Physician practices in the diagnosis of dementing disorders

M. R. Somerfield, C. S. Weisman, W. Ury, Marshal F. Folstein, M. F. Folstein

Research output: Contribution to journalArticle

Abstract

Because there are both treatable and untreatable causes of dementia, the physician's ability to conduct (or refer a patient for) a differential diagnosis could have a profound effect on health outcomes for patients and on health care costs. This study was undertaken to assess physician practices with regard to the diagnosis of dementing disorders. Data from 53 physicians (a response rate of 48%) in several specialties were obtained from a self-administered mail questionnaire. Results indicate that the majority of physicians provided history taking, physical examination, and neurological examination. Physicians were more likely to refer patients for psychiatric and neuropsychological examinations than to provide these services themselves. The results also point to deficiencies in two key areas: the use of formal, published diagnostic criteria, and the use of mental status and cognitive function tests. Over 75% of physicians surveyed did not use either DSM-III or NINCDS-ADRDA diagnostic criteria, and 42% of physicians did not provide any mental status tests themselves. The need for continuing education to close knowledge gaps is emphasized.

Original languageEnglish (US)
Pages (from-to)172-175
Number of pages4
JournalJournal of the American Geriatrics Society
Volume39
Issue number2
StatePublished - 1991

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Physicians
Intelligence Tests
Aptitude
Continuing Education
Neurologic Examination
Postal Service
Diagnostic and Statistical Manual of Mental Disorders
Health Care Costs
Cognition
Physical Examination
Psychiatry
Dementia
Differential Diagnosis
Health

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

Somerfield, M. R., Weisman, C. S., Ury, W., Folstein, M. F., & Folstein, M. F. (1991). Physician practices in the diagnosis of dementing disorders. Journal of the American Geriatrics Society, 39(2), 172-175.

Physician practices in the diagnosis of dementing disorders. / Somerfield, M. R.; Weisman, C. S.; Ury, W.; Folstein, Marshal F.; Folstein, M. F.

In: Journal of the American Geriatrics Society, Vol. 39, No. 2, 1991, p. 172-175.

Research output: Contribution to journalArticle

Somerfield, MR, Weisman, CS, Ury, W, Folstein, MF & Folstein, MF 1991, 'Physician practices in the diagnosis of dementing disorders', Journal of the American Geriatrics Society, vol. 39, no. 2, pp. 172-175.
Somerfield, M. R. ; Weisman, C. S. ; Ury, W. ; Folstein, Marshal F. ; Folstein, M. F. / Physician practices in the diagnosis of dementing disorders. In: Journal of the American Geriatrics Society. 1991 ; Vol. 39, No. 2. pp. 172-175.
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