Two Sides of the Dementia Case-Finding Debate (BMJ)

Summary

The UK government is introducing incentives for general practitioners to check for dementia in patients aged 75 and older, with the intention that timely diagnosis facilitates earlier support for patients with dementia.

Critics of this policy allege that this is effectively screening for dementia, contrary to the evidence-based conclusion of the UK National Screening Committee that screening should not be offered. UK hospitals have received financial incentives to do something similar, whereby from early 2012 the Department of Health’s Commissioning for Quality and Innovation (CQUIN) payments to increase the rate of diagnosis of dementia have, it is alleged, operated on an “industrial” tick-boxing scale. CQUIN payments depend upon patients being questioned about memory problems within 72 hours of admission, with hospitals needing to achieve 90% compliance over three consecutive months to meet targets.

Full Text Link (a) (Note: This article requires a suitable Athens password, a journal subscription or payment for access).

Reference

Rasmussen, J. (2013). Would doctors routinely asking older patients about their memory improve dementia outcomes? Yes. BMJ (Clinical research ed.), May 26th 2013, Vol. 346, f1780.

Full Text Link (b) (Note: This article requires a suitable Athens password, a journal subscription or payment for access).

Reference

McCartney, M. (2013). Would doctors routinely asking older patients about their memory improve dementia outcomes? No. BMJ (Clinical research ed.), 2013, Vol. 346, f1745.

Full Text Link (c) (Note: This article requires a suitable Athens password, a journal subscription or payment for access).

Reference

Oliver, D. (2013). Asking older patients about their memory is simply practising evidence based medicine properly. BMJ (Clinical research ed.), May 3rd 2013, Vol. 346, f2746.

[A brief reference to this item features in Dementia and Elderly Care: the Latest Evidence Newsletter (RWNHST), Volume 3 Issue 9, August 2013].

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About Dementia and Elderly Care News

Dementia and Elderly Care News. Wolverhampton Medical Institute: WMI. (jh)
This entry was posted in Acute Hospitals, Community Care, Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Models of Dementia Care, National, NHS, Patient Care Pathway, Quick Insights, Standards, UK, Universal Interest and tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , . Bookmark the permalink.

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