Primary Care Research Unit, Department of Family & Community Medicine, Sunnybrook Health Sciences Centre.
Department of Medicine and Rotman Research Institute, Baycrest Health Sciences Centre.
Alzheimer Dis Assoc Disord. 2018 Apr-Jun;32(2):114-119. doi: 10.1097/WAD.0000000000000219.
Computerized cognitive assessment tools may facilitate early identification of dementia in the primary care setting. We investigated primary care physicians' (PCPs') views on advantages and disadvantages of computerized testing based on their experience with the Computer Assessment of Mild Cognitive Impairment (CAMCI). Over a 2-month period, 259 patients, 65 years and older, from the family practice of 13 PCPs completed the CAMCI. Twelve PCPs participated in an individual interview. Generally, PCPs felt that the relationship between them and their patients helped facilitate cognitive testing; however, they thought available paper tests were time consuming and not sufficiently informative. Despite concerns regarding elderly patients' computer literacy, PCPs noticed high completion rates and that their patients had generally positive experiences completing the CAMCI. PCPs appreciated the time-saving advantage of the CAMCI and the immediately generated report, but thought the report should be shortened to 1 page and that PCPs should receive training in its interpretation. Our results suggest that computerized cognitive tools such as the CAMCI can address PCPs' concerns with cognitive testing in their offices. Recommendations to improve the practicality of computerized testing in primary care were suggested.
计算机认知评估工具可能有助于在初级保健环境中早期识别痴呆症。我们根据初级保健医生（PCP）使用计算机评估轻度认知障碍（CAMCI）的经验，调查了他们对计算机测试的优缺点的看法。在两个月的时间里，来自 13 名 PCP 的家庭诊所的 259 名 65 岁及以上的患者完成了 CAMCI。12 名 PCP 参加了个人访谈。一般来说，PCP 认为他们与患者的关系有助于促进认知测试；但是，他们认为现有的纸质测试既耗时又没有足够的信息量。尽管对老年患者的计算机素养存在担忧，但 PCP 注意到完成 CAMCI 的高完成率，以及他们的患者总体上对完成 CAMCI 的积极体验。PCP 赞赏 CAMCI 的节省时间的优势和即时生成的报告，但认为报告应该缩短到 1 页，并且 PCP 应该接受其解释方面的培训。我们的研究结果表明，计算机认知工具，如 CAMCI，可以解决 PCP 在其办公室进行认知测试的问题。提出了改进初级保健中计算机测试实用性的建议。
