{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T14:24:12Z","timestamp":1779891852231,"version":"3.53.1"},"reference-count":26,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,9,20]],"date-time":"2022-09-20T00:00:00Z","timestamp":1663632000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,9,20]],"date-time":"2022-09-20T00:00:00Z","timestamp":1663632000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100000923","name":"Australian Research Council","doi-asserted-by":"publisher","award":["DE200100343"],"award-info":[{"award-number":["DE200100343"]}],"id":[{"id":"10.13039\/501100000923","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Prim. Care"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Dementia is a major international health issue with high impact on the patient, relatives, and broader society. Routine screening for dementia is limited, despite known benefit of early detection and intervention on quality of care and patient outcomes. Screening is particularly limited in rural and regional areas, despite high burden and projected growth of dementia in these populations. The current study aimed to implement a new general practitioner (GP) led, multidisciplinary, model of care providing dementia detection and referral pathway to a community-based specialist clinic across six regional general practices.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Cross-sectional analysis of dementia screening and referral characteristics in the St Anthony Family Medical Practices group based in the regional area of Loddon-Mallee, Victoria. Data were collected on demographics and relevant medical history. Cognitive state was assessed using the Mini-Mental State Examination (MMSE), GP Assessment of Cognition (GPCog), and Geriatric Depression Scale (GDS). Referrals and referral outcomes were recorded for geriatrician, psycho-geriatrician, or both.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Eight hundred and eighteenth patients over 65\u00a0years were screened, accounting for approximately 24.2% of 65 and over presentations for the practice network. Of those screened, 68.9% were indicated for referral and 30.3% of these were successfully referred. Of the indicated patients who received referrals, 34.2% declined. Many who declined referral had intermediate scores on the cognitive assessments utilized.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Standardised models of care, integrated within community services, are necessary to improve access to early detection, referral and quality management of dementia. The St Anthony Memory Service model will be invaluable in informing future service development, and in particular the development of services for people living with dementia in rural and regional communities.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12875-022-01829-1","type":"journal-article","created":{"date-parts":[[2022,9,20]],"date-time":"2022-09-20T07:02:37Z","timestamp":1663657357000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["A new model for general practice-led, regional, community-based, memory clinics"],"prefix":"10.1186","volume":"23","author":[{"given":"Rebecca","family":"Disler","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Pascoe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holly","family":"Anderson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ewa","family":"Piejko","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adel","family":"Asaid","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Disler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,9,20]]},"reference":[{"key":"1829_CR1","unstructured":"Australian Institute of Health and Welfare. Dementia in Australia 2021: Summary report. Cat. no. DEM 3. Canberra: AIHW; 2021."},{"key":"1829_CR2","unstructured":"Access Economics. Keeping dementia front of mind: incidence and prevalence 2009\u20132050. Alzheimer\u2019s Australia.\u00a02009.\u00a0https:\/\/www.dementia.org.au\/sites\/default\/files\/20090800_Nat__AE_FullKeepDemFrontMind.pdf. Last accessed 9th November 2018."},{"key":"1829_CR3","unstructured":"Australian Institute of Health and Welfare. Dementia. Canberra: AIHW; 2020."},{"key":"1829_CR4","unstructured":"Gardiner F, Gale L, Ransom A, Laverty M. Looking Ahead: Responding To The Health Needs Of Country Australians In 2028 \u2013 The Centenary Year Of The RFDS. Canberra: The Royal Flying Doctor Service; 2018."},{"key":"1829_CR5","unstructured":"Comas-Herrera A, Guerchet M, Karagiannidou M, et al. World Alzheimer Report 2016 - Improving healthcare for people living with dementia: Coverage, quality and costs now and in the future. Alzheimer's Disease International. 2016."},{"key":"1829_CR6","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1186\/1471-2296-11-52","volume":"11","author":"T Koch","year":"2010","unstructured":"Koch T, Iliffe S. Rapid appraisal of barriers to the diagnosis and management of patients with dementia in primary care: a systematic review. BMC Fam Pract. 2010;11:52.","journal-title":"BMC Fam Pract"},{"issue":"4","key":"1829_CR7","doi-asserted-by":"publisher","first-page":"306","DOI":"10.1097\/WAD.0b013e3181a6bebc","volume":"23","author":"A Bradford","year":"2009","unstructured":"Bradford A, Kunik ME, Schulz P, et al. Missed and delayed diagnosis of dementia in primary care: prevalence and contributing factors. Alzheimer Dis Assoc Disord. 2009;23(4):306\u201314.","journal-title":"Alzheimer Dis Assoc Disord"},{"key":"1829_CR8","unstructured":"National Health & Medical Research Council. Clinical practice guidelines and principles of care for people with dementia. Guideline Adaptation Committee. 2016."},{"issue":"9","key":"1829_CR9","doi-asserted-by":"publisher","first-page":"487","DOI":"10.5694\/j.1326-5377.2008.tb02140.x","volume":"189","author":"CM Speechly","year":"2008","unstructured":"Speechly CM, Bridges-Webb C, Passmore E. The pathway to dementia diagnosis. Med J Aust. 2008;189(9):487\u20139.","journal-title":"Med J Aust"},{"issue":"4","key":"1829_CR10","doi-asserted-by":"publisher","first-page":"372","DOI":"10.1111\/j.1365-2524.2010.00982.x","volume":"19","author":"KK Leung","year":"2011","unstructured":"Leung KK, Finlay J, Silvius JL, et al. Pathways to diagnosis: exploring the experiences of problem recognition and obtaining a dementia diagnosis among Anglo-Canadians. 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Informed consent was obtained from the referred person or primary family member where appropriate.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Consent for publication was obtained from all participants or a primary family member where appropriate in accordance with local ethics and regulatory guidelines.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"Dr Asaid and Dr Piejko have a financial interest in St. Anthony Family Medical Practices Pty Ltd, in which St Anthony Memory Service is run. All other authors have no conflicts of interest to declare.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"242"}}