Implementation of Alzheimer's disease practice guidelines in U.S. Veterans Hospitals

Craig S. Rosen, J. D'Andrea, J. Gregg, R. Lewis, Dan M Mungas

Research output: Contribution to journalArticlepeer-review


There has been little research on implementation of Alzheimer's disease practice guidelines in clinical settings. This paper reports the results of two surveys conducted among clinicians in specialty programs (n = 200) and general medical clinics (n = 46) in several U.S. Department of Veterans Affairs medical centers located in the western United States. The two survey questionnaires assessed implementation of specific practices recommended in the California Guidelines for Alzheimer's Disease Management. Reported guideline adherence was lower in general medicine clinics than in specialty programs, yet there were opportunities for enhancing care in both settings. Clinicians reported relatively good adherence to assessment recommendations except for cognitive status exams, mixed adherence to patient and family education recommendations, low implementation of recommended caregiver support practices, and limited use of cholinesterase inhibitors. Potential challenges in supporting implementation of dementia practice guidelines are discussed.

Original languageEnglish (US)
Pages (from-to)114-119
Number of pages6
JournalResearch and Practice in Alzheimer's Disease
StatePublished - 2003


  • Alzheimer's disease
  • Clinical practice guidelines
  • Dementia
  • Guideline implementation

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Neuropsychology and Physiological Psychology


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