title: GPs' attitudes, awareness, and practice regarding early diagnosis of dementia.
abstract: BACKGROUND
  In primary care, the diagnosis of dementia is often delayed and the 2007 National Audit Office Report concluded action was needed to improve patient care and value for money.
  
  
  OBJECTIVE
  To investigate the attitudes, awareness, and practice of GPs in England regarding early diagnosis and management of patients with dementia, and perceptions of local specialist services, to identify training or support needs.
  
  
  METHODS
  Secondary analysis of survey data that capture the above attitudes, awareness, and practice.
  
  
  METHODS
  Online survey, targeting GP members of medeConnect.
  
  
  METHODS
  Survey data were obtained using an anonymised online self-completion questionnaire, and then analysed using standard data-analysis software.
  
  
  RESULTS
  A total of 1011 GPs across the eight English regions responded. Older GPs were more confident in diagnosing and giving advice about dementia, but less likely to feel that early diagnosis was beneficial, and more likely to feel that patients with dementia can be a drain on resources with little positive outcome. Younger GPs were more positive and felt that much could be done to improve quality of life. Attitudes had no correlation with sex. GPs in general felt they had not had sufficient basic and post-qualifying training in dementia, and overall knowledge about dementia was low.
  
  
  CONCLUSIONS
  Much could be done to improve GPs' knowledge of dementia, and the confidence of older GPs could be an educational resource. However, greater experience may create scepticism about early diagnosis because of the perceived poor quality of specialist services.
authors.affiliation: National Audit Office, Health VFM, London. shamail.ahmad@nao.gsi.gov.uk
authors.forename: Shamail
authors.initials: S
authors.lastname: Ahmad
authors.forename: Martin
authors.initials: M
authors.lastname: Orrell
authors.forename: Steve
authors.initials: S
authors.lastname: Iliffe
authors.forename: Antonia
authors.initials: A
authors.lastname: Gracie
mesh_terms: D001291:Attitude of Health Personnel; D001364:Awareness; D002983:Clinical Competence / Q000592:standards*; D003704:Dementia / Q000175:diagnosis*; D042241:Early Diagnosis; D004739:England; D005194:Family Practice / Q000592:standards; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D011795:Surveys and Questionnaires