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Provider, Interdisciplinary Staff, and Patient Perspectives on the Potential for Cognitive Assessment and Care Plan Services in Primary Care
John Mulcahy, Obehiaghe Oniha, Emmanuel Angomas, Elizabeth Palmer Kelly, Maura McGuire, Jessica L. Colburn, Jennifer L. Wolff, Cynthia M. Boyd et al.. Journal of Primary Care & Community Health, 2025-07-01
Topic: Risk, prevention and care in population studies
acceptability, appropriateness, and feasibility. Most participants found CACP acceptable due to its comprehensive nature and addressing unmet needs. PCPs and staff felt CACP was appropriate for primary care because they were already addressing many of the required care domains during Medicare Annual Wellness Visits (AWV). Concerns about the time, resources, and coordination needed made feasibility unclear. Potential strategies for implementation included using interdisciplinary team members, data and workflows from AWV implementation, and health information technology. CACP is acceptable and appropriate for primary care though comprehensiveness and requirements limit feasibility. Implementation strategies must address time, resource, coordination, and awareness/education needs to successfully deliver this Medicare benefit at a large scale.
Key findings
- acceptability, appropriateness, and feasibility.
- Most participants found CACP acceptable due to its comprehensive nature and addressing unmet needs.
- PCPs and staff felt CACP was appropriate for primary care because they were already addressing many of the required care domains during Medicare Annual Wellness Visits (AWV).
- Concerns about the time, resources, and coordination needed made feasibility unclear.
- Potential strategies for implementation included using interdisciplinary team members, data and workflows from AWV implementation, and health information technology.
Why it matters
This study found that a Medicare cognitive assessment and care plan service was acceptable and appropriate to primary care providers and staff, though feasibility was unclear due to time, resource and coordination concerns. It is about implementing a care planning benefit and does not treat, cure or prevent Alzheimer's disease.
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Study details
- Evidence strengthLow
How this study scored 36/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, effect reported, studied in people and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Journal of Primary Care & Community Health) |
| Journal's citation record | 0 / 4 | Journal of Primary Care & Community Health: journal h-index 61 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 1 / 7 | Cited 2 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.7 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 2 / 6 | Cited 1.3× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 1 / 6 | Cited by 1 other studies in this library |
| Still being cited | 0 / 4 | Cited 2 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 2 / 4 | Last-listed author Halima Amjad: h-index 20 (OpenAlex, whole career) |
| Institution's track record | 2 / 3 | Johns Hopkins University: institution h-index 2,306 (OpenAlex) |
| Multi-centre collaboration | 2 / 3 | OpenAlex lists 5 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 41261798) |
| Free to read | 2 / 2 | Free to read |
| Total | 36 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1177/21501319251393871
- PubMed: 41261798
- Original source →
- Free full text: Journal of Primary Care & Community Health →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record's author list ends in “et al.”, so not every author is named. Check the citation against the original before you use it.
APA 7th
Mulcahy, J., Oniha, O., Angomas, E., Kelly, E. P., McGuire, M., Colburn, J. L., et al. (2025). Provider, Interdisciplinary Staff, and Patient Perspectives on the Potential for Cognitive Assessment and Care Plan Services in Primary Care. Journal of Primary Care & Community Health. https://doi.org/10.1177/21501319251393871
Vancouver
Mulcahy J, Oniha O, Angomas E, Kelly EP, McGuire M, Colburn JL, et al. Provider, Interdisciplinary Staff, and Patient Perspectives on the Potential for Cognitive Assessment and Care Plan Services in Primary Care. Journal of Primary Care & Community Health. 2025. doi:10.1177/21501319251393871. PMID: 41261798.
BibTeX
@article{mulcahy2025-41261798,
author = {Mulcahy, John and Oniha, Obehiaghe and Angomas, Emmanuel and Kelly, Elizabeth Palmer and McGuire, Maura and Colburn, Jessica L. and Wolff, Jennifer L. and Boyd, Cynthia M. and others},
title = {{Provider, Interdisciplinary Staff, and Patient Perspectives on the Potential for Cognitive Assessment and Care Plan Services in Primary Care}},
journal = {Journal of Primary Care \& Community Health},
year = {2025},
doi = {10.1177/21501319251393871},
pmid = {41261798},
url = {https://doi.org/10.1177/21501319251393871}
}
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