✦ LIBER ✦

THE ROLE OF GENERAL PRACTICE AND THE PRIMARY CARE TEAM IN DEMENTIA DIAGNOSIS AND MANAGEMENT

✍ Scribed by MURNA G. DOWNS

Publisher: John Wiley and Sons
Year: 1996
Tongue: English
Weight: 602 KB
Volume: 11
Category: Article
ISSN: 0885-6230
DOI: 10.1002/(sici)1099-1166(199611)11:11<937::aid-gps540>3.0.co;2-0

No coin nor oath required. For personal study only.

✦ Synopsis

General practitioners (GPs) and the primary care team are uniquely situated to play a central role both in the diagnosis and ongoing care of dementia. Anecdotal reports and empirical work suggest that GPs face several challenges in fulfilling this role. This paper describes the various roles GPs and the primary care team could play in diagnosis and ongoing management. It then discusses the legitimate anxieties and difficulties faced in fulfilling these roles. The paper concludes with suggestions for how GPs and the primary care team might be supported to maximize their role in dementia diagnosis and management.

KEY woms-general practice; primary care team; dementia; diagnosis; management General practitioners (GPs) are viewed as the gateway to services for people with dementia. Establishing a diagnosis of dementia, however, can be difficult and GPs are often uninformed about available support services. Demographic trends and the emphasis on community care suggest that the role GPs and their primary care team play can only become more salient. This review makes explicit the role general practitioners and the primary care team could play in dementia diagnosis and care, describes the difficulties they face in fulfilling this role and provides suggestions for supporting GPs and the primary care team in this role.

A. ROLE OF GPS AND THE PRIMARY CARE TEAM IN DIAGNOSIS AND MANAGEMENT

Estimates suggest that a GP with an overall list of 1500 to 2000 patients will have between 12 and 20 people with dementia in their practice (Alzheimer's Disease Society, 1995b). Philp (1989) suggests that between four to eight of these will require support from their GP. Demographic trends suggest that these numbers will increase as the number of people most at risk for developing a dementing

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