Skip to main content


Weitere Artikel dieser Ausgabe durch Wischen aufrufen

06.12.2019 | original article | Ausgabe 9-10/2020 Open Access

Wiener Medizinische Wochenschrift 9-10/2020

Dementia diagnostics in general practitioner care

Do general practitioners have reservations? The findings of a qualitative study in Germany

Wiener Medizinische Wochenschrift > Ausgabe 9-10/2020
Dr. phil. Julian Wangler, Univ.-Prof. Dr. med. Michael Jansky
Wichtige Hinweise

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1007/​s10354-019-00722-4) contains supplementary material, which is available to authorized users.

Data and materials

Research data are available upon request.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.


General practitioner (GP) treatment of dementia is often criticized as being ineffective and not implemented consistently enough. The causes and specific standpoints of GPs have not previously been thoroughly investigated. This paper focuses on the reasons and the criticisms levelled at GPs with regard to diagnosing dementia, and identifies approaches to enable optimization. The analysis is based on 41 semi-structured interviews with GPs in Hesse, Germany, in 2018. During the course of a content analysis, the interviewees’ attitudes and behavioral patterns towards dementia diagnostics were to be analyzed. The results of the study show various challenges and problems of primary care in this field. The majority of the sample showed skepticism and reluctance with regard to the diagnosis of dementia. Six key problem areas were extracted from the interviews, which can be seen as root causes for the distance kept by GPs: 1) early delegation of patients due to role understanding, 2) attitude of pessimism towards dementia, 3) differential diagnosis perceived as an obstacle, 4) insufficient remuneration, 5) fear of patient stigmatization, and 6) lack of application. Some GPs demonstrated personal initiative with the aim of optimizing dementia diagnostics. Three approaches can be derived which could be used to improve the GP-based care of dementia: 1) self-efficacy, 2) differential diagnostics and treatment pathways, and 3) physician–patient communication.

Unsere Produktempfehlungen

Abo für kostenpflichtige Inhalte

Über diesen Artikel

Weitere Artikel der Ausgabe 9-10/2020

Wiener Medizinische Wochenschrift 9-10/2020 Zur Ausgabe