识，痴呆症的诊断特征和良好的洞察力，家庭照顾者面临的共同问题。即便如此，全科医生在痴呆症的诊断和管理方面仍有困难，他们需要评估方案和教育计划。少数全科医生定期筛查老年患者的认知障碍，但大多数人依赖于诊断痴呆症的被动手段。虽然普遍积极的老年护理评估小组（ACATs）和老年护理社区服务（ACCS），全科医生表示对这些services.Conclusions的一些关注：从调查中产生的建议是：制定评估方案和筛查工具，定期对75岁以上的患者进行认知检查，教育计划，改善与老年护理评估小组和社区服务的协调，当地社区服务和住宅设施的库存和登记，以及适当的医疗保险回扣。
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.