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Original Articles

Slowing dementia symptoms – a qualitative study on attitudes and experiences of general practitioners in Germany

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Pages 32-39 | Received 21 May 2021, Accepted 28 Jan 2022, Published online: 07 Mar 2022

References

  • Alzheimer Europe. Dementia in Europe Yearbook 2019. Estimating the prevalence of dementia in Europe. Luxembourg: Alzheimer Europe; 2019. [cited 2022 Jan 25]. Available from: https://www.alzheimer-europe.org/Publications/Dementia-in-Europe-Yearbooks.
  • Korczak D, Habermann C, Braz S. Effectiveness of occupational therapy in moderate to severe dementia. Cologne: German Institute for Medical Documentation and Information; 2013.
  • Petrazzuoli F, Vinker S, Koskela TH, et al. Exploring dementia management attitudes in primary care: a key informant survey to primary care physicians in 25 European countries. Int Psychogeriatr. 2017;29(9):1413–1423.
  • Radisch J, Baumgardt J, Touil E, et al. Dementia - treatment pathways for integrated outpatient care. Stuttgart: Kohlhammer; 2015.
  • Tilburgs B, Vernooij-Dassen M, Koopmans R, et al. Barriers and facilitators for GPs in dementia advance care planning: a systematic integrative review. PLoS One. 2018;13(6):e0198535.
  • Thyrian JR, Fiß T, Dreier A, et al. Life- and person-centred help in Mecklenburg-Western Pomerania, Germany (DelpHi): study protocol for a randomised controlled trial. Trials. 2012;13(1):56.
  • German Society for Psychiatry and Psychotherapy, Psychosomatics and Neurology (DGPPN) and German Society for Neurology (DGN) [in German]. S3 guideline "Dementia" [cited 2022 Jan 25]. Available from: https://www.awmf.org/uploads/tx_szleitlinien/038-013l_S3-Demenzen-2016-07.pdf.
  • Geschke K, Scheurich A, Schermuly I, et al. Effectivity of early psychosocial counselling for family caregivers in general practitioner based dementia care. Dtsch Med Wochenschr. 2012;137(43):2201–2206.
  • Laux N, Melchinger H, Scheurich A, et al. Improving general practitioners guided dementia care: the pilot project start-modem in Rheinland-Pfalz, Germany. Dtsch Med Wochenschr. 2010;135(44):2175–2180.].
  • Thyrian JR, Eichler T, Michalowsky B, et al. Community-dwelling people screened positive for dementia in primary care: a comprehensive, multivariate descriptive analysis using data from the DelpHi-Study. J Alzheimers Dis. 2016;52(2):609–617.
  • Hugo J, Ganguli M. Dementia and cognitive impairment: epidemiology, diagnosis, and treatment. Clin Geriatr Med. 2014;30(3):421–442.
  • Pimlott NJ, Persaud M, Drummond N, et al. Family physicians and dementia in Canada: Part 1. Clinical practice guidelines: awareness, attitudes, and opinions. Can Fam Physician. 2009;55(5):506–507.e5.
  • Mansfield E, Noble N, Sanson-Fisher R, et al. Primary care physicians’ perceived barriers to optimal dementia care: a systematic review. Gerontologist. 2019;59(6):697–708.
  • Yaffe MJ, Orzeck P, Barylak L. Family physicians’ perspectives on care of dementia patients and family caregivers. Can Fam Physician. 2008;54(7):1008–1015.
  • Dreier-Wolfgramm A, Michalowsky B, Austrom MG, et al. Dementia care management in primary care: current collaborative care models and the case for interprofessional education. Z Gerontol Geriatr. 2017;50(Suppl 2):68–77.
  • Winblad B, Amouyel P, Andrieu S, et al. Defeating Alzheimer’s disease and other dementias: a priority for European science and society. Lancet Neurol. 2016;15(5):455–532.
