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Co-designing a structured referral template to enhance dementia diagnosis: a modified e-Delphi study.

Mary Cronin1, Aisling A Jennings1, Una Caufield2

  • 1Department of General Practice, School of Medicine, College of Medicine and Health, University College Cork, Cork, Ireland.

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Summary

A new dementia referral template was developed using expert consensus. This evidence-based tool aims to improve diagnostic efficiency and ensure timely access to care for individuals with suspected dementia.

Keywords:
co-designdementiadiagnosisolder peopleprimary carereferral

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Area of Science:

  • Gerontology
  • Neurology
  • Health Services Research

Background:

  • Dementia care is a global health priority due to increasing prevalence in aging populations.
  • Accurate diagnosis is crucial for quality of life, support access, and emerging Alzheimer's disease therapies.
  • Complex referral pathways often lead to diagnostic delays and under-diagnosis.

Purpose of the Study:

  • To develop a structured, evidence-based referral template for dementia diagnosis.
  • To enhance the efficiency and quality of dementia diagnostic pathways.

Main Methods:

  • A two-round e-Delphi survey achieved consensus on referral template items.
  • A modified Nominal Group Technique refined and prioritized items with multidisciplinary panels and patient contributors.

Main Results:

  • Consensus was reached on 11 essential components for the referral template.
  • The final template balances clinical relevance and usability for efficient referral and triage.
  • Key items included cognitive screening, rapid deterioration, daily activity issues, and safety concerns.

Conclusions:

  • Structured consensus methods successfully created a practical, evidence-based dementia referral template.
  • The template is vital for optimizing dementia diagnostic pathways in the evolving therapeutic landscape.
  • Ensures timely diagnosis and access to appropriate care for suspected dementia cases.