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BMC Health Services Research

, 8:54

First Online: 06 March 2008Received: 20 May 2007Accepted: 06 March 2008DOI: 10.1186-1472-6963-8-54

Cite this article as: Kaduszkiewicz, H., Wiese, B. & van den Bussche, H. BMC Health Serv Res 2008 8: 54. doi:10.1186-1472-6963-8-54


BackgroundCaring for patients with dementia is a demanding task. Little is known as to whether physicians feel competent enough to perform this task or whether a lack of self-perceived competence influences attitudes and professional approach. Even less is known with respect to potential differences between general practitioners GPs and specialists. The purpose of this study was to investigate the interrelationship between the self-perceived competence, attitude and professional approach of physicians in ambulatory care in Germany. A further aim was to compare GPs and specialists with regard to differences in these areas.

MethodsA standardised postal survey was sent to 389 GPs and 239 neurologists and psychiatrists in six metropolitan areas in Germany. The 49-item questionnaire consisted of attitudinal statements to be rated on a Likert-type scale. Return rates were 54 percent for GPs and 40 percent for specialists. Statistical methods used to analyze data included correlation analysis, cluster analysis and ordinal regression analysis.

ResultsNo differences were found between GPs and specialists with regard to their general attitude towards caring for patients with dementia. Approximately 15 percent of both disciplines showed a clearly negative attitude. Self-reported competence was strongly associated with general attitude. In particular among GPs, and less so among specialists, a strong positive association was found between self-reported competence, general attitude and professional approach e.g. early detection, active case finding and cooperation with caregivers. Differences between GPs and specialists were smaller than expected and appear to predominantly reflect task differences within the German health care system.

ConclusionTraining opportunities which enable in particular GPs to enhance not only their competence but also their general attitude towards dementia care would appear to be beneficial and might carry positive consequences for patients and their caregivers.

Electronic supplementary materialThe online version of this article doi:10.1186-1472-6963-8-54 contains supplementary material, which is available to authorized users.

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Autor: Hanna Kaduszkiewicz - Birgitt Wiese - Hendrik van den Bussche


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