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    Use of the MMSE to screen for dementia in Delhi

    Access Status
    Fulltext not available
    Authors
    Brijnath, Bianca
    Date
    2011
    Type
    Journal Article
    
    Metadata
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    Citation
    Brijnath, B. 2011. Use of the MMSE to screen for dementia in Delhi. Dementia. 10 (4): pp. 625-635.
    Source Title
    Dementia
    DOI
    10.1177/1471301211417168
    ISSN
    1471-3012
    School
    School of Occupational Therapy and Social Work
    URI
    http://hdl.handle.net/20.500.11937/37136
    Collection
    • Curtin Research Publications
    Abstract

    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.

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