From: General practitioners’ attitudes towards early diagnosis of dementia: a cross-sectional survey
Items “A timely diagnosis … | Factor 1 | Factor 2 | Uniqueness | Mean scores (SD) |
---|---|---|---|---|
Enablers of early dementia recognition | ||||
It is important to look actively for early signs of dementia | 0.69 | −0.08 | 0.51 | 3.66 (0.58) |
The early recognition of dementia usually serves the welfare of the patient | 0.72 | −0.12 | 0.46 | |
The early recognition of dementia usually serves the welfare of the patient’s relatives. | 0.47 | −0.12 | 0.77 | |
The present treatment options with anti-dementia drugs usually have a positive influence on the course of the disease | 0.41 | 0.08 | 0.83 | |
With a timely diagnosis GPs/patients may take actions to improve disease outcome. | 0.57 | 0.06 | 0.67 | |
A timely diagnosis may delay institutionalization | 0.58 | 0.00 | 0.67 | |
With a timely diagnosis dangerous and difficult situations can be reduced | 0.66 | −0.04 | 0.56 | |
A timely diagnosis may enable planning for the future, organize support and care | 0.73 | −0.11 | 0.46 | |
A timely diagnosis may minimize the strain and insecurity of patients and their informal family caregivers | 0.68 | −0.17 | 0.51 | |
With a timely diagnosis patients may make appropriate legal arrangements | 0.54 | −0.09 | 0.70 | |
Barriers to early dementia recognition | ||||
Patients with dementia can be a drain on resources that should be used for late stage dementia patients | −0.40 | 0.45 | 0.63 | 2.47 (0.59) |
Concern about possible burden or stigmatization of patients with diagnosis | −0.40 | 0.54 | 0.55 | |
Embarrassment or discomfort in disclosing the diagnosis to the patient or family | −0.05 | 0.54 | 0.71 | |
Time constraints in carrying out the necessary procedures to diagnose dementia | 0.01 | 0.59 | 0.65 | |
Inadequate financial remuneration hinders diagnosis | 0.30 | 0.45 | 0.71 | |
A timely diagnosis may increase suicide risk | 0.05 | 0.53 | 0.71 | |
Patients or families do not feel so much psychological strain as to need a diagnosis | −0.36 | 0.49 | 0.63 | |
A timely diagnosis is linked to a lot of paperwork | 0.07 | 0.59 | 0.65 | |
Providing a patient with a dementia diagnosis is providing a diagnosis that is not clinically actionable | −0.23 | 0.26 | 0.88 | 3.03 (1.02) |
Managing dementia is more often frustrating than rewarding | −0.10 | 0.28 | 0.91 | 2.49 (1.03) |