{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T10:48:07Z","timestamp":1792493287750,"version":"4.5.0"},"reference-count":37,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2023,4,19]],"date-time":"2023-04-19T00:00:00Z","timestamp":1681862400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["alz-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Alzheimer's &amp;amp; Dementia"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Mild cognitive impairment remains substantially underdiagnosed, especially in disadvantaged populations. Failure to diagnose deprives patients and families of the opportunity to treat reversible causes, make necessary life and lifestyle changes and receive disease\u2010modifying treatments if caused by Alzheimer's disease. Primary care, as the entry point for most, plays a critical role in improving detection rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We convened a Work Group of national experts to develop consensus recommendations for policymakers and third\u2010party payers on ways to increase the use of brief cognitive assessments (BCAs) in primary care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The group recommended three strategies to promote routine use of BCAs: providing primary care clinicians with suitable assessment tools; integrating BCAs into routine workflows; and crafting payment policies to encourage adoption of BCAs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Disscussion<\/jats:title><jats:p>Sweeping changes and actions of multiple stakeholders are necessary to improve detection rates of mild cognitive impairment so that patients and families may benefit from timely interventions.<\/jats:p><\/jats:sec>","DOI":"10.1002\/alz.13051","type":"journal-article","created":{"date-parts":[[2023,4,19]],"date-time":"2023-04-19T07:09:20Z","timestamp":1681888160000},"page":"4252-4259","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":71,"title":["Expanding the use of brief cognitive assessments to detect suspected early\u2010stage cognitive impairment in primary care"],"prefix":"10.1002","volume":"19","author":[{"given":"Soeren","family":"Mattke","sequence":"first","affiliation":[{"name":"Brief Cognitive Assessment Work Group  District of Columbia USA"},{"name":"Center for Improving Chronic Illness Care University of Southern California  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donnie","family":"Batie","sequence":"additional","affiliation":[{"name":"Brief Cognitive Assessment Work Group  District of Columbia USA"},{"name":"Baton Rouge General Medical Center  Baton Rouge Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Chodosh","sequence":"additional","affiliation":[{"name":"Brief Cognitive Assessment Work Group  District of Columbia USA"},{"name":"Division of Geriatric Medicine and Palliative Care Department of Medicine New York University School of Medicine  New York New York USA"},{"name":"NYU School of Medicine New York Harbor VA Healthcare System  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristen","family":"Felten","sequence":"additional","affiliation":[{"name":"Brief Cognitive Assessment Work Group  District of Columbia USA"},{"name":"Wisconsin Department of Health Services Office on Aging  Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen","family":"Flaherty","sequence":"additional","affiliation":[{"name":"Brief Cognitive Assessment Work Group  District of Columbia USA"},{"name":"Geisel School of Medicine Dartmouth College  Lebanon New Hampshire USA"},{"name":"Dartmouth Centers for Health and Aging Geisel School of Medicine  Lebanon New Hampshire USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole R.","family":"Fowler","sequence":"additional","affiliation":[{"name":"Brief Cognitive Assessment Work Group  District of Columbia USA"},{"name":"Indiana University Center for Aging Research Indiana University School of Medicine and the Regenstrief Institute  Indianapolis Indiana USA"},{"name":"Division of General Internal Medicine and Geriatrics Indiana University School of Medicine  Indianapolis Indiana USA"},{"name":"Center for Health Innovation and Implementation Science Indiana University  Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fred A.","family":"Kobylarz","sequence":"additional","affiliation":[{"name":"Brief Cognitive Assessment Work Group  District of Columbia USA"},{"name":"Department of Family 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USA"},{"name":"Department of Neurology University of California, San Francisco Memory and Aging Center  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatiana","family":"Sadak","sequence":"additional","affiliation":[{"name":"Brief Cognitive Assessment Work Group  District of Columbia USA"},{"name":"University of Washington School of Nursing  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diane","family":"Ty","sequence":"additional","affiliation":[{"name":"Brief Cognitive Assessment Work Group  District of Columbia USA"},{"name":"Alliance to Improve Dementia Care Milken Institute Center for the Future of Aging  Washington, District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Walsh","sequence":"additional","affiliation":[{"name":"Brief Cognitive Assessment Work Group  District of Columbia USA"},{"name":"Age\u2010Friendly Health Systems Institute for 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