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The role of referrals in diagnosing dementia at the primary care level
Author(s)Steffi G Riedel-Heller, Astrid Schork, Herbert Matschinger
Journal titleInternational Psychogeriatrics, vol 11, no 3, September 1999
Pagespp 251-262
KeywordsDementia ; Diagnosis ; General practitioners ; Referrals ; Germany.
AnnotationThere are more than 1 million older people in Germany with dementia, and general practitioners (GPs) have a key role in their treatment and psychosocial care. Enhancing the liaison between GPs and specialist physicians by improving the psychogeriatric competence of GPs as well as the connection to non-medical services is discussed. The authors used a questionnaire to investigate the role of referrals at the primary care level and variables potentially influencing the referral behaviour of 565 German GPs. Only 31% of GPs stated that the diagnosis of dementia was made predominantly in the context of referral to a specialist. The chance that referrals were made was increased for those GPs who entertained extensive co-operative relationships with self-help groups, psychologists or the 'Alzheimer Society'/'Brain League' and for those GPs who perceived a greater preparedness on the part of relatives of the patient to comply with a referral as well as those who noticed a great readiness among specialists to accept patients for the diagnosis of dementia. GPs whose therapeutic orientation was shaped by further training and scientific literature were more likely to refer. (RH).
Accession NumberCPA-000127212 A
ClassmarkEA: LK7: QT6: L5R: 767

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