GPs' attitudes, awareness, and practice regarding early diagnosis of dementia
GPs' attitudes, awareness, and practice regarding early diagnosis of dementia
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DOI：
10.3399/bjgp10x515386
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发表时间：
2010-09-01
影响因子：
5.9
通讯作者：
Gracie, Antonia
中科院分区：
文献类型：
--
作者：
Ahmad, Shamail;Orrell, Martin;Gracie, Antonia
BackgroundIn初级保健，痴呆症的诊断往往被推迟，2007年国家审计署报告的结论是，需要采取行动，以改善病人的护理和物有所值的money.AimTo调查的态度，认识和实践的全科医生在英格兰有关早期诊断和管理的痴呆症患者，和当地的专科服务的看法，确定培训或支持需求。研究设计对收集上述态度、意识和实践的调查数据进行二次分析。设置.在线调查，针对GP成员的medeConnect.MethodSurvey数据获得使用匿名的在线自我完成问卷，然后使用标准的数据分析software.ResultsA共1011全科医生在8个英语地区的回应。年长的全科医生在诊断和提供有关痴呆症的建议方面更有信心，但不太可能认为早期诊断是有益的，更可能认为痴呆症患者可能会消耗资源，几乎没有积极的结果。年轻的全科医生更积极，认为可以做很多事情来提高生活质量。态度与性别无关。全科医生在一般认为，他们没有足够的基本和资格后的培训，在痴呆症，和整体知识痴呆症是low.ConclusionMuch可以做的，以提高全科医生的知识痴呆症，老年全科医生的信心可以是一种教育资源。然而，更多的经验可能会产生怀疑，早期诊断，因为专家服务的质量差的感知。
BackgroundIn primary care, the diagnosis of dementia is often delayed and the 2007 National Audit Office Report concluded action was needed to improve patient care and value for money.AimTo investigate the attitudes, awareness, and practice of GPs in England regarding early diagnosis and management of patients with dementia, and perceptions of local specialist services, to identify training or support needs.Design of studySecondary analysis of survey data that capture the above attitudes, awareness, and practice. Setting. Online survey, targeting GP members of medeConnect.MethodSurvey data were obtained using an anonymised online self-completion questionnaire, and then analysed using standard data-analysis software.ResultsA total of 1011 GPs across the eight English regions responded. Older GPs were more confident in diagnosing and giving advice about dementia, but less likely to feel that early diagnosis was beneficial, and more likely to feel that patients with dementia can be a drain on resources with little positive outcome. Younger GPs were more positive and felt that much could be done to improve quality of life. Attitudes had no correlation with sex. GPs in general felt they had not had sufficient basic and post-qualifying training in dementia, and overall knowledge about dementia was low.ConclusionMuch could be done to improve GPs' knowledge of dementia, and the confidence of older GPs could be an educational resource. However, greater experience may create scepticism about early diagnosis because of the perceived poor quality of specialist services.