Survey of physician practices for community-dwelling agitated dementia patients
C.C. Colenda
Bok Engelsk 1996
| Utgitt | 1996
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|---|---|
| Omfang | Side 635- 644
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| Opplysninger | In order to gain a better understanding of physician clinicalreasoning and clinical practices for community-dwelling agitateddementia patients, we conducted a small survey of geriatricpsychiatrists, primary care physicians and neurologists. The surveyasked physician respondents to give a likelihood estimate of howoften they would carry out one of 13 different pharmacologic andpsychosocial interventions. Intervention by specialty group analysesfound that geriatric psychiatrists were more likely to recommendneuroleptic medications and dementia support group activities, butless likely to recommend referral to behavioral specialists than theother physician groups. Neurologists were more likely to recommenddementia support groups than primary care physicians, but they werealso more likely to recommend institutional placement than the otherphysician groups. Primary care physicians were more likely torecommend hydroxyzine than either neurologists or geriatricpsychiatrists. Multivariate ordinal logistic regression analysesfound that older physicians and primary care physicians expressed alower likelihood of recommending dementia day care programs and ahigher likelihood of recommending hydroxyzine. Women physicians,however, expressed a high likelihood of recommending dementia daycare programs. The results of the survey suggest that personal andspecialty characteristics of physicians influence the types oftreatment recommendations made for agitated dementia patients. Theresults may help community-based dementia care programs to developstrategies that broaden physician involvement in multidisciplinaryteam management for these patients.
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| Emner |
