Factors affecting timely recognition and diagnosis of dementia across Europe: from awareness to stigma

• DOI: 10.1002/gps.1302
• Publication Date: 2005-03-29T15:46:55Z
• Authors: Myrra J. F. J. Ve...; Esme D. Moniz‐Cook; Robert T. Woods; Jan De Lepeleire; Antonio Leuschner; Orazio Zanetti; Joycelyn de Rotrou; Geraldine Kenny; Manuel Franco; Vincent Peters; Steve Iliffe
• Keywords: Stigma

Abstract Background Timely recognition and diagnosis of dementia is the pre‐condition for improving care, but often occurs late in disease process. Objective To compare facilitators obstacles to timely across eight European Union states, order implement established policies earlier diagnosis. Methods A modified focus group technique, including a pre posterior procedure. Results Twenty‐three participants from different disciplines, purposively sampled professional expertise research innovative practice, attended two groups. Stigma ageing dementia, accompanied by sense that there little offer until later on disease, underpinned widespread reluctance GPs recognise at an early stage were major all countries. Dementia care services varied widely Europe. Countries with greatest development health characterised national guidelines, fulfilling gatekeeper function, multi‐disciplinary memory clinics programmes stimulated practice new services. Dementia‐related stigma was perceived as being less prominent these Conclusions Overcome delays needs more than specialist They should address processes associated stigma, age especially where relate physician diagnostic disclosure. variable States, promising finding its impact relatively small countries widest range Copyright © 2005 John Wiley & Sons, Ltd.