HMN 2025: How People with dementia less are likely to be referred to allied health services by GPs

Researchers from Monash University’s Rehabilitation, Aging and Independent Living (RAIL) Research Center and the National Center for Healthy Aging (a partnership between Monash University and Peninsula Health) found that people with dementia were significantly less likely to receive any allied health referral compared with those with stroke or Parkinson’s disease.

Led by Dr. Angel Lee, from the School of Primary and Allied Health Care and published in the journal Family Medicine and Community Health, the research examined the allied health referral patterns of general practitioners from 537 practices for people with dementia compared to those without dementia across two large Primary Health Networks (PHNs) in Melbourne. Just under 700,000 patients were identified in the study, including 16,610 patients with dementia.

Dr. Lee said that GPs play an important role in informing patients about allied health services and coordinating referrals to facilitate access in Australia. Yet until now, the GP referral patterns had remained poorly understood and under-investigated.

“Despite strong evidence supporting allied health interventions for dementia, referral rates remain comparatively low. Accessing these services can provide therapeutic and diagnostic support for people living with dementia, with a focus on enhancing function, autonomy and quality of life,” Dr. Lee said.

“Access to allied health could be improved through greater community awareness, integrated dementia-specific care pathways, implementing supportive policy changes and upskilling health professionals in the role of allied health in dementia care.”

Co-author Professor Michele Callisaya, from the National Center for Healthy Aging and the University of Tasmania, aimed to address this by co-designing solutions to reduce stigma and to improve knowledge about the role of allied health in dementia care, both broadly within the community, and specifically for health professionals.

Professor Callisaya worked alongside researchers and partners to implement and evaluate the solutions, creating educational resources, including a brochure and online training about the role of allied health in dementia care.

“Allied health professionals have an important role in working with people with dementia and care partners, by supporting them to maximize participation in activities and roles that are meaningful and important to them. However, there are few allied health professionals working in this area,” Professor Callisaya said.

“To improve referrals and access to allied health, we need to train more allied health professionals to work in this growing area, and make sure those with expertise are easy to find.”

The content is provided for information purposes only.