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Centre for Policy on Ageing | |
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| The identification of barriers to the recognition of, and response to, dementia in primary care using a modified focus group approach | | Author(s) | Steve Iliffe, Jane Wilcock |
| Journal title | Dementia: the international journal of social research and practice, vol 4, no 1, February 2005 |
| Pages | pp 73-86 |
| Source | http://www.dem.sagepub.com |
| Keywords | Dementia ; General practice ; Diagnosis ; General practitioners ; Group work ; Qualitative Studies. |
| Annotation | Group work with 144 general practitioners (GPs) in three purposively selected settings used adapted nominal group data collection methods and a qualitative approach. Six key themes were identified that explain the complexity of dementia diagnosis and management: the pre-eminence of problem solving over differential diagnosis as a working style; the existence of gaps in support services; problems of confidentiality; the importance of "red flags"; rules governing disclosure of diagnosis; and heuristics for distinguishing dementia from normal ageing and other pathologies. In addition, GPs identified principles governing medication use, issues around carers' needs, and implications for professional education. The National Service Framework for Older People (NSF) emphasises the need for early detection and diagnosis of dementia in primary care. This study identified barriers to be overcome by targeted educational interventions and through service provision. There is an uneven geographical distribution of support and diagnostic services and a lack of awareness of how to access these. A stepwise model of educational method is recommended, as opposed to promotion of a formal syllabus. (RH). |
| Accession Number | CPA-050210216 A |
| Classmark | EA: L5: LK7: QT6: IGG: 3DP |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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