An evaluation of primary care led dementia diagnostic services in Bristol

Dodd, Emily, Cheston, Richard, Fear, Tina, Brown, Ellie, Fox, Chris, Morley, Clare, Jefferies, Rosalyn and Gray, Richard 2014, An evaluation of primary care led dementia diagnostic services in Bristol, BMC health services research, vol. 14, pp. 1-11, doi: 10.1186/s12913-014-0592-3.

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Title An evaluation of primary care led dementia diagnostic services in Bristol
Author(s) Dodd, Emily
Cheston, Richard
Fear, Tina
Brown, Ellie
Fox, Chris
Morley, Clare
Jefferies, Rosalyn
Gray, Richard
Journal name BMC health services research
Volume number 14
Article ID 592
Start page 1
End page 11
Total pages 11
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2014-11-29
ISSN 1472-6963
Keyword(s) aged
aged, 80 and over
attitude of health personnel
diagnostic services
patient satisfaction
primary health care
qualitative research
secondary care
United Kingdom
science & technology
life sciences & biomedicine
health care sciences & services
Alzheimer's disease
memory clinics
primary care
participatory research
Summary BACKGROUND: Typically people who go to see their GP with a memory problem will be initially assessed and those patients who seem to be at risk will be referred onto a memory clinic. The demographic forces mean that memory services will need to expand to meet demand. An alternative may be to expand the role of primary care in dementia diagnosis and care. The aim of this study was to contrast patient, family member and professional experience of primary and secondary (usual) care led memory services. METHODS: A qualitative, participatory study. A topic guide was developed by the peer and professional panels. Data were collected through peer led interviews of people with dementia, their family members and health professionals. RESULTS: Eleven (21%) of the 53 GP practices in Bristol offered primary care led dementia services. Three professional panels were held and were attended by 9 professionals; nine carers but no patients were involved in the three peer panels. These panels identified four main themes: GPs rarely make independent dementia diagnosis; GPs and memory nurses work together; patients and carers generally experience a high quality diagnostic service; an absence of post diagnostic support. Evidence relating to these themes was collected through a total of 46 participants took part; 23 (50%) in primary care and 23 (50%) in the memory service. CONCLUSIONS: Patients and carers were generally satisfied with either primary or secondary care led approaches to dementia diagnosis. Their major concern, shared with many health care professionals, was a lack of post diagnostic support.
Language eng
DOI 10.1186/s12913-014-0592-3
Field of Research 1117 Public Health And Health Services
0807 Library And Information Studies
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
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Document type: Journal Article
Collections: School of Medicine
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