Table 3 Frequency of Provider Practices
Measure | PCPs (n = 100) | Neurologists (n = 50) |
|---|---|---|
% | % | |
Frequency in which provider or staff refers patients to a neurologist or other specialist for a dementia workup | ||
 Greater than 50% of patients with cognitive concerns | 54 | 22 |
 Less than or equal to 50% of patients with cognitive concerns | 46 | 52 |
 Never | 0 | 26 |
Frequency in which provider or staff refers a patient with suspected neurocognitive disorders for neuropsychological testing with a specialist | ||
 Greater than 50% of patients with cognitive concerns | 66 | 44 |
 Less than or equal to 50% of patients with cognitive concerns | 33 | 52 |
 Never | 1 | 4 |
Frequency with which provider or staff evaluates by other clinical methods (history and examination) but without standardized tools | ||
 Greater than 50% of patients with cognitive concerns | 43 | 42 |
 Less than or equal to 50% of patients with cognitive concerns | 54 | 48 |
 Never | 3 | 10 |
Frequency in which laboratory panels for reversible causes of cognitive impairment (B12, TSH, etc.) are included if no prior lab work has been done | ||
 Greater than 50% of patients with cognitive concerns | 84 | 86 |
 Less than or equal to 50% of patients with cognitive concerns | 12 | 14 |
 Uses other providers’ data | 3 | 0 |
 Never | 1 | 0 |
Frequency in which standardized depression screen is administered to patients | ||
 Greater than 50% of patients with cognitive concerns | 62 | 48 |
 Less than or equal to 50% of patients with cognitive concerns | 33 | 42 |
 Never | 4 | 8 |
Frequency in which provider or staff administers a standardized cognitive screening test to patients with cognitive concerns | ||
 Greater than 50% of patients with cognitive concerns | 50 | 66 |
 Less than or equal to 50% of patients with cognitive concerns | 41 | 28 |
 Never | 5 | 4 |
Who most often administers cognitive screening tests to patients? | ||
 PCP | 53 | 60 |
 RN or NP | 15 | 10 |
 PA or other medical staff member | 17 | 12 |
 Neuropsychologist | 13 | 18 |
 Other | 2 | 0 |