Under-provision of medical care for vascular diseases for people with dementia in primary care: a cross-sectional review.

Background: Vascular diseases contribute to the causation and progression of clinical dementia.

Aim: To evaluate the quality of medical care for vascular diseases provided to people with dementia, the patient and practice characteristics that influence quality, and to compare care with that provided to those without dementia.

Design And Setting: Observational, cross-sectional review of primary care records of people with dementia from 52 general practices from five primary care trusts in the UK, and comparison with publicly available summary data on patients without dementia.

Quality of care provided to people with dementia: utilisation and quality of the annual dementia review in general practice.

Background: Primary care services are often the main healthcare service for people with dementia; as such, good-quality care at this level is important.

Aim: To measure the quality of care provided to people with dementia in general practice using routinely collected data, and to explore associated patient and practice factors.

Design And Setting: Observational, cross-sectional review of medical records from general practices (n = 52) in five primary care trusts.

Underdiagnosis of dementia in primary care: variations in the observed prevalence and comparisons to the expected prevalence.

Objectives: Dementia is a major and growing health problem. Diagnosis is an important step in the access to care, but many dementia patients remain undiagnosed. This study investigated the magnitude and variation in the difference between 'observed' and 'estimated' prevalence of dementia in general practices.

Changes in patient experiences of primary care during health service reforms in England between 2003 and 2007.

Purpose: Major primary care reforms have been introduced in recent years in the United Kingdom, including financial incentives to improve clinical quality and provide more rapid access to care. Little is known about the impact of these changes on patient experience. We examine patient reports of quality of care between 2003 and 2007, including random samples of patients on practice lists and patients with long-term conditions.