Abstract
The reason-related identification of mild cognitive impairment (MCI) in primary care is helpful to treat reversible causes or decelerate progression to dementia by optimal management of existing risk factors. In this process general practitioners are in akey position. The present feasibility study investigated the practicability of adiagnostic algorithm (brain check-up), comprising neuropsychological examinations, differential diagnoses and follow-up measures. By means of astandardized questionnaire, the utilization and practicability of the brain check-up was surveyed in n = 37 medical practices of general practitioners and internists in Germany. The brain check-up was performed by n = 37physicians in 389 patients (66%). The main barriers to implementation included patients' fear of facing the results, the professionals' lack of time, and costs. Overall, 73% of the participants agreed that the brain check-up was practical in everyday treatment. Long waiting times for an appointment with aneurological/psychiatric specialist were perceived as abarrier for optimal care. The structured algorithm is convenient in physician's everyday practice and can contribute to identify patients with MCI more easily. Therefore, it appears to be ahelpful tool in primary care. To achieve sustainability in everyday use, identified barriers need to be addressed during the implementation phase.
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