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Older adults with dementia: knowledge and attitudes of physicians in health units

Overview of attention for article published in Revista de Saúde Pública, December 2020
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Title
Older adults with dementia: knowledge and attitudes of physicians in health units
Published in
Revista de Saúde Pública, December 2020
DOI 10.11606/s1518-8787.2020054002451
Pubmed ID
Authors

Ana Beatriz Quintes Steiner, Alessandro Ferrari Jacinto, Vanessa de Albuquerque Citero

Abstract

To describe the knowledge and attitudes of general practitioners of the basic health network of the city of São Paulo in relation to patients with dementia and identify patterns of attitudes. A total of 10% of the basic health units in the city of São Paulo (n = 45) were randomly distributed into six regional health coordination centers. Up to two general practitioners were interviewed in each unit, with a total of 81 physicians interviewed. They answered the translated and cross-culturally adapted version for Brazil of two British questionnaires, the knowledge quiz (knowledge about dementias) and the attitude quiz (attitude towards the patient afflicted with dementia), as well as a sociodemographic and occupational questionnaire to understand the profile of general practitioners working in primary care. Descriptive data analysis, factor analysis of the main components of the attitude quiz and study of association between attitudes and knowledge were performed, in addition to the multiple linear regression test to determine the relationship between occupational profile and knowledge about attitude patterns in dementia. The physicians interviewed had a median of five-year graduation time; 35.8% worked exclusively with primary care, and less than 40% had completed, or were attending, medical residency or specialization. Physicians showed a lower knowledge about the diagnosis of dementia than about the epidemiology of the disease and its therapeutic management. Their attitudes towards patients afflicted with dementia resulted in four factors: proactive optimism, delegated optimism, implicit dismay, and explicit dismay. The regression study showed that the attitude of explicit dismay decreases the longer the weekly working hours of the physician in the units, and that the delegated optimistic attitude of the physician decreases in the same situation. Investment in training is essential to improve physicians' performance in the field of dementia in primary care.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 45 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 45 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 8 18%
Researcher 3 7%
Student > Postgraduate 3 7%
Student > Ph. D. Student 2 4%
Student > Master 2 4%
Other 5 11%
Unknown 22 49%
Readers by discipline Count As %
Medicine and Dentistry 8 18%
Nursing and Health Professions 7 16%
Psychology 3 7%
Sports and Recreations 1 2%
Unspecified 1 2%
Other 0 0%
Unknown 25 56%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 16 January 2021.
All research outputs
#22,771,990
of 25,387,668 outputs
Outputs from Revista de Saúde Pública
#988
of 1,139 outputs
Outputs of similar age
#446,797
of 517,395 outputs
Outputs of similar age from Revista de Saúde Pública
#31
of 34 outputs
Altmetric has tracked 25,387,668 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,139 research outputs from this source. They receive a mean Attention Score of 4.7. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 517,395 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 34 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.