Huisintveld Laura J L, van Munster Barbara C, Visser Fleur C W, Hempenius Liesbeth
Medisch Centrum Leeuwarden, afd. Klinische Geriatrie, Leeuwarden.
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Ned Tijdschr Geneeskd. 2024 Sep 11;168:D8268.
To investigate whether referrals of general practitioners (GPs) to the memory clinic align with the regional and national dementia guidelines.
For this single center retrospective study, data was collected from electronic patient files.
GP referrals to the memory clinic over a 1-year period were categorized and evaluated according to the regional and national guidelines.
310 GP referrals were included with the most common referral motivations: "Additional somatic or psychiatric factors" (77; 24,8%) and "Straightforward dementia diagnosis" (70; 22,6%). A total of 51,0% of referrals were not in line with regional guidelines: either because of non-compliant referral reasons; or limited cognitive assessment without clinical findings and/or cognitive testing.
Half of GP referrals to the memory clinic were not in line with the national and regional guidelines. Referrals were often not preceded by clinical findings and/or cognitive testing. Aiming for effective care, cognitive assessments in primary care should be encouraged and with appropriate assistance.
调查全科医生（GP）将患者转介至记忆门诊是否符合地区和国家痴呆症指南。
在这项单中心回顾性研究中，数据从电子患者档案中收集。
根据地区和国家指南，对全科医生在1年期间转介至记忆门诊的情况进行分类和评估。
纳入了310例全科医生转介病例，最常见的转介动机为：“其他躯体或精神因素”（77例；24.8%）和“明确的痴呆症诊断”（70例；22.6%）。共有51.0%的转介不符合地区指南：要么是因为转介原因不符合规定；要么是认知评估有限且无临床发现和/或认知测试。
全科医生转介至记忆门诊的病例中有一半不符合国家和地区指南。转介前往往没有临床发现和/或认知测试。为实现有效护理，应鼓励在初级保健中进行认知评估并提供适当协助。
