{"doi":"10.1002/alz.70064","title":"Primary care preparedness to care for patients with ADRD: A national survey study","abstract":"INTRODUCTION: It is unknown how prepared primary care practices are to deliver recommended dementia care. METHODS: A nationally representative survey of US primary care practices focused on care delivery processes, including those for patients with Alzheimer's disease and related dementias (ADRD). RESULTS: A total of 1245 of 3498 practices (36%) responded. Most practices reported systems to detect patients with ADRD (67%) and refer patients for diagnostic testing (75%). Fewer required ADRD-related training (45%-46%) or maintained an ADRD registry (29%). Practices that scored higher on ADRD care preparedness were more likely to be smaller, receive a higher proportion of revenue from Medicare, and have other important practice capabilities. DISCUSSION: Primary care practices have mixed preparedness to care for patients with ADRD. Efforts to boost ADRD preparedness, including providing adequate infrastructure and resources directly to primary care, should be a priority to address disparities in diagnosis and to optimize the patient and caregiver journey. HIGHLIGHTS: Mixed ADRD preparedness identified in primary care practices across the United States. Practices often lack ADRD-specific registries and staff training initiatives. Medicare-reliant and larger physician-owned groups show higher ADRD preparedness. FQHCs reported lower ADRD preparedness, highlighting potential gaps in care. Cultural awareness and other support services correlate with better ADRD readiness.","journal":"Alzheimer s & Dementia","year":2025,"id":522983,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":4,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.8716,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":385310,"name":"Nicole R. Fowler","orcid":"0000-0002-6465-0008","position":1,"is_corresponding":false},{"id":892872,"name":"Matthew Mackwood","orcid":"0000-0002-4508-8267","position":2,"is_corresponding":false},{"id":17361,"name":"Elliott S. Fisher","orcid":"0000-0002-9571-4879","position":3,"is_corresponding":false},{"id":75168,"name":"Alice O. Andrews","orcid":"0000-0001-9972-1585","position":4,"is_corresponding":false},{"id":1131599,"name":"R Schmidt","orcid":"0009-0006-4383-6467","position":5,"is_corresponding":false},{"id":1067572,"name":"Ellesse-Roselee Akré","orcid":"0000-0002-2380-6344","position":6,"is_corresponding":false},{"id":1369458,"name":"Karen E. Schifferdecker","orcid":"0000-0003-2558-4885","position":7,"is_corresponding":false},{"id":1395464,"name":"Joseph Januszewicz","orcid":null,"position":0,"is_corresponding":true}],"reference_count":56,"raw_metadata":null,"created_at":"2026-07-19T02:49:58.707747Z","pmid":"40156282","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}