{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T10:28:20Z","timestamp":1786357700066,"version":"build-2736575974"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Private Universit\u00e4t Witten\/Herdecke gGmbH"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Z Gerontol Geriat"],"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Hintergrund<\/jats:title>\n                    <jats:p>Die rechtzeitige Diagnostik kognitiver Beeintr\u00e4chtigungen und dementieller Syndrome ist zentral in der geriatrischen Versorgung. Ged\u00e4chtnisambulanzen \u00fcbernehmen meist die Differenzialdiagnostik nach positivem case finding in der Hausarztpraxis. Doch Versorgungspfade funktionieren nicht reibungslos, wie im Projekt \u201eiCreate\u201c gezeigt. Von 95\u00a0Patient*innen mit positivem case finding nahmen nur\u00a068 die \u00dcberweisung zur Ged\u00e4chtnisambulanz wahr; 27\u00a0waren \u201eNo shows\u201c. W\u00e4hrend H\u00fcrden vor dem ersten Arztbesuch gut erforscht sind, fehlt die Analyse des \u00dcbergangs zwischen haus- und fach\u00e4rztlichem Setting. Ziel war es zu verstehen, warum eine weiterf\u00fchrende Differenzialdiagnostik nach positivem case finding nicht in Anspruch genommen wurde, und Handlungsempfehlungen abzuleiten.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methode<\/jats:title>\n                    <jats:p>\n                      Qualitatives Design mit leitfadengest\u00fctzten Interviews (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u20099) und telefonischen Befragungen (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u200915) von\u00a024\u00a0der\u00a027 \u201eNo shows\u201c bzw. Angeh\u00f6rigen aus \u201eiCreate\u201c. Software-gest\u00fctzte Auswertung mittels qualitativer Inhaltsanalyse nach Kuckartz und R\u00e4diker.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>Die Betroffenen erleben eine Versorgungsl\u00fccke mit Unklarheiten sowie ein individuelles Geflecht aus H\u00fcrden auf drei Ebenen: a)\u00a0psychosozial: Angst vor Autonomieverlust\/Stigma, Abwehr\/Ambivalenz, Wunsch\/Recht auf Nichtwissen; b)\u00a0strukturell und organisatorisch: Transport\u2011\/Termin\u2011\/Koordinationsprobleme sowie c)\u00a0versorgungs- und prozessbezogen: unklarer Nutzen, fehlende Anschlussoptionen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diskussion<\/jats:title>\n                    <jats:p>Case-finding-Programme ben\u00f6tigen standardisierte Kommunikationspfade mit schriftlichen Zusammenfassungen (Arbeitsdiagnose, n\u00e4chste Schritte, Ansprechpersonen). Ein gestuftes shared decision-making, unterst\u00fctzt durch Dementia Care Manager, k\u00f6nnte die empfundenen H\u00fcrden und Drop-outs reduzieren sowie Versorgungsl\u00fccken schlie\u00dfen.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00391-026-02633-7","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T09:32:15Z","timestamp":1786354335000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201eNo shows\u201c in der Demenzdiagnostik: qualitative Perspektiven von Patient*innen und Angeh\u00f6rigen nach positivem \u201ecase finding\u201c in der Hausarztpraxis","\u201cNo shows\u201d in dementia diagnostics: qualitative perspectives of patients and caregivers after a\u00a0positive case finding by general practitioners"],"prefix":"10.1007","author":[{"given":"Carolin","family":"Rosendahl","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Hanke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Wagner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Klaus","family":"Weckbecker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,10]]},"reference":[{"key":"2633_CR1","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1192\/bjo.2023.325","volume":"9","author":"H Al Hamad","year":"2023","unstructured":"Al Hamad\u00a0H, Chandran\u00a0M, Manikoth\u00a0PT et\u00a0al (2023) Expeditious multipronged Interventions strike down Geriatric Memory Clinic No Shows in the Department of Geriatrics\u2011a Value Enhancing Initiative via Memory utreach Program and Telephone Triaging. BJPsych Open 9:113\u2013114. https:\/\/doi.org\/10.1192\/bjo.2023.325","journal-title":"BJPsych open"},{"key":"2633_CR2","unstructured":"Alzheimer\u2019s Disease International (2024) World Alzheimer Report 2024: Global Changes in Attitudes to Dementia, London, England."