Table 3 Challenges experienced in dementia diagnosis and care. Question: Please state respectively how great you consider the following challenges to be, on the basis of your personal experience. (0 = “Very low” to 10 = “Very great”)
Rotated component matrix | ||||||
|---|---|---|---|---|---|---|
Average (median) | Comp. 1 (explained variation: 55.3%) | Comp. 2 (explained variation: 11.9%) | Comp. 3 (explained variation: 8.0%) | Urban vs. rural doctors | Doctors with geriatric training vs. doctors with no geriatric training | |
Application of the dementia guidelines (S3) | X̄: 5.8 (˜x: 6.5) | 0.207 | 0.133 | 0.898 | X̄: 5.8 (˜x: 5.0) / X̄: 5.8 (˜x: 6.0) | X̄: 5.4 (˜x: 5.0) / X̄: 6.1 (˜x: 6.0) |
Steps towards suspected dementia and further action | X̄: 5.5 (˜x: 5.5) | 0.128 | 0.647 | 0.222 | X̄: 4.7 (˜x: 5.0) / X̄: 5.6 (˜x: 6.0) * | X̄: 4.7 (˜x: 4.0) / X̄: 5.5 (˜x: 6.0) * |
Diagnosis and testing process (completion of the diagnosis process and interpretation) | X̄: 5.2 (˜x: 5.0) | 0.463 | 0.712 | 0.056 | X̄: 4.4 (˜x: 5.0) / X̄: 5.7 (˜x: 6.0) * | X̄: 5.2 (˜x: 5.0) / X̄: 5.2 (˜x: 5.0) |
Differentiation of dementia from other forms of cognitive impairment (e.g. depression) | X̄: 6.7 (˜x: 7.0) | 0.220 | 0.806 | 0.159 | X̄: 6.2 (˜x: 6.0) / X̄: 6.8 (˜x: 7.0) | X̄: 5.9 (˜x: 6.0) / X̄: 7.0 (˜x: 7.0) * |
Gaining the acceptance and cooperation of the patient for the performance of dementia tests | X̄: 6.6 (˜x: 7.0) | 0.246 | 0.826 | 0.020 | X̄: 5.8 (˜x: 5.0) / X̄: 6.6 (˜x: 7.0) * | X̄: 6.3 (˜x: 6.0) / X̄: 6.8 (˜x: 7.0) |
Explaining the diagnosis to the patient and ensuring compliance | X̄: 6.2 (˜x: 7.0) | 0.684 | 0.440 | 0.228 | X̄: 6.2 (˜x: 6.0) / X̄: 6.2 (˜x: 6.0) | X̄: 6.1 (˜x: 7.0) / X̄: 6.3 (˜x: 6.0) |
Successful treatment support for dementia patients | X̄: 6.8 (˜x: 7.0) | 0.883 | 0.219 | 0.107 | X̄: 6.8 (˜x: 7.0) / X̄: 6.8 (˜x: 7.0) | X̄: 6.3 (˜x: 7.0) / X̄: 7.0 (˜x: 7.0) |
Consultation with dementia patients | X̄: 6.6 (˜x: 6.5) | 0.937 | 0.115 | 0.151 | X̄: 6.5 (˜x: 7.0) / X̄: 6.7 (˜x: 7.0) | X̄: 6.1 (˜x: 6.0) / X̄: 6.9 (˜x: 8.0) |
Communication with relatives who provide care | X̄: 6.1 (˜x: 6.0) | 0.792 | 0.287 | 0.120 | X̄: 6.0 (˜x: 6.0) / X̄: 6.1 (˜x: 6.0) | X̄: 5.5 (˜x: 6.0) / X̄: 6.6 (˜x: 7.0) * |
Advising dementia patients and their relatives on help and support services | X̄: 5.5 (˜x: 6.0) | 0.707 | 0.446 | 0.348 | X̄: 4.8 (˜x: 5.0) / X̄: 5.9 (˜x: 6.0) * | X̄: 5.1 (˜x: 6.0) / X̄: 5.8 (˜x: 5.0) |
Advising dementia patients and their relatives on legal aspects (welfare power of attorney, care, ‘driving’) | X̄: 6.3 (˜x: 7.0) | 0.241 | 0.583 | 0.528 | X̄: 5.4 (˜x: 5.5) / X̄: 6.8 (˜x: 7.0) * | X̄: 5.6 (˜x: 5.0) / X̄: 6.7 (˜x: 7.0) * |
Extraction meth.: Principal component analysis Rotation meth.: Varimax, Kaiser normalisation Rotation converged in 5 iterations Explained total variance: 75.2% Sample adequacy according to Kaiser-Meyer-Olkin: 0.88 Significance according to Bartlett: p < 0.001 | ||||||
Significant difference: * p < 0.001; T-test | ||||||