## 3 Results
### Seeking Further Neuropsychiatric Diagnostic Workup  
Among the total of 406 municipal home care service users who were screened for the presence of cognitive decline and/or depressive symptoms, 348 individuals opted to receive recommendations for further neuropsychiatric diagnostic workup. They were asked to consult a physician of their choice based on the recommendation they received for a further neuropsychiatric diagnostic workup. We successfully retrieved the choices made by 334 of these individuals with the support of the staff of the municipal home care services operating in the place of residence of the respective service users. Quite unexpectedly, only just over a third of them, 123 individuals, consulted physicians. The mean distance between their place of residence and the physician they consulted was 79 km. They spent 40 min on average to reach the physician of their choice. Interestingly, only 79 (64.23%) of these individuals chose to consult neurologists or psychiatrists. Figure 1 presents the mobility patterns of municipal home care service users using advanced GIS techniques. Each beneficiary is shown as a unique dot, with red crosses marking the physicians they consulted and red lines tracing the routes taken. Red circles indicate individuals who did not seek care, while those who did are differentiated by the type of provider visited: yellow points for general practitioners or health centers; white for unspecified medical professionals; and green for neurologists, psychiatrists, or hospitals. Travel distance is denoted by shape: squares (<10 km), triangles (10-50 km), and rhombuses (>50 km). Transportation modes are color-coded: gray (unknown), purple (private car), orange (public transport), and yellow (taxi); inability of transportation is denoted with black.  
Figure 1: Mobility patterns of municipal home care service users seeking neuropsychiatric care. The data obtained were visualized in thematic maps using advanced Geographic Information System (GIS) techniques (qGIS). The interactive map can be found in the following link: [[https://elizago8.github.io/geocode/](https://elizago8.github.io/geocode/)]([https://elizago8.github.io/geocode/](https://elizago8.github.io/geocode/)) (access date 30 May 2025).  
\begin{table}
\begin{tabular}{c c c c} \hline \hline
**Parameter** &
\begin{tabular}{c} **Spearman Rank-Order** \\ **Correlation Coefficient** \\ \end{tabular} & \(p\)**-Value** & **N** \\ \hline Visit & \(1\) & \(0\) & \(335\) \\ Sex & \(-0.06\) & \(0.23\) & \(335\) \\ Age & \(-0.11\) & \(0.04\) & \(333\) \\ Education level & \(0.13\) & \(0.03\) & \(316\) \\ Family status & \(-0.02\) & \(0.66\) & \(329\) \\ Total number of medicines & \(0.05\) & \(0.32\) & \(334\) \\ Cardiovascular diseases & \(-0.02\) & \(0.77\) & \(335\) \\ Other somatic diseases & \(-0.08\) & \(0.13\) & \(334\) \\ Neuropsychiatric disorders & \(0.32\) & \(<\)\(0.001\) & \(335\) \\ Dementia or depression diagnosed prior enrollment in the study & \(0.34\) & \(<\)\(0.001\) & \(335\) \\ Clock Drawing Test score & \(0.01\) & \(0.91\) & \(280\) \\ Mini Mental State Examination (MMSE) score & \(0.01\) & \(0.85\) & \(310\) \\ Geriatric depression scale score & \(0.08\) & \(0.18\) & \(311\) \\ Total number of neurologists and psychiatrists in the county of residence of home care service user & \(0.01\) & \(0.81\) & \(334\) \\ COUNTY\_Agglomeration\_special\_docs\_population & \(0.12\) & \(0.05\) & \(335\) \\ Population of people aged 65 or over & \(0.11\) & \(0.08\) & \(335\) \\ Accessibility/remoteness index for Greece (ARI(gr)) & \(0.05\) & \(0.32\) & \(335\) \\ \hline \hline \end{tabular}
\end{table}
Table 2: Degrees of correlation between consulting a physician for further neuropsychiatric diagnostic workflow or not and demographic, clinical, and socioeconomic factors.