Januszewicz, JosephFowler, Nicole R.Mackwood, Matthew B.Fisher, ElliottAndrews, Alice O.Schmidt, Rachel O.Akré, Ellesse-Roselee L.Schifferdecker, Karen E.2025-04-182025-04-182025Januszewicz J, Fowler NR, Mackwood MB, et al. Primary care preparedness to care for patients with ADRD: A national survey study. Alzheimers Dement. 2025;21(3):e70064. doi:10.1002/alz.70064https://hdl.handle.net/1805/47181Introduction: It is unknown how prepared primary care practices are to deliver recommended dementia care. Methods: A nationally representative survey of US primary care practices focused on care delivery processes, including those for patients with Alzheimer's disease and related dementias (ADRD). Results: A total of 1245 of 3498 practices (36%) responded. Most practices reported systems to detect patients with ADRD (67%) and refer patients for diagnostic testing (75%). Fewer required ADRD-related training (45%-46%) or maintained an ADRD registry (29%). Practices that scored higher on ADRD care preparedness were more likely to be smaller, receive a higher proportion of revenue from Medicare, and have other important practice capabilities. Discussion: Primary care practices have mixed preparedness to care for patients with ADRD. Efforts to boost ADRD preparedness, including providing adequate infrastructure and resources directly to primary care, should be a priority to address disparities in diagnosis and to optimize the patient and caregiver journey. Highlights: Mixed ADRD preparedness identified in primary care practices across the United States. Practices often lack ADRD-specific registries and staff training initiatives. Medicare-reliant and larger physician-owned groups show higher ADRD preparedness. FQHCs reported lower ADRD preparedness, highlighting potential gaps in care. Cultural awareness and other support services correlate with better ADRD readiness.en-USAttribution-NonCommercial 4.0 InternationalADRDADRD preparednessAlzheimer's diseaseAlzheimer's disease and related dementiasDementiaPrimary carePrimary care preparednessArticle