An integrative review of system-level factors influencing dementia detection in primary care

Raymond R Romano III; Michael A Carter; Alison R Anderson; Todd B Monroe

doi:10.1097/JXX.0000000000000230

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An integrative review of system-level factors influencing dementia detection in primary care

Journal article

Peer reviewed

An integrative review of system-level factors influencing dementia detection in primary care

Raymond R Romano III, Michael A Carter, Alison R Anderson and Todd B Monroe

Journal of the American Association of Nurse Practitioners, Vol.32(4), pp.299-305

04/01/2020

DOI: 10.1097/JXX.0000000000000230

PMID: 31274678

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Abstract

The incidence of Alzheimer disease (AD) is increasing in the United States, yet more than half of the people with AD are diagnosed late in the course of the disease. Most are identified outside primary care. New approaches to prevention and treatment mean that early detection of AD may improve the quality of life of those affected by the disease. Nurse practitioners (NPs) have an important role in increasing early diagnosis of AD.The purpose of this systematic literature review is to identify health care system factors that contribute to missed or delayed diagnosis of dementia by primary care providers. Articles were identified through a systematic electronic search of the following databases: MEDLINE, the Cochrane Central Register of Controlled Trials, CINAHL, and PsycINFO. Results indicate considerable variation in the diagnostic accuracy of dementia by primary care providers. Missed or underdiagnosis of dementia results from organizational, provider, and patient factors. New treatments are under investigation that may slow the progression of AD much better than current therapy, emphasizing the need to improve early detection by clinicians, especially primary care NPs.

Clinical Competence - standards

Clinical Competence - statistics & numerical data

Dementia - diagnosis

Dementia - physiopathology

Dementia - psychology

Humans

Nurse Practitioners - standards

Nurse Practitioners - statistics & numerical data

Primary Health Care - methods

Primary Health Care - standards

Primary Health Care - trends

Details

Title: Subtitle: An integrative review of system-level factors influencing dementia detection in primary care
Creators: Raymond R Romano III - Vanderbilt University
Michael A Carter - University of Tennessee Health Science Center
Alison R Anderson - Vanderbilt University
Todd B Monroe - The Ohio State University
Resource Type: Journal article
Publication Details: Journal of the American Association of Nurse Practitioners, Vol.32(4), pp.299-305
DOI: 10.1097/JXX.0000000000000230
PMID: 31274678
ISSN: 2327-6886
eISSN: 2327-6924
Language: English
Date published: 04/01/2020
Academic Unit: Nursing
Record Identifier: 9984446406902771

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