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Abstract：
Neurocognitive disorders causing progressive cognitive, functional, and behavioral impairment remain underdiagnosed. The needs for a timely diagnosis are now widely acknowledged since person-centered care helps to preserve life quality and prevent crises. One powerful barrier to detection in primary care is the lack of an easy-to-follow stepwise approach, grounded in evidence and consistent with high-quality specialty practice. To help fill this gap, the current European Joint Action proposes a graduated diagnosis strategy tailored to the patients\' needs and wills, clarifying appropriate components for primary and specialty care. This strategy considers a first evaluation in primary care that may detect a neurocognitive disorder, that would lead to a second evaluation step allowing etiological diagnosis hypotheses performed mostly by the specialist. A third evaluation stage considering some biological, electrophysiological, or neuroimaging complementary techniques would be proposed to atypical cases or patients willing to consider access to research.
摘要：
引起进行性认知的神经认知障碍，功能，行为障碍仍未被诊断。由于以人为中心的护理有助于保持生活质量并预防危机，因此对及时诊断的需求现已得到广泛认可。初级保健检测的一个强大障碍是缺乏易于遵循的逐步方法，以证据为基础，符合高质量的专业实践。为了填补这一空白，当前的欧洲联合行动提出了一种针对患者需求和意愿的分级诊断策略，澄清初级和专科护理的适当组成部分。该策略考虑了初级保健中可能发现神经认知障碍的首次评估，这将导致第二个评估步骤，允许主要由专家进行病因诊断假设。第三个评估阶段考虑到一些生物学，电生理学,或神经影像学补充技术将被提议给非典型病例或愿意考虑接受研究的患者。
