Primary care physicians' attitudes towards cognitive screening: findings from a national postal survey
Primary care physicians' attitudes towards cognitive screening: findings from a national postal survey
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DOI：
10.1002/gps.2293
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发表时间：
2010-01-01
影响因子：
4
通讯作者：
Upshur, Ross E. G.
中科院分区：
文献类型：
--
作者：
Iracleous, Panayiotis;Nie, Jason Xin;Upshur, Ross E. G.
目的：本文的目的是：(a)确定加拿大家庭医生对认知筛查的态度，(b)确定正在使用的认知筛查工具，(c)调查他们如何评价这些工具的有效性，(d)确定初级保健设置理想的认知筛查工具的属性。方法：随机抽取加拿大家庭医生学院249名执业医师进行邮寄问卷调查。结果：有效率为52%。大多数医生“同意”或“强烈同意”认知障碍评估在初级保健中很重要（89%），“不同意”或“强烈反对”应该留给专科医生（92%）。然而，当被问及初级保健评估是否会带来更好的结果时，35%的人不确定。最常用的评估工具是迷你心理状态测试（MMSE）、时钟图、延迟单词回忆、标准化MMSE和交替序列，但在感知有效性方面主要被评为“良好”。有效性/准确性被确定为理想筛选工具的首要属性。女医生对认知评估的态度更积极。年轻的医生，集体执业的医生，或者两者都有
Objective: The objectives of this paper are: (a) to determine Canadian family physicians' attitudes towards cognitive screening, (b) to identify what cognitive screening tools are being used, (c) to investigate how they rate these tools' effectiveness and (d) to identify the attributes of an ideal cognitive screening toot for the primary care setting.Method: Postal survey questionnaire of a random sample of 249 practicing members of the College of Family Physicians of Canada.Results: Response rate was 52%. The majority of physicians 'Agreed' or 'Strongly Agreed' that cognitive impairment assessment is important in primary care (89%), and 'Disagreed' or 'Strongly Disagreed' that it should be left to specialists (92%). However, 35% were undecided when asked if assessment in primary care would lead to better outcomes. The most frequently used assessment tools were Mini-Mental Status Exam (MMSE), Clock Drawing, Delayed Word Recall, Standardized MMSE and Alternating Sequences, but were mainly rated as only 'Good' in terms of perceived effectiveness. Validity/accuracy was identified as the top attribute of an ideal screening tool. Female physicians were more likely to have a positive attitude towards cognitive assessment. Younger physicians, those in group practices, or those with either