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Who refuses the diagnostic assessment for dementia in primary care?
Author(s)Malaz Boustani, Anthony J Perkins, Chris Fox
Journal titleInternational Journal of Geriatric Psychiatry, vol 21, no 6, June 2006
Pagespp 556-563
Sourcehttp://www.interscience.wiley.com
KeywordsDementia ; Screening ; Diagnosis ; Attitude ; General practice ; Cross sectional surveys ; United States of America.
AnnotationAmong the 434 primary care patients aged 65+ with positive screening results for dementia in this US study, about half (47.7%) refused further assessment to confirm their screening result. The high refusal rates indicate that older people have concerns about routine dementia screening. Older primary care patients who perceived themselves as having no cognitive symptoms refused dementia diagnostic assessment despite their positive screening results. African-Americans who are aged 80+ were less likely to accept dementia diagnostic assessment following their positive screening than African Americans aged 79 and younger. There is a need to improve our understanding of older patients' beliefs and behaviours regarding their decision-making processes about the benefits and risks of dementia screening and diagnosis, before implementing any broad-based screening initiatives for dementia. The screening instrument used is included as an appendix. (RH).
Accession NumberCPA-061025002 A
ClassmarkEA: 3V: LK7: DP: L5: 3KB: 7T

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