Table 5.

System-related Factors Contributing to Missed and Delayed Diagnosis of Dementia

Factor	Description	Relevant studies
Resources	Limited time with patients	13, 34, 37, 42, 44, 45, 61
	Insufficient community services available to patients with dementia	13, 33, 34, 37, 38, 60, 61
	Lack of specialists available for consultation	13, 47, 61
Financial factors	Low financial incentives/reimbursement for dementia care	34, 61
	Limitations on diagnostic tests imposed by managed care or state health system guidelines	13, 46
	Dementia not prioritized in public health planning	33, 46, 60