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[General practitioners' views on cognitive disorders diagnosis: a qualitative study].
Claire Sanlaville1, Alice Loiseau Médecin Généraliste1, Cyrille Colin2
1Collège universitaire de médecine générale, université Claude-Bernard Lyon 1, 69008 Lyon, France.
General practitioners struggle with diagnosing cognitive disorders due to medical and ethical concerns. Shared decision-making can help resolve ambivalence regarding diagnosis timing and relevance.
Area of Science:
- Medical Ethics
- Cognitive Neurology
- General Practice
Background:
- Diagnosing cognitive disorders presents significant medical and ethical challenges.
- General practitioners (GPs) play a crucial role in the initial identification of cognitive impairments.
Purpose of the Study:
- To explore general practitioners' perspectives on the diagnosis of cognitive disorders.
- To understand the factors influencing GP decision-making in cognitive disorder diagnosis.
Main Methods:
- Qualitative study utilizing semi-structured interviews with general practitioners.
- Thematic analysis of interview data to identify key themes and viewpoints.
Main Results:
- GPs express ambivalence regarding the relevance and optimal timing for diagnosing cognitive disorders.
- Ambivalence stems from the complex nature of cognitive decline and diagnostic uncertainty.
Conclusions:
- Shared decision-making (SDM) is proposed as a strategy to address GP ambivalence.
- Implementing SDM at each diagnostic stage could improve the approach to cognitive disorder diagnosis.
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