  • Lehmann J, Michalowsky B, Kaczynski A, et al. The impact of hospitalization on readmission, institutionalization, and mortality of people with dementia: a systematic review and meta-analysis. J Alzheimers Dis. 2018;64(3):735–749.
  • Bablok I, Binder H, Graf E, et al. Primary dementia care based on the individual needs of the patient: study protocol of the cluster randomized controlled trial, DemStepCare. BMC Geriatr. 2021;21(1):222.
  • Eichler T, Thyrian JR, Hertel J, et al. Rates of formal diagnosis in people screened positive for dementia in primary care: results of the DelpHi-Trial. JAD. 2014;42(2):451–458.
  • Wangler J, Fellgiebel A, Jansky M. Dementia diagnosis in general practitioner care – attitudes, procedures and challenges from the perspective of general practitioners in Rhineland-Palatinate [in German]. Dtsch Med Wochenschr. 2018;143(19):165–171.
  • Tang EYH, Birdi R, Robinson L. Attitudes to diagnosis and management in dementia care: views of future general practitioners. Int Psychogeriatr. 2018;30(3):425–430.
  • Wangler J, Jansky M. Dementia diagnostics in general practitioner care: do general practitioners have reservations? The findings of a qualitative study in Germany. Wien Med Wochenschr. 2020;170(9-10):230–237.
  • Low L-F, McGrath M, Swaffer K, et al. Communicating a diagnosis of dementia: a systematic mixed studies review of attitudes and practices of health practitioners. Dementia (London). 2019;18(7–8):2856–2905.
  • Pentzek M, Wollny A, Wiese B, et al. Apart from nihilism and stigma: what influences general practitioners’ accuracy in identifying incident dementia? Am J Geriatr Psychiatry. 2009;17(11):965–975.
  • Donath C, Gräßel E, Großfeld-Schmitz M, et al. Effects of general practitioner training and family support services on the care of home-dwelling dementia patients – results of a controlled cluster-randomized study. BMC Health Serv Res. 2010;10(1):314.
  • Pentzek M, Vollmar HC, Wilm S, et al. Putting dementia awareness into general practice : the CADIF approach. Z Gerontol Geriatr. 2017;50(Suppl 2):44–47.
  • Kurz A, Pohl C, Ramsenthaler M, et al. Cognitive rehabilitation in patients with mild cognitive impairment. Int J Geriatr Psychiatry. 2009;24(2):163–168.
  • Romero B. Self-maintenance therapy: concepts, clinical practice and results [in German]. GeroPsych. 2004;17(2):119–134.
  • Reuster T, Jurjanz L, Schützwohl M, et al. Effectiveness of optimized occupational therapy for dementia in the general practitioner setting [in German]. GeroPsych. 2008;21(3):185–189.
  • Groen-van de Ven L, Smits C, Span M, et al. The challenges of shared decision making in dementia care networks. Int Psychogeriatr. 2018; 30(6):843–857.
  • Khanassov V, Vedel I. Family physician-case manager collaboration and needs of patients with dementia and their caregivers: a systematic mixed studies review. Ann Fam Med. 2016;14(2):166–177.
  • Thyrian JR, Hertel J, Wucherer D, et al. Effectiveness and safety of dementia Care Management in Primary Care: a randomized clinical trial. JAMA Psychiatry. 2017;74(10):996–1004.
  • Thoonsen B, Vissers K, Verhagen S, et al. Training general practitioners in early identification and anticipatory palliative care planning: a randomized controlled trial. BMC Fam Pract. 2015;16(1):126.
  • Tilburgs B, Koopmans R, Vernooij-Dassen M, et al. Educating Dutch general practitioners in dementia advance care planning: a cluster randomized controlled trial. J Am Med Dir Assoc. 2020;21(6):837–842.
  • Petrazzuoli F, Vinker S, Palmqvist S, et al. Unburdening dementia - a basic social process grounded theory based on a primary care physician survey from 25 countries. Scand J Prim Health Care. 2020;38(3):253–264.