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What requirements do primary care physicians have with regard to dementia diagnostics and dementia care? – a survey study among general practitioners in Germany 2022/2023

BACKGROUND: General practice offers good conditions to detect and provide care for dementia-related diseases. Nonetheless, the effectiveness of dementia care in general practice is repeatedly criticised. To date, few studies have attempted to form a comprehensive picture of the status quo of dementi...

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Autores principales: Wangler, Julian, Jansky, Michael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10464123/
https://www.ncbi.nlm.nih.gov/pubmed/37620850
http://dx.doi.org/10.1186/s13690-023-01174-4
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author Wangler, Julian
Jansky, Michael
author_facet Wangler, Julian
Jansky, Michael
author_sort Wangler, Julian
collection PubMed
description BACKGROUND: General practice offers good conditions to detect and provide care for dementia-related diseases. Nonetheless, the effectiveness of dementia care in general practice is repeatedly criticised. To date, few studies have attempted to form a comprehensive picture of the status quo of dementia care in general practice that focuses on GP perspectives of experience and action. The aim of this study was to identify potential strengths and weaknesses of GP-based dementia care, by means of combined consideration of relevant care and treatment dimensions (construct of ‘dementia sensitivity’). METHODS: Through an online poll, a total of 4,511 GPs who are active as treatment providers in Baden-Württemberg, Hesse, Rhineland-Palatinate and Saarland were surveyed between September 2022 and January 2023. In addition to the descriptive analysis, a T-test with independent samples was used to identify significant differences between two groups (interval-scaled or metric variables). Pearson’s chi-squared test (χ2) was used to analyze the percentage values. Two levels of significance were tested for (mean difference at p < 0.05 and p < 0.001). In the course of the analysis, there were particular differences with regard to the sociodemographic variables ‘urban vs. rural doctors’ and ‘doctors with geriatric training vs. doctors with no geriatric training’. Therefore, a complete listing of these parameters is given in the tables. In addition, the factor analysis method was employed. RESULTS: The respondents consider it important for GPs to provide care and support for dementia patients. The doctors express the desire to offer active support to patients and their family caregivers. At the same time, many GPs experience challenges and difficulties when it comes to practical diagnostic steps (in line with guidelines), the (early) identification of dementia and consistent disease management, including the anticipation of care and treatment needs. Moreover, it appears that a significant proportion of the sample has only limited confidence when it comes to review relevant help and support services. One consistent finding is that some doctors in urban practices who also have geriatric training show substantial increases in knowledge and information with regard to dementia care. CONCLUSIONS: In the light of the findings, it seems particularly advisable to strengthen the geriatric competence of GPs. Moreover, it seems to be essential to ensure that they are better informed about cooperation and support structures in the area of dementia care and better integrated into these.
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spelling pubmed-104641232023-08-30 What requirements do primary care physicians have with regard to dementia diagnostics and dementia care? – a survey study among general practitioners in Germany 2022/2023 Wangler, Julian Jansky, Michael Arch Public Health Research BACKGROUND: General practice offers good conditions to detect and provide care for dementia-related diseases. Nonetheless, the effectiveness of dementia care in general practice is repeatedly criticised. To date, few studies have attempted to form a comprehensive picture of the status quo of dementia care in general practice that focuses on GP perspectives of experience and action. The aim of this study was to identify potential strengths and weaknesses of GP-based dementia care, by means of combined consideration of relevant care and treatment dimensions (construct of ‘dementia sensitivity’). METHODS: Through an online poll, a total of 4,511 GPs who are active as treatment providers in Baden-Württemberg, Hesse, Rhineland-Palatinate and Saarland were surveyed between September 2022 and January 2023. In addition to the descriptive analysis, a T-test with independent samples was used to identify significant differences between two groups (interval-scaled or metric variables). Pearson’s chi-squared test (χ2) was used to analyze the percentage values. Two levels of significance were tested for (mean difference at p < 0.05 and p < 0.001). In the course of the analysis, there were particular differences with regard to the sociodemographic variables ‘urban vs. rural doctors’ and ‘doctors with geriatric training vs. doctors with no geriatric training’. Therefore, a complete listing of these parameters is given in the tables. In addition, the factor analysis method was employed. RESULTS: The respondents consider it important for GPs to provide care and support for dementia patients. The doctors express the desire to offer active support to patients and their family caregivers. At the same time, many GPs experience challenges and difficulties when it comes to practical diagnostic steps (in line with guidelines), the (early) identification of dementia and consistent disease management, including the anticipation of care and treatment needs. Moreover, it appears that a significant proportion of the sample has only limited confidence when it comes to review relevant help and support services. One consistent finding is that some doctors in urban practices who also have geriatric training show substantial increases in knowledge and information with regard to dementia care. CONCLUSIONS: In the light of the findings, it seems particularly advisable to strengthen the geriatric competence of GPs. Moreover, it seems to be essential to ensure that they are better informed about cooperation and support structures in the area of dementia care and better integrated into these. BioMed Central 2023-08-24 /pmc/articles/PMC10464123/ /pubmed/37620850 http://dx.doi.org/10.1186/s13690-023-01174-4 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Wangler, Julian
Jansky, Michael
What requirements do primary care physicians have with regard to dementia diagnostics and dementia care? – a survey study among general practitioners in Germany 2022/2023
title What requirements do primary care physicians have with regard to dementia diagnostics and dementia care? – a survey study among general practitioners in Germany 2022/2023
title_full What requirements do primary care physicians have with regard to dementia diagnostics and dementia care? – a survey study among general practitioners in Germany 2022/2023
title_fullStr What requirements do primary care physicians have with regard to dementia diagnostics and dementia care? – a survey study among general practitioners in Germany 2022/2023
title_full_unstemmed What requirements do primary care physicians have with regard to dementia diagnostics and dementia care? – a survey study among general practitioners in Germany 2022/2023
title_short What requirements do primary care physicians have with regard to dementia diagnostics and dementia care? – a survey study among general practitioners in Germany 2022/2023
title_sort what requirements do primary care physicians have with regard to dementia diagnostics and dementia care? – a survey study among general practitioners in germany 2022/2023
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10464123/
https://www.ncbi.nlm.nih.gov/pubmed/37620850
http://dx.doi.org/10.1186/s13690-023-01174-4
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