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A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment
Published on: January 11, 2020
Familiarity, knowledge, and preferences of family physicians regarding mild cognitive impairment
Perla Werner1, Jeremia Heinik, Eliezer Kitai
1Department of Gerontology University of Haifa, Haifa, Israel. werner@research.haifa.ac.il
Background:
Mild cognitive impairment (MCI) is a common condition among elderly persons. Its early identification is important because MCI can be a precursor of dementia. Since physicians' knowledge and preferences regarding MCI can be critical in its identification, this study assessed family physicians' familiarity, knowledge, and preferences regarding help-seeking, diagnosis, and treatment options for MCI.
Method:
A convenience sample of 197 family physicians working in one of the largest Health Maintenance Organizations (HMOs) in Israel completed a structured questionnaire. Familiarity, knowledge, and preferences regarding diagnosis, help-seeking, and treatment of MCI were assessed.
Results:
The majority of the participants had heard about MCI but a third of those familiar with the term reported knowing almost nothing about it. Participants' objective knowledge was good regarding several causes of MCI, but 70% reported it to be caused by normal aging. Help-seeking and treatment preferences corresponded with the literature on MCI.
Conclusion:
Our findings stress the need to broaden the understanding of primary care physicians' knowledge and preferences regarding MCI. This research can guide in developing continuous education programs to strengthen areas and groups of physicians reporting low knowledge.
Insights
Family physicians are familiar with mild cognitive impairment (MCI) but often lack detailed knowledge, with many incorrectly attributing it to normal aging. This highlights a need for improved physician education on MCI diagnosis and treatment.
Area of Science:
- Geriatrics
- Neurology
- Primary Care Medicine
Background:
- Mild cognitive impairment (MCI) is a prevalent condition in the elderly.
- Early identification of MCI is crucial as it can precede dementia.
- Physician knowledge and preferences significantly impact MCI identification.
Purpose of the Study:
- To assess family physicians' familiarity with MCI.
- To evaluate their knowledge regarding MCI diagnosis and treatment.
- To understand their preferences for help-seeking and management of MCI.
Main Methods:
- A structured questionnaire was administered to 197 family physicians in an Israeli HMO.
- The study assessed physicians' familiarity, knowledge, and preferences concerning MCI.
- Data were collected on help-seeking, diagnosis, and treatment options for MCI.
Main Results:
- Most physicians had heard of MCI, but a third lacked substantial knowledge.
- While knowledgeable about some causes, 70% incorrectly attributed MCI to normal aging.
- Physicians' preferences for MCI help-seeking and treatment aligned with existing literature.
Conclusions:
- There is a need to enhance primary care physicians' understanding of MCI.
- Findings can inform the development of targeted educational programs for physicians.
- Strengthening physician knowledge is essential for effective MCI management.
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