Literature DB >> 8845723

[The competence of family physicians in caring for dementia patients. A survey of general practitioners in Quebec].

L Poulin de Courval1, A Saroyan, L Joseph, S Gauthier.   

Abstract

OBJECTIVE: To assess the knowledge and skills of general practitioners in Quebec with respect to persons with dementia.
DESIGN: A questionnaire containing 47 multiple-choice questions on aptitude and nine questions on practice profiles and demographics.
SETTING: Province of Quebec. PARTICIPANTS: Twelve hundred general practitioners selected randomly. MAIN OUTCOME MEASURES: Performance with respect to the questionnaire's four objectives: to rate background knowledge, to evaluate physicians' knowledge of the assessment and treatment of dementia, to assess follow-up, and to assess interpersonal skills.
RESULTS: Average performance on the questionnaire was 64.7%, with a standard deviation of 11.79%. Performance did not differ markedly from one objective to the next. Most respondents were male (61.6%), working in urban settings (61.7%). Most (72.5%) were between 25 and 44 years, and 44.7% had between 6 and 15 years' experience. About half (44.7%) belonged to group practices, 43.8% worked in acute care hospitals, and 20.6% worked in extended care hospitals.
CONCLUSIONS: Quebec general practitioners have average ability to care for patients with dementia. Continuing education should focus on increasing physicians' knowledge of dementia, especially for those with the lowest scores; physicians 55 years and older, those practising alone, and those who spend less than 60% of their practice time with elderly patients.

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Mesh:

Year:  1996        PMID: 8845723      PMCID: PMC2146827     

Source DB:  PubMed          Journal:  Can Fam Physician        ISSN: 0008-350X            Impact factor:   3.275


  7 in total

1.  "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician.

Authors:  M F Folstein; S E Folstein; P R McHugh
Journal:  J Psychiatr Res       Date:  1975-11       Impact factor: 4.791

2.  Why are clinical problems difficult? General practitioners' opinions concerning 24 clinical problems.

Authors:  H Leclère; M D Beaulieu; G Bordage; A Sindon; M Couillard
Journal:  CMAJ       Date:  1990-12-15       Impact factor: 8.262

3.  Family caregiver satisfaction with medical care of their demented relatives.

Authors:  W E Haley; J M Clair; K Saulsberry
Journal:  Gerontologist       Date:  1992-04

4.  The examination of physicians' awareness of dementing disorders.

Authors:  S M Rubin; M L Glasser; M A Werckle
Journal:  J Am Geriatr Soc       Date:  1987-12       Impact factor: 5.562

5.  Physicians' and families' perspectives on the medical management of dementia.

Authors:  G Glosser; D Wexler; M Balmelli
Journal:  J Am Geriatr Soc       Date:  1985-06       Impact factor: 5.562

6.  The Global Deterioration Scale for assessment of primary degenerative dementia.

Authors:  B Reisberg; S H Ferris; M J de Leon; T Crook
Journal:  Am J Psychiatry       Date:  1982-09       Impact factor: 18.112

7.  Do general practitioners miss dementia in elderly patients?

Authors:  D W O'Connor; P A Pollitt; J B Hyde; C P Brook; B B Reiss; M Roth
Journal:  BMJ       Date:  1988-10-29
  7 in total

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