Primary vs subspecialty care: a structured follow-up of dementia patients and their caregivers

Am J Geriatr Psychiatry. Spring 2000;8(2):167-70.

Abstract

All dementia patients and their caregivers who had received a University-based comprehensive evaluation and a diagnosis of Alzheimer's disease during 1997 (N = 80) were surveyed 1 year after their initial assessment. Of the original cohort, 72.5% were contacted, and two subgroups were defined: 31 patients were being seen only by their primary care physicians (MED), and 27 patients were being treated in addition by a geriatric psychiatry faculty member (GERO). There were statistically significant differences between the two groups (MED vs. GERO, respectively) at follow-up in terms of: 1) hospitalization (39% vs. 15%; P<O.05); 2) cognitive status (P<O.05); and 3) prescription of donepezil at follow-up (35% vs. 64%; P<O. 005). These differences need to be assessed in a larger-scale prospective study.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Alzheimer Disease / psychology
  • Alzheimer Disease / therapy*
  • Caregivers / psychology*
  • Cohort Studies
  • Consumer Behavior*
  • Donepezil
  • Female
  • Follow-Up Studies
  • Geriatric Psychiatry
  • Humans
  • Indans / administration & dosage
  • Male
  • Neuropsychological Tests
  • Nootropic Agents / administration & dosage
  • Patient Care Team*
  • Pilot Projects
  • Piperidines / administration & dosage
  • Primary Health Care
  • Specialization*
  • Treatment Outcome

Substances

  • Indans
  • Nootropic Agents
  • Piperidines
  • Donepezil