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Practices and perspectives of primary care physicians in Japan and the United States about diagnosing dementia: a qualitative study

Abe, M ; Tsunawaki, S ; Dejonckheere, M ; Cigolle, C. T ; Phillips, K ; Rubinstein, E. B ; Matsuda, M ; Fetters, M. D ; Inoue, M

BMC geriatrics, 2021-10, Vol.21 (1), p.1-540, Article 540 [Periódico revisado por pares]

London: BioMed Central Ltd

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Título:
Practices and perspectives of primary care physicians in Japan and the United States about diagnosing dementia: a qualitative study
Autor: Abe, M ; Tsunawaki, S ; Dejonckheere, M ; Cigolle, C. T ; Phillips, K ; Rubinstein, E. B ; Matsuda, M ; Fetters, M. D ; Inoue, M
Assuntos: Advance directives ; Chronic illnesses ; Data collection ; Decision making ; Dementia ; Dementia disorders ; Diagnosing dementia ; Diagnosis ; Health care ; Health care policy ; Health insurance ; Insurance coverage ; Intercultural communication ; Interviews ; Japan ; Long term health care ; Medical diagnosis ; Medical referrals ; Medicine ; Older people ; Patients ; Physicians ; Physicians (General practice) ; Planning ; Practice ; Primary care ; Primary care physicians ; Primary health care ; Public health ; Qualitative comparison ; Qualitative research ; Rural areas ; Surveys ; United States
É parte de: BMC geriatrics, 2021-10, Vol.21 (1), p.1-540, Article 540
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SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: Abstract Background While dementia is a common problem in Japan and the US, primary care physicians' practices and perspectives about diagnosing dementia in these different healthcare systems are unknown. Methods Qualitative research was conducted in an ethnographic tradition using semi-structured interviews and thematic analysis in primary care settings across Japan and in the Midwest State of Michigan, US. Participants were a total of 48 primary care physicians, 24 each from Japan and the US participated. Both groups contained a mixture of geographic areas (rural/urban), gender, age, and years of experience as primary care physicians. Results Participants in Japan and the US voiced similar practices for making the diagnosis of dementia and held similar views about the desired benefits of diagnosing dementia. Differences were found in attitudes about the appropriate timing of formally diagnosing dementia. Japanese physicians tended to make a formal diagnosis when problems that would benefit from long-term care services emerged for family members. US physicians were more proactive in diagnosing dementia in the early stages by screening for dementia in health check-ups and promoting advance directives when the patients were still capable of decision-making. Views about appropriate timing of diagnostic testing for dementia in the two systems reflect what medical or nursing care services physicians can use to support dementia patients and caregivers. Conclusions Benefits of making the diagnosis included the need to activate the long-term care services in Japan and for early intervention and authoring advance directives in the US. Testing to establish an early diagnosis of dementia by primary care physicians only partly relates to testing and treatment options available. Benefits of making the diagnosis included the need to activate the long-term care services in Japan and for early intervention and authoring advance directives in the US.
Editor: London: BioMed Central Ltd
Idioma: Inglês

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Practices and perspectives of primary care physicians in Japan and the United States about diagnosing dementia: a qualitative study

Abe, M ; Tsunawaki, S ; Dejonckheere, M ; Cigolle, C. T ; Phillips, K ; Rubinstein, E. B ; Matsuda, M ; Fetters, M. D ; Inoue, M

London: BioMed Central Ltd

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