Early diagnosis of dementia by GPs: an exploratory study of attitudes

The capacity of early diagnosis of dementia to facilitate effective treatment and care is well established. The pivotal role of the GP has also been identified by research, although accuracy in detecting and diagnosing dementia at an early stage varies considerably. Despite the likely influence of attitude on practice, little is known about GP attitudes towards early diagnosis. This study collected attitudinal data, and supplementary commentary, from nearly 60% of GPs in one health authority. The research suggests consistency between belief in the value of early diagnosis and reported practice. Specifically, results reveal that three variables significantly predict practice-a belief there are benefits to patients from early diagnosis, a belief that negative outcomes may result from a failure to diagnose early and the accessibility of local support services. Overall, the study found that 40% of GPs hold positive views and 20% hold negative views towards early diagnosis. These views are underpinned by specific 'drivers' and 'barriers'. The study concludes that if GPs are to extend their commitment to early diagnosis, development work needs to focus on investing in the training and resources, which facilitate practice, and challenging attitudinal barriers, which undermine it.