Early detection of dementia: The knowledge and attitudes of primary care physicians in Hong Kong

Leung, Cheuk Wing; Lam, Tai Pong; Wong, Katie; Chao, Vai Kiong David

doi:10.1177/1471301218788133

Cited by 8 publications

(17 citation statements)

References 45 publications

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“…Perhaps due to easy dismissal of the symptoms at the early stages of dementia, patient and family often remained unwary until advanced decline in spite of their accepting and proactive attitude towards an early diagnosis of dementia. Apart from the need to improve education and awareness of dementia and advanced care planning in the community, it is also important for primary care practitioners to enhance their competence and thus readiness to engage in a more active role in managing dementia [41]. Broader implications include advising the government and policy makers to address the inadequacies in current dementia care by enhancing the socio-medical support for both patients and their families throughout the dementia trajectory.…”

Section: Discussionmentioning

confidence: 99%

Perceptions of Chinese Towards Dementia in Hong Kong—Diagnosis, Symptoms and Impacts

Lam

Sun

Chan

et al. 2019

IJERPH

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The increasing prevalence of dementia has become a public health issue worldwide including China. This study aims to explore the perception of Chinese in Hong Kong towards the diagnosis, symptoms and impacts of dementia. A cross-sectional survey was conducted among outpatients (without diagnosed dementia) attending a regional public hospital using a standard questionnaire. The results from 290 respondents showed that most preferred to be told about the diagnosis of dementia as soon as possible if they got it, in order to deal with the news and to access treatment and support early. Nearly two thirds of the respondents perceived practical issues (61.3%), physical health (61.0%), and emotional distress (58.4%) as their most fearful impacts, while legal issues (7.4%) were their least concerns. Family history/genes (79.1%) and brain injury (75.9%) were the most commonly perceived causes of dementia. For symptoms, respondents were more likely to identify cognitive impairments than undesirable behaviours. The accepting and proactive attitudes of the public indicate that there is a timely need of more public education about the disease, early screening and better continuity of care to fulfil the anticipated increase of the dementia patient population.

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Section: Discussionmentioning

confidence: 99%

Perceptions of Chinese Towards Dementia in Hong Kong—Diagnosis, Symptoms and Impacts

Lam

Sun

Chan

et al. 2019

IJERPH

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“…In the context of the Chinese primary care system, GPs are overloaded because they have to simultaneously perform medical tasks and provide public health services [39,40], leaving them with no energy to focus on dementia services. For example, standardized dementia screening procedures cannot be completed in a single consultation, and clari cation of the differential diagnosis of dementia is challenging due to time constraints [41,42]. With the normalization of efforts for prevention and control of the COVID-19 epidemic, GPs now require additional time and effort to provide dementia services and are not supported by the current disease and task performance-oriented healthcare culture [39].…”

Section: Discussionmentioning

confidence: 99%

WITHDRAWN: Exploring Barriers to Dementia Screening and Management Services by General Practitioners in China: A qualitative study using the COM-B model

Yang,

Zou,

et al. 2022

Preprint

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Background Dementia has become a global public health problem, and general practitioners (GPs) play a key role in the diagnosis and management of dementia. However, in Chinese primary care, dementia is under-diagnosed and inefficiently managed, and the dementia services provided by GPs are suboptimal. However, the reasons underlying this dementia service gap among GPs are poorly understood. This study aimed to determine the barriers that hinder GPs from actively promoting dementia services, and thereby provide insights for successful promotion of primary health care dementia services. Methods Group discussions and in-depth interviews were used for data collection. Inductive content analysis was used for data analysis, in combination with the Capability/Opportunity/Motivation-Behavior (COM-B) model as the framework for data analysis. Results Fifty-two GPs from the whole district of a city in southern China were included in this study. The COM-B model identified nine barriers: (1) capability: lack of systematic knowledge of dementia and difficulty in localizing and commissioning screening tools; (2) opportunity: insufficient time for dementia services, lack of dementia-specific leaders, unclear pathways for referral, no guarantee of service continuity; and (3) motivation: low sense of identity, psychological stress, and insufficient financial incentives. Conclusions The COM-B model could conceptually clarify the reasons underlying the suboptimal provision of dementia services by GPs in China. Under the influence of these barriers of capability, opportunity, and motivation, GPs not only failed to perform well in their role at the frontline of dementia prevention and treatment, but even had a sense of distrust in the practices they were expected to promote. Thus, standardization of the delivery of dementia services in primary care requires complex solutions, including standardized dementia training programs, standardized community-based dementia guidelines, expansion of primary care workforces, development of dedicated leaders, and universal dementia health education to bridge the gap between the expectations and reality of dementia services in primary care.

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“…This syndrome occurs in a large number of primary or secondary brain disorders. 1,2 Alzheimer's disease is the most common type of dementia accounting for about 60% to 80% of cases. In reality, however, dementia is under-detected in primary health care.…”

Section: Introductionmentioning

confidence: 99%

“…Some primary care physicians believe that early diagnosis of dementia is unimportant and can actually be harmful to patients, as it is equivalent to stigmatization without drugs. 1,2 Lack of knowledge and awareness of health workers about the occurrence of dementia can worsen dementia due to delays in diagnosis and treatment. In countries that are less concerned about dementia, the morbidity and mortality rates of the population will increase.…”

Section: Introductionmentioning

confidence: 99%

“…Refreshment and addition of knowledge is needed for research subjects regarding dementia. 1 Alzheimer's dementia is a disorder of physical decline in the brain that affects emotions, memory and decision making and is commonly referred to as senile dementia. Dementia is often considered to be experienced by the elderly so that Alzheimer's is often not detected, even though the symptoms can be experienced from a young age (early on-set dementia) and early detection helps sufferers and their families to better deal with the psycho-social effects of this disease.…”

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confidence: 99%

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Knowledge of General Doctors of Primary Health Service Facilities in Semarang City About Dementia in Semarang City

Wati

Muhartomo

Tamad

et al. 2022

DMJ

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Background. Dementia is a syndrome due to brain disease, usually chronic or progressive and there is a disturbance of sublime function. Lack of knowledge and awareness of health workers about the occurrence of dementia can worsen dementia due to delays in diagnosis and treatment. Method. This study is a descriptive study with a cross sectional design involving 66 respondents who have agreed to the informed consent and are general practitioners who work in Primary Health Care Facilities. Sampling using consecutive sampling technique, samples that meet the inclusion and exclusion criteria. Data collection was carried out in November 2021. Data analysis used SPSS 22.0 ver. Results. The average knowledge of respondents before the training was described from the pretest score of 5.2. Conclusion. Lack of knowledge about dementia in general practitioners who work in primary health care facilities in the Semarang.

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Early detection of dementia: The knowledge and attitudes of primary care physicians in Hong Kong

Cited by 8 publications

References 45 publications

Perceptions of Chinese Towards Dementia in Hong Kong—Diagnosis, Symptoms and Impacts

Perceptions of Chinese Towards Dementia in Hong Kong—Diagnosis, Symptoms and Impacts

WITHDRAWN: Exploring Barriers to Dementia Screening and Management Services by General Practitioners in China: A qualitative study using the COM-B model

Knowledge of General Doctors of Primary Health Service Facilities in Semarang City About Dementia in Semarang City

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