},{"key":"2633_CR3","doi-asserted-by":"publisher","DOI":"10.1002\/trc2.12304","volume":"8","author":"J Aworinde","year":"2022","unstructured":"Aworinde\u00a0J, Ellis-Smith\u00a0C, Gillam\u00a0J et\u00a0al (2022) How do person-centered outcome measures enable shared decision-making for people with dementia and family carers?-A systematic review. Alzheimer\u2019s & Dementia: Translational Research & Clinical Interventions 8:e12304. https:\/\/doi.org\/10.1002\/trc2.12304","journal-title":"Alzheimer\u2019s & Dementia: Translational Research & Clinical Interventions"},{"key":"2633_CR4","doi-asserted-by":"publisher","DOI":"10.1177\/16094069241232346","volume":"23","author":"N Berner","year":"2024","unstructured":"Berner\u00a0N, Hohmann\u00a0A, Yilmaz\u00a0B et\u00a0al (2024) Experience of Younger-Onset Dementia Stigma: Protocol for a Constructivist Grounded Theory Study Based on Qualitative Episodic Interviews With People Living With Dementia and Their Significant Others. Int J Qual Methods 23:16094069241232346. https:\/\/doi.org\/10.1177\/16094069241232346","journal-title":"International Journal of Qualitative Methods"},{"key":"2633_CR5","doi-asserted-by":"publisher","first-page":"853","DOI":"10.1111\/medu.15658","volume":"59","author":"M Bosshard","year":"2025","unstructured":"Bosshard\u00a0M, Guttormsen\u00a0S, Nater\u00a0UM et\u00a0al (2025) Improving breaking bad news communication skills through stress arousal reappraisal and worked examples. Medical education 59:853\u2013861. https:\/\/doi.org\/10.1111\/medu.15658","journal-title":"Medical education"},{"key":"2633_CR6","doi-asserted-by":"publisher","first-page":"738","DOI":"10.1007\/s11606-022-07768-y","volume":"38","author":"MR Dahm","year":"2023","unstructured":"Dahm\u00a0MR, Cattanach\u00a0W, Williams\u00a0M et\u00a0al (2023) Communication of Diagnostic Uncertainty in Primary Care and Its Impact on Patient Experience: an Integrative Systematic Review. J\u00a0Gen Intern Med 38:738\u2013754. https:\/\/doi.org\/10.1007\/s11606-022-07768-y","journal-title":"Journal of General Internal Medicine"},{"key":"2633_CR7","unstructured":"DGN, DGPPN (Hrsg) (2025) S3-Leitlinie Demenzen - Living guideline. AWMF-Registernr. 038-013."},{"key":"2633_CR8","doi-asserted-by":"publisher","first-page":"236","DOI":"10.1016\/j.dadm.2015.01.002","volume":"1","author":"NR Fowler","year":"2015","unstructured":"Fowler\u00a0NR, Frame\u00a0A, Perkins\u00a0AJ et\u00a0al (2015) Traits of patients who screen positive for dementia and refuse diagnostic assessment. Alzheimers Dement 1:236\u2013241. https:\/\/doi.org\/10.1016\/j.dadm.2015.01.002","journal-title":"Alzheimer\u2019s & Dementia: Diagnosis, Assessment & Disease Monitoring"},{"key":"2633_CR9","unstructured":"Gemeinsamer Bundesausschuss (2025) Beschluss des Innovationsausschusses beim Gemeinsamen Bundesausschuss gem\u00e4\u00df \u00a7\u00a092b Absatz\u00a03 SGB\u00a0V zum abgeschlossenen Projekt InDePendent (01NVF18034)."