Use of the MMSE to screen for dementia in Delhi
MetadataShow full item record
Screening tools are created and administered within specific political, cultural and clinical contexts that problematize their supposed universality. This paper, drawing on interviews and participant observation undertaken in 2008 in New Delhi in India, examines how clinical environments influence the interpretations and use of the Mini Mental State Examination (MMSE), a popular screening instrument for dementia. Findings indicate that while doctors recognize the limitations of the MMSE in theory, its continued use in practice is because of time shortages and competing work demands. Yet misdiagnosis or even false-positive screening has implications for service delivery and quality of care. Further research is necessary into how diagnoses are made, which account for cultural and structural variance.
Showing items related by title, author, creator and subject.
Personalizing Colonoscopy Screening for Elderly Individuals Based on Screening History, Cancer Risk, and Comorbidity Status Could Increase Cost EffectivenessVan Hees, F.; Saini, S.; Lansdorp_Vogelaar, Iris; Vijan, S.; Meester, R.; De Koning, H.; Zauber, A.; Van Ballegooijen, M. (2015)Background and Aims Colorectal cancer (CRC) screening decisions for elderly individuals are often made primarily on the basis of age, whereas other factors that influence the effectiveness and cost effectiveness of screening ...
Estimation of benefits, burden, and harms of colorectal cancer screening strategies: Modeling study for the US preventive services Task ForceKnudsen, A.; Zauber, A.; Rutter, C.; Naber, S.; Doria-Rose, V.; Pabiniak, C.; Johanson, C.; Fischer, S.; Lansdorp_Vogelaar, Iris; Kuntz, K. (2016)Importance: The US Preventive Services Task Force (USPSTF) is updating its 2008 colorectal cancer (CRC) screening recommendations. Objective: To inform the USPSTF by modeling the benefits, burden, and harms of CRC screening ...
How is adults' screen time behaviour influencing their views on screen time restrictions for children? A cross-sectional studySchoeppe, S.; Rebar, Amanda; Short, C.; Alley, S.; Van Lippevelde, W.; Vandelanotte, C. (2016)© 2016 Schoeppe et al. Background: High screen time in children and its detrimental health effects is a major public health problem. How much screen time adults think is appropriate for children remains little explored, ...