J Telemed Telecare - A feasibility study of a telephone-based screening service for mild cognitive impairment and its uptake by elderly people.

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Resumo

The risk of developing mild cognitive impairment (MCI), and subsequently dementia, increases with age. Early detection requires a comprehensive clinical examination, which is time consuming and expensive; a face-to-face examination can also be problematic for people living in rural areas which may result in unequal access to services. Telephone-based screening may provide a feasible method of identifying people who would benefit from a full diagnostic workup. We conducted a pilot study in which we offered telephone screening to all patients aged over 60 years at a health clinic in rural northern Norway (n = 259). Fifteen percent of them volunteered (n = 39). Screening identified a number of suspicious cases and we recommended to their general practitioner that 7 patients (18%) be offered a follow-up appointment. Surveys showed that the volunteers were generally positive towards the service, as was the general practitioner who found it helpful to be provided with such information about the elderly patients in his care. In addition, we surveyed the opinions of all general practitioners (n = 480) in the three northernmost counties of Norway concerning a potential service. There was a response rate of 40% (n = 190). Almost half of respondents (45%) would like to make use of such a service if it existed, and 34% believed that their patients would make use of it if available. The pilot study demonstrates the feasibility of telephone screening for clinically significant memory decline, and that users (general practitioners and the elderly) are positive towards such a service.

Resumo Limpo

risk develop mild cognit impair mci subsequ dementia increas age earli detect requir comprehens clinic examin time consum expens facetofac examin can also problemat peopl live rural area may result unequ access servic telephonebas screen may provid feasibl method identifi peopl benefit full diagnost workup conduct pilot studi offer telephon screen patient age year health clinic rural northern norway n fifteen percent volunt n screen identifi number suspici case recommend general practition patient offer followup appoint survey show volunt general posit toward servic general practition found help provid inform elder patient care addit survey opinion general practition n three northernmost counti norway concern potenti servic respons rate n almost half respond like make use servic exist believ patient make use avail pilot studi demonstr feasibl telephon screen clinic signific memori declin user general practition elder posit toward servic

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