Journal Article


C Walsh
R F Coen
B Lawlor
H O'Connell
M Clark
S Cahill


Medicine & Nursing

professional practice female psychology dementia epidemiologic methods education diagnosis education medical continuing statistics numerical data early diagnosis male clinical competence health services accessibility standards family practice physicians family attitude of health personnel ireland humans aged

The attitudes and practices of general practitioners regarding dementia diagnosis in Ireland. (2008)

Abstract The diagnosis of dementia poses difficulties for general practitioners (GPs) particularly when access to specialist diagnostic services is delayed. Ireland is soon to witness an increase in numbers of people presenting with dementia, yet little is known about the service needs of GPs when attempting to diagnose dementia. To detail the service needs of GPs, especially their training needs, access to diagnostic resources such as CT and MRI brain scans and access to specialist services such as Old Age Psychiatry (OAP), Geriatric Medicine (GM) and Neuropsychology (NP). The paper is based on survey data collected from a sample of GPs (n = 300) registered with the Irish College of General Practitioners (ICGP) and on qualitative data collected from a Focus Group (n = 7). GPs were more likely to blame themselves than either the health care system, their patients or family members for the late presentation of dementia in primary care. Stigma was a major obstacle preventing GPs from being more proactive in this area. Rural GPs felt geographically disadvantaged accessing diagnostic services and both rural and urban GPs experienced considerable time delays accessing specialist diagnostic services. Findings provide compelling evidence that training and access to diagnostic services are only two of several different structural and ideological obstacles that GPs encounter when attempting to diagnose dementia. Future educational supports for GPs need to be developed which concentrate on these areas.
Collections Ireland -> Trinity College Dublin -> PubMed

Full list of authors on original publication

C Walsh, R F Coen, B Lawlor, H O'Connell, M Clark, S Cahill

Experts in our system

Cathal Walsh
University of Limerick
Total Publications: 109
Robert F Coen
Trinity College Dublin
Total Publications: 35
Brian A. Lawlor
National College Ireland
Total Publications: 125
Suzanne Cahill
Trinity College Dublin
Total Publications: 19