Online First Nr249

Psychiatr. Pol. ONLINE FIRST Nr 249: 1–13

Published ahead of print 7 September 2021

DOI: https://doi.org/10.12740/PP/OnlineFirst/138867

Tomasz Chmiela, Paweł Dobrakowski, Beata Łabuz-Roszak, Agnieszka Gorzkowska

FREE POLISH FULLTEXT:

Diagnostyka zaburzeń poznawczych w ramach podstawowej opieki zdrowotnej w Polsce


FREE ENGLISH FULLTEXT:

Diagnosis of cognitive disorders in primary health care in Poland
 
Summary
Aim. The aim of this study was to assess the knowledge, attitudes and the rules of proceeding concerning primary health care (PHC) doctors in the field of screening diagnostics for cognitive disorders in elderly people in Poland.
Material and methods. The study included 175 PHC doctors. A validated anonymous questionnaire was used. The survey was conducted using the PAPI (Paper and Pencil Interviews) and CAWI (Computer Assisted Web Interviews) methods.
Results. The vast majority of the respondents (n = 159; 91.4%) saw the advisability of screening for cognitive disorders in the age group >65 years of age, but only 53 subjects (30.29%) believed that these tests should be conducted by general practitioners (GPs). According to the surveyed doctors, the main obstacle in the diagnostics of cognitive functions is the lack of time – this was the opinion of 142 (81.14%) respondents. When dementia was suspected, the respondents usually ordered laboratory tests and referred patients to a neurologist (n = 111; 63.4%). The Mini Mental Status Examination (MMSE) and the Clock Drawing Test (CDT) were the most popular scales assessing cognitive functions, known by 120 doctors (68.57%), and 122 respondents (69.71%), respectively.
Conclusions. Polish GPs are aware of the necessity of screening for cognitive disorders in seniors. Currently, there are no mechanisms within the primary health care system that would enable proper early screening for dementia in people at high risk (i.e. >65 years of age). The development of standards for the early detection of cognitive disorders within the primary health care system in Poland seems to be an urgent need.
 

ISSN 0033-2674 (PRINT)

ISSN 2391-5854 (ONLINE)


Psychiatria Polska
is an Open Access journal:
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Zadanie finansowane
w ramach umowy
nr 739/P-DUN/2018
ze środków MNiSW
przeznaczonych
na działalność
upowszechniającą naukę


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