},{"key":"2633_CR10","doi-asserted-by":"publisher","first-page":"4228","DOI":"10.1111\/jocn.16570","volume":"32","author":"M Ghosh","year":"2023","unstructured":"Ghosh\u00a0M, Dunham\u00a0M, O\u2019Connell\u00a0B (2023) Systematic review of dyadic psychoeducational programs for persons with dementia and their family caregivers. J\u00a0Nurs Healthc Chronic Illn 32:4228\u20134248. https:\/\/doi.org\/10.1111\/jocn.16570","journal-title":"Journal of clinical nursing"},{"key":"2633_CR11","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2025.17","volume":"11","author":"B Hicks","year":"2025","unstructured":"Hicks\u00a0B, Wheatley\u00a0K, Porter\u00a0E et\u00a0al (2025) A mapping review of studies exploring the barriers and facilitators to a dementia diagnosis through an intersectionality lens. BJPsych Open 11:e76. https:\/\/doi.org\/10.1192\/bjo.2025.17","journal-title":"BJPsych open"},{"key":"2633_CR12","doi-asserted-by":"publisher","first-page":"183","DOI":"10.1055\/a-2130-2374","volume":"85","author":"H Hoffmann","year":"2023","unstructured":"Hoffmann\u00a0H, Jonietz\u00a0A, Gr\u00e4fe\u00a0W et\u00a0al (2023) Assoziationen eines leicht verst\u00e4ndlichen Patientenbriefs zur Gesundheitskompetenz nachstation\u00e4rer Patienten. Ergebnisse einer randomisiert kontrollierten Interventionsstudie. Das Gesundheitswesen 85:183\u2013188. https:\/\/doi.org\/10.1055\/a-2130-2374","journal-title":"Das Gesundheitswesen"},{"key":"2633_CR13","volume-title":"Qualitative Inhaltsanalyse: Methoden, Praxis, Umsetzung mit Software und k\u00fcnstlicher Intelligenz","author":"U Kuckartz","year":"2024","unstructured":"Kuckartz\u00a0U, R\u00e4diker\u00a0S (2024) Qualitative Inhaltsanalyse: Methoden, Praxis, Umsetzung mit Software und k\u00fcnstlicher Intelligenz. Beltz Juventa, Weinheim, Basel"},{"key":"2633_CR14","doi-asserted-by":"publisher","DOI":"10.1002\/gps.70129","volume":"40","author":"O Kusoro","year":"2025","unstructured":"Kusoro\u00a0O, Roche\u00a0M, Del-Pino-Casado\u00a0R et\u00a0al (2025) Time to Diagnosis in Dementia: A Systematic Review With Meta-Analysis. Int J Geriatr Psychiatry 40:e70129. https:\/\/doi.org\/10.1002\/gps.70129","journal-title":"International journal of geriatric psychiatry"},{"key":"2633_CR15","doi-asserted-by":"publisher","first-page":"875","DOI":"10.1177\/14713012231156976","volume":"22","author":"MK Mattos","year":"2023","unstructured":"Mattos\u00a0MK, Gibson\u00a0JS, Wilson\u00a0D, Jepson\u00a0L, Ahn\u00a0S, Williams\u00a0IC (2023) Shared decision-making in persons living with dementia: A scoping review. Dementia 22:875\u2013909. https:\/\/doi.org\/10.1177\/14713012231156976","journal-title":"Dementia"},{"key":"2633_CR16","doi-asserted-by":"publisher","DOI":"10.1002\/alz.14200","volume":"21","author":"K O\u2019Brien","year":"2025","unstructured":"O\u2019Brien\u00a0K, Largent\u00a0EA, Karlawish\u00a0J (2025) Applying recommendations for diagnostic disclosure of mild cognitive impairment and dementia: Practical guidance for clinicians. Alzheimers Dement 21:e14200. https:\/\/doi.org\/10.1002\/alz.14200","journal-title":"Alzheimer\u2019s & dementia"},{"key":"2633_CR17","doi-asserted-by":"publisher","first-page":"1605","DOI":"10.1080\/13607863.2018.1506747","volume":"23","author":"CA Poyser","year":"2019","unstructured":"Poyser\u00a0CA, Tickle\u00a0A (2019) Exploring the experience of the disclosure of a dementia diagnosis from a clinician, patient and carer perspective: a systematic review and Meta-ethnographic synthesis. Aging Ment Health 23:1605\u20131615. https:\/\/doi.org\/10.1080\/13607863.2018.1506747","journal-title":"Aging & Mental Health"},{"key":"2633_CR18","doi-asserted-by":"publisher","DOI":"10.1002\/alz.70727","volume":"21","author":"A R\u00e4dke","year":"2025","unstructured":"R\u00e4dke\u00a0A, Michalowsky\u00a0B, Kleinke\u00a0F et\u00a0al (2025) Efficacy and cost-effectiveness of extended nursing roles in dementia care: Results of the cluster-randomized trial InDePendent. Alzheimers Dement 21:e70727. https:\/\/doi.org\/10.1002\/alz.70727","journal-title":"Alzheimer\u2019s & dementia"},{"key":"2633_CR19","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-025-02823-z","volume":"26","author":"K Rolke","year":"2025","unstructured":"Rolke\u00a0K, Rosendahl\u00a0C, Weckbecker\u00a0K et\u00a0al (2025) How do patients, medical assistants and physicians accept and experience tablet-based cognitive testing by medical assistants in general practice? - A qualitative study. BMC Prim Care 26:174. https:\/\/doi.org\/10.1186\/s12875-025-02823-z","journal-title":"BMC primary care"},{"key":"2633_CR20","doi-asserted-by":"publisher","DOI":"10.1007\/s00391-025-02507-4","author":"C Rosendahl","year":"2025","unstructured":"Rosendahl\u00a0C, Rolke\u00a0K, Tillmann\u00a0J et\u00a0al (2025) H\u00fcrden im Versorgungspfad der Demenzdiagnostik: Framework-Analyse des Projektes \u201eiCreate\u201c. Z Gerontol Geriatr. https:\/\/doi.org\/10.1007\/s00391-025-02507-4","journal-title":"Z Gerontol Geriat"},{"key":"2633_CR21","doi-asserted-by":"publisher","DOI":"10.2196\/76010","volume":"9","author":"P Schaper","year":"2025","unstructured":"Schaper\u00a0P, Hanke\u00a0A, Jonas\u00a0S et\u00a0al (2025) Usability of a tablet-based cognitive test administered by medical assistants in general practice: An Implementation Study. JMIR Formative Research 9:e76010. https:\/\/doi.org\/10.2196\/76010","journal-title":"JMIR Formative Research"},{"key":"2633_CR22","doi-asserted-by":"publisher","first-page":"218","DOI":"10.1111\/psyg.12095","volume":"15","author":"L Stokes","year":"2015","unstructured":"Stokes\u00a0L, Combes\u00a0H, Stokes\u00a0G (2015) The dementia diagnosis: a literature review of information, understanding, and attributions. Psychogeriatrics 15:218\u2013225. https:\/\/doi.org\/10.1111\/psyg.12095","journal-title":"Psychogeriatrics"},{"key":"2633_CR23","doi-asserted-by":"publisher","DOI":"10.1177\/11786329221141829","volume":"15","author":"EN Wollney","year":"2022","unstructured":"Wollney\u00a0EN, Armstrong\u00a0MJ, Bedenfield\u00a0N et\u00a0al (2022) Barriers and Best Practices in Disclosing a Dementia Diagnosis: A Clinician Interview Study. Health services insights 15:11786329221141829. https:\/\/doi.org\/10.1177\/11786329221141829","journal-title":"Health services insights"}],"container-title":["Zeitschrift f\u00fcr Gerontologie und Geriatrie"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00391-026-02633-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00391-026-02633-7","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00391-026-02633-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T09:32:18Z","timestamp":1786354338000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00391-026-02633-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,10]]},"references-count":23,"alternative-id":["2633"],"URL":"https:\/\/doi.org\/10.1007\/s00391-026-02633-7","relation":{},"ISSN":["0948-6704","1435-1269"],"issn-type":[{"value":"0948-6704","type":"print"},{"value":"1435-1269","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,10]]},"assertion":[{"value":"12 March 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 March 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 August 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"C.\u00a0Rosendahl, A.\u00a0Hanke, M.\u00a0Wagner und K.\u00a0Weckbecker geben an, dass kein Interessenkonflikt besteht.","order":1,"name":"Ethics","label":"Interessenkonflikt","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"Die Studie wurde mit Zustimmung der Ethikkommission der Universit\u00e4t Witten\/Herdecke (S-313_2024) nach nationalem Recht und der Deklaration von Helsinki durchgef\u00fchrt. Alle Teilnehmenden gaben ihr Einverst\u00e4ndnis und wurden u.\u202fa. zu Freiwilligkeit und Abbruchm\u00f6glichkeit ohne Nachteile aufgekl\u00e4rt.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}}]}}