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Exploring dementia ...
Exploring dementia management attitudes in primary care : a key informant survey to primary care physicians in 25 European countries
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- Petrazzuoli, Ferdinando (author)
- Lund University,Lunds universitet,Allmänmedicin och samhällsmedicin,Forskargrupper vid Lunds universitet,Family Medicine and Community Medicine,Lund University Research Groups
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- Vinker, Shlomo (author)
- Tel Aviv Univ, Israel,Tel-Aviv University
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- Koskela, Tuomas H. (author)
- Univ Tampere, Finland,University of Tampere
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- Frese, Thomas (author)
- Martin Luther Univ Halle Wittenberg, Germany,Martin-Luther-Universität Halle-Wittenberg
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- Buono, Nicola (author)
- SNAMID Natl Soc Med Educ Gen Practice, Italy,National Italian Society of Medical Education In General Practice
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- Soler, Jean Karl (author)
- Mediterranean Inst Primary Care, Malta,Mediterranean Institute of Primary Care
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- Ahrensberg, Jette (author)
- Univ Aarhus, Res Unit Gen Practice, Denmark,Aarhus University
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- Asenova, Radost (author)
- Med Univ Plovdiv, Bulgaria,Medical University of Plovdiv
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- Boreu, Quinti Foguet (author)
- Univ Autonoma Barcelona, Spain,Autonomous University of Barcelona
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- Peker, Gulsen Ceyhun (author)
- Ankara Univ, Turkey,Ankara University
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- Collins, Claire (author)
- Irish Coll Gen Practitioners, Ireland,Irish College of General Practitioners,Marmara University
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- Hanzevacki, Miro (author)
- Hlth Care Ctr Zagreb, Croatia,Health Care Center of Zagreb
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- Hoffmann, Kathryn (author)
- Med Univ Vienna, Austria,Medical University of Vienna
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- Iftode, Claudia (author)
- Timis Soc Family Med, Romania,Timis Society of Family Medicine
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- Kurpas, Donata (author)
- Wroclaw Med Univ, Poland,Wrocław Medical University
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- Le Reste, Jean Yves (author)
- Univ Bretagne Occidentale, France,University of Western Brittany
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- Lichtwarck, Bjorn (author)
- Innlandet Hosp Trust, Norway,Innlandet Hospital Trust
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- Petek, Davorina (author)
- Univ Ljubljana, Slovenia,University of Ljubljana
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- Pinto, Daniel (author)
- NOVA Med Sch, Portugal,NOVA University Lisbon
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- Schrans, Diego (author)
- Univ Ghent, Belgium,Ghent University
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- Streit, Sven (author)
- Univ Bern, Switzerland,University of Bern
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- Tang, Eugene Yee Hing (author)
- Newcastle Univ, UK,University of Newcastle upon Tyne
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- Tatsioni, Athina (author)
- Univ Ioannina, Greece,University of Ioannina
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- Torzsa, Peter (author)
- Semmelweis Univ, Hungary,Semmelweis University
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- Unalan, Pemra C. (author)
- Marmara Univ, Turkey
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- van Marwijk, Harm (author)
- Univ Manchester, UK,University of Manchester
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- Thulesius, Hans (author)
- Lund University,Lunds universitet,Allmänmedicin och samhällsmedicin,Forskargrupper vid Lunds universitet,Family Medicine and Community Medicine,Lund University Research Groups
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(creator_code:org_t)
- Cambridge University Press, 2017
- 2017
- English.
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In: International psychogeriatrics. - : Cambridge University Press. - 1041-6102 .- 1741-203X. ; 29:9, s. 1413-1423
- Related links:
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http://dx.doi.org/10...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://lup.lub.lu.s...
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Abstract
Subject headings
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- Background: Strategies for the involvement of primary care in the management of patients with presumed or diagnosed dementia are heterogeneous across Europe. We wanted to explore attitudes of primary care physicians (PCPs) when managing dementia: (i) the most popular cognitive tests, (ii) who had the right to initiate or continue cholinesterase inhibitor or memantine treatment, and (iii) the relationship between the permissiveness of these rules/guidelines and PCP's approach in the dementia investigations and assessment. Methods: Key informant survey. Setting: Primary care practices across 25 European countries. Subjects: Four hundred forty-five PCPs responded to a self-administered questionnaire. Two-step cluster analysis was performed using characteristics of the informants and the responses to the survey. Main outcome measures: Two by two contingency tables with odds ratios and 95% confidence intervals were used to assess the association between categorical variables. A multinomial logistic regression model was used to assess the association of multiple variables (age class, gender, and perceived prescription rules) with the PCPs' attitude of trying to establish a diagnosis of dementia on their own. Results: Discrepancies between rules/guidelines and attitudes to dementia management was found in many countries. There was a strong association between the authorization to prescribe dementia drugs and pursuing dementia diagnostic work-up (odds ratio, 3.45; 95% CI 2.28-5.23). Conclusions: Differing regulations about who does what in dementia management seemed to affect PCP's engagement in dementia investigations and assessment. PCPs who were allowed to prescribe dementia drugs also claimed higher engagement in dementia work-up than PCPs who were not allowed to prescribe.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Geriatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Geriatrics (hsv//eng)
Keyword
- Alzheimer's disease
- dementia
- primary care
- Gerontology
- Gerontologi
- Alzheimer's disease
- dementia
- primary care
Publication and Content Type
- ref (subject category)
- art (subject category)
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To the university's database
- By the author/editor
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Petrazzuoli, Fer ...
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Vinker, Shlomo
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Koskela, Tuomas ...
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Frese, Thomas
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Buono, Nicola
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Soler, Jean Karl
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show more...
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Ahrensberg, Jett ...
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Asenova, Radost
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Boreu, Quinti Fo ...
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Peker, Gulsen Ce ...
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Collins, Claire
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Hanzevacki, Miro
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Hoffmann, Kathry ...
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Iftode, Claudia
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Kurpas, Donata
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Le Reste, Jean Y ...
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Lichtwarck, Bjor ...
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Petek, Davorina
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Pinto, Daniel
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Schrans, Diego
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Streit, Sven
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Tang, Eugene Yee ...
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Tatsioni, Athina
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Torzsa, Peter
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Unalan, Pemra C.
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van Marwijk, Har ...
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Thulesius, Hans
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Geriatrics
- Articles in the publication
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International ps ...
- By the university
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Linnaeus University
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Lund University