{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T16:56:13Z","timestamp":1793638573085,"version":"4.5.1"},"reference-count":53,"publisher":"BMJ","issue":"9","license":[{"start":{"date-parts":[[2022,9,20]],"date-time":"2022-09-20T00:00:00Z","timestamp":1663632000000},"content-version":"unspecified","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"the Australian Government Research Training Program Fees Offset","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]},{"name":"Shanghai Municipal Health Commission, China","award":["201940495"],"award-info":[{"award-number":["201940495"]}]},{"name":"the La Trobe University Full Fee Research Scholarship","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2022,9,1]]},"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Detection of mild cognitive impairment (MCI) is essential in slowing progression to dementia. Primary care plays a vital role in detecting and managing MCI. The chronic care model (CCM) provides effective methods to manage chronic diseases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to explore how MCI services are delivered in primary care in China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Focus group interviews were conducted face to face among MCI stakeholders from six community health centres (CHCs) involved in the \u2018friendly community programme\u2019 in Shanghai, China. A total of 124 MCI stakeholders were interviewed, consisting of 6 groups (n=42) of general practitioners (GPs), 3 groups (n=18) of CHC managers, 4 groups (n=32) of people with MCI and 4 groups (n=32) of informal caregivers. Content and thematic analyses were performed using a combination of induction and deduction approaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three major themes emerged from the data corresponding to the CCM framework: hesitant patients, unprepared providers and misaligned environments. While the public are hesitant to seek medical attention for MCI problems, due to misunderstanding, social stigma and a lack of perceived benefits, GPs and CHCs are not well prepared either, due to lack of knowledge and a shortage of GPs, and a lack of policy, funding and information support. None of these issues can be addressed separately without tackling the others.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study combined the diverse perceptions of all the main stakeholders to detect and manage MCI in primary care settings in China. A vicious circle was found among the three interconnected CCM domains, creating a gridlock that should be addressed through a system\u2019s approach targeting all of the above-mentioned aspects.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2022-062240","type":"journal-article","created":{"date-parts":[[2022,9,20]],"date-time":"2022-09-20T12:07:33Z","timestamp":1663675653000},"page":"e062240","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":20,"title":["Challenges in detecting and managing mild cognitive impairment in primary care: a focus group study in Shanghai, China"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4360-8476","authenticated-orcid":false,"given":"Yuan","family":"Lu","sequence":"first","affiliation":[{"name":"Department of General Practice, Tongji University Affiliated Yangpu Hospital, Shanghai, China"},{"name":"School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0877-0424","authenticated-orcid":false,"given":"Chaojie","family":"Liu","sequence":"additional","affiliation":[{"name":"School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yvonne","family":"Wells","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, La Trobe University, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dehua","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of General Practice, Tongji University Affiliated Yangpu Hospital, Shanghai, China"},{"name":"Shanghai General Practice and Community Health Development Research Center, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,9,20]]},"reference":[{"key":"2025120618471644000_12.9.e062240.1","unstructured":"World Alzheimer report 2018. 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