This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Podgorski, C. A. Articles by Cox, C. Search for Related Content PubMed PubMed Citation Articles by Podgorski, C. A. Articles by Cox, C. Social Bookmarking                         What's this?

Dementia consults: Predictors of compliance by primary care physicians

University of Rochester Departments of Medicine and Psychiatry, Alzheimer's Disease Center; Program inNeurobehavioral Therapeutics, Monroe Community Hospital, Rochester, New York

Benjamin D. Lanning, MPH

Cynthia J. Casaceli, MBA

Andrea L. Nardi, BA

Christopher Cox, PhD

University of Rochester, Rochester, New York

This study was designed to determine rates of primary care physician compliance with recommendations made by physician-consultants at an Alzheimer's disease center. A mail survey was sent to primary care physicians, who were asked to indicate which recommendations had been implemented and to select reasons for lack of adherence. The response rate was 53 percent (49/92). Some 83 percent of recommendations were implemented. Compliance with medical recommendations was higher (87 percent) than with social or behavioral issues (69 percent). Reasons for noncompliance indicated that patient or family barriers were responsible in 48 percent of cases, while physicians were responsible in 24 percent. These findings validate the development of two educational programs: curricula that support the primary care physician in conveying the value of these interventions and guidelines to assist specialists in communicating treatment recommendations.

Key Words: physician compliance • dementia • consultations • medical recommendations

American Journal of Alzheimer's Disease and Other Dementias®, Vol. 17, No. 1, 44-50 (2002)
DOI: 10.1177/153331750201700110


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?