BMC Medical Research Methodology
Volume 18, Issue 1, 2018

Barriers in general practitioners' dementia diagnostics among people with a migration background in Germany (BaDeMi) - Study protocol for a cross-sectional survey 11 Medical and Health Sciences 1117 Public Health and Health Services (Article) (Open Access)

Tillmann J.* , Schnakenberg R. , Puth M.-T. , Weckbecker K. , Just J. , Münster E.
  • a Institute of General Practice and Family Medicine, Medical Faculty, University of Bonn, Sigmund-Freud-Str. 25, Bonn, 53127, Germany
  • b Institute of General Practice and Family Medicine, Medical Faculty, University of Bonn, Sigmund-Freud-Str. 25, Bonn, 53127, Germany
  • c Institute of General Practice and Family Medicine, Medical Faculty, University of Bonn, Sigmund-Freud-Str. 25, Bonn, 53127, Germany, Department of Medical Biometry, Informatics and Epidemiology (IMBIE), University Hospital of Bonn, Sigmund-Freud-Str. 25, Bonn, 53127, Germany
  • d Institute of General Practice and Family Medicine, Medical Faculty, University of Bonn, Sigmund-Freud-Str. 25, Bonn, 53127, Germany
  • e Institute of General Practice and Family Medicine, Medical Faculty, University of Bonn, Sigmund-Freud-Str. 25, Bonn, 53127, Germany
  • f Institute of General Practice and Family Medicine, Medical Faculty, University of Bonn, Sigmund-Freud-Str. 25, Bonn, 53127, Germany

Abstract

Background: Considering the targeted general practitioner-centred healthcare in Germany, general practitioners (GPs) are in the best possible position to increase awareness of all sorts of dementia, an age-related syndrome with rising relevance in the future. In Germany, a doubling of the number of cases from 1.55 million up to 3 million in 2050 is predicted. Diagnostics can be challenging, especially among patients with a migration background. Complicating factors include: Language-based diagnostic tools, cultural differences in handling the syndrome and its underlying diseases as well as a differing use of the healthcare system. Because of missing research in this field in Germany, the type, frequency and intensity of barriers as well as the way GPs cope with them is unknown. That is why it's crucial to focus research on diagnostics in total and especially among this population group. Methods: A cross-sectional study among a random sample of 1000 general practitioners in Germany is conducted in October 2017. A self-administered standardized questionnaire was developed, evaluated and send to the GP practices. A response rate of 30% is expected with one reminder letter. Descriptive statistics as well as, depending on the results, multivariable analyses will be executed. Based on these results and the stated needs, a cluster-randomized intervention study will be constructed to improve healthcare. Discussion: This study is the first in Germany focusing on how dementia diagnostics in general practice is performed, what problems occur, especially because of a migration background of patients, and how GPs cope with them. Depending on the results, it should emphasize the necessity of dementia diagnostics to be adjusted to the needs of the rising amount of people with a migration background (22.5% in Germany, 2016) like concluded from international studies. Trial registration: German Clinical Trials Register: DRKS00012503, date of registration: 05.09.2017. Clinical register of the study coordination office of the University hospital of Bonn: ID530, date of registration: 05.09.2017. © 2018 The Author(s).

Author Keywords

GP Migration background Dementia diagnostics Family medicine Public health Epidemiology Culture and health

Index Keywords

general practice Germany methodology clinical trial Dementia Research Design human statistics and numerical data General Practitioners general practitioner procedures Cross-Sectional Studies Surveys and Questionnaires Humans cross-sectional study questionnaire standards migration Transients and Migrants primary health care
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85056123373&doi=10.1186%2fs12874-018-0580-0&partnerID=40&md5=8f275cc962d601123a2647324d6d1bba
DOI: 10.1186/s12874-018-0580-0
ISSN: 14712288
Cited by: 2
Original Language: English