Background:Strategies for the involvement of primary care in the management of patients with presumed or diagnosed dementia are heterogeneous across Europe. We wanted to explore attitudes of primary care physicians (PCPs) when managing dementia: (i) the most popular cognitive tests, (ii) who had the right to initiate or continue cholinesterase inhibitor or memantine treatment, and (iii) the relationship between the permissiveness of these rules/guidelines and PCP's approach in the dementia investigations and assessment.Methods:Key informant survey. Setting: Primary care practices across 25 European countries. Subjects: Four hundred forty-five PCPs responded to a self-administered questionnaire. Two-step cluster analysis was performed using characteristics of the informants and the responses to the survey. Main outcome measures: Two by two contingency tables with odds ratios and 95% confidence intervals were used to assess the association between categorical variables. A multinomial logistic regression model was used to assess the association of multiple variables (age class, gender, and perceived prescription rules) with the PCPs’ attitude of “trying to establish a diagnosis of dementia on their own.”Results:Discrepancies between rules/guidelines and attitudes to dementia management was found in many countries. There was a strong association between the authorization to prescribe dementia drugs and pursuing dementia diagnostic work-up (odds ratio, 3.45; 95% CI 2.28–5.23).Conclusions:Differing regulations about who does what in dementia management seemed to affect PCP's engagement in dementia investigations and assessment. PCPs who were allowed to prescribe dementia drugs also claimed higher engagement in dementia work-up than PCPs who were not allowed to prescribe.

Harm van Marwijk & Hans Thulesius (2020) Unburdening dementia-a basic social process grounded theory based on a primary care physician survey from 25 countries,

Introduction Colorectal cancer screening program compliance in Turkey is around 20–30%. Factors that may affect preventive health behavior, mainly individuals’ values, beliefs and attitudes, should be explored. A “Health Belief Model” (HBM) scale was developed in 1950 to explain the insufficient participation of some individuals in screening programs. The scale was adopted for colon cancer in 2002. The validity and reliability study of this scale for the Turkish language was conducted in 2007. In this study we aim to evaluate the health beliefs of relatively young individuals before the age of screening in relation to attitudes to colorectal cancer screening via the Turkish version of the scale. Materials and Methods A questionnaire composed of 14 sociodemographic questions and 33 HBM scale questions were applied to the patients of a Family Medicine outpatient clinic where the majority of the patients are relatively young people. The data was analyzed using the IBM SPSS version 21.0. Results A total of 310 subjects at the age of 18 and over were informed about the study. The study was completed with 215 subjects with a participation rate of 69.3%. The average age of the participants was 35.4 ± 12.8 years; 62.8% of them were women; 26.0% were students. 94.4% of the participants did not have a history of colon cancer among their first degree relatives. 58.1% agreed that “A colonoscopy should be done every ten years starting at age 50 to screen for colon cancer.” Age, marital status, education and occupation status were found to have an effect on barrier scores. Young participants, singles, and those with a primary and/or secondary school education had statistically significant higher barrier scores. The motivation scores of high school graduates were higher than university graduates. The seriousness scores of men were found to be higher than women. Conclusion Our study points out that attitudes about preventive health measures are mainly associated with age, gender, education level and marital status. These personal characteristics should be taken into consideration while offering screening programs and preventive health measures to individuals in order to protect against colorectal cancer. It is better to give specific messages according to personal characteristics and specific barriers instead of general messages about conducting screening tests beginning from a young age.

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ÖzPurpose: To evaluate the awareness of human papillomavirus (HPV) infection and attitude of the vaccination of the medical doctors among HPV vaccination. Material and Methods: A total of 147 medical doctors (98 from the department of Obstetrics and Gynecology and 49 from the department of pediatrics) were enrolled into this study. A survey which measure the knowledge and attitude about HPV infection and vaccination received by the participants. Statistical analyses were performed to evaluate and compare the knowledge and attitude of the medical doctors. Results: The average ages of the Obstetrician and Gynecologists and pediatricians were 28.2 and 29.2; respectively. The rate of willingness of self-vaccination for HPV in Obstetrician and Gynecologists and Pediatrician groups were 74% and 71%; respectively. The recommendation rates in Obstetrician and Gynecologists and Pediatrician groups were 85% and 78%; respectively. Conclusion:The mortality related cervix cancer may be decreased by increasing the awareness of HPV infection and HPV vaccination of the medical doctors who may recommend the HPV vaccine to the parents for their children. Amaç: Hekimlerin human papillomavirus (HPV) ile ilgili farkındalıkları ve HPV aşısının uygulanması konusundaki yaklaşımlarını değerlendirmek amaçlanmıştır. Gereç ve Yöntem: Araştırmaya 147 hekim (98 kadın doğum hekimi, 49 çocuk-aile hekimi dahil edilmiştir. Katılımcılara, araştırmacılar tarafından geliştirilen HPV enfeksiyonu ve HPV aşısı hakkında bilgi ve yaklaşımları değerlendirmek için hazırlanan bir anket formu uygulanmış ve toplanan veriler analiz edilmiştir. Bulgular: Araştırmaya dahil edilen kadın doğum hekimlerinin yaş ortalaması 28.2 yıl, çocuk-aile hekimlerinin 29.2 yıl olup her iki grupta da kadın cinsiyet ağırlıklıdır. Kadın doğum hekimlerinin %74'ü, çocuk hekimlerinin %71'i aşıyı kendilerine yaptırmayı düşündüğünü ifade etmiştir. Kadın doğum hekimlerinin %85'i, çocuk-aile hekimlerinin %78'i aşıyı önerdiklerini ifade etmişlerdir. Sonuç: Toplumda görülen serviks kanserine bağlı ölümler, çocuklara ve ailelere danışmanlık yapacak pozisyonda olan hekimlerin, HPV enfeksiyonu ve HPVaşısı konusunda bilgi düzeylerinin artırılmasıyla, aşının önerilme oranlarını artırarak önlenebilir.