A model of integrated care for people with dementia in Primary Care

Fabbo, Andrea; Capelli, Oreste; Luca, Maria Luisa De; Vreese, Luc Pieter De; Pini, Monica; Rovesta, Lara; Solfrini, Valentina; Marchesi, C.

doi:10.5334/ijic.1868

Cited by 3 publications

(2 citation statements)

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“…However, the diffusion of case management methods has been very variable, and there is a need to overcome the block that impedes the transfer of knowledge into practice. The final outcome of these two protocols are to improve the quality of life and health of PWD and their families, satisfying the preference of PWD (and/or their families) to remain living at home and maintain normality for as long as possible deferring long-term residential care in agreement with the results of some RCTs of integrated care models for the frail elderly including people with cognitive impairment [108].…”

Section: The Case Management Model In Primary Carementioning

confidence: 70%

The Management of Dementia in Primary Care

Vreese¹,

Salvatore²,

Rovesta³

et al. 2016

Primary Care in Practice - Integration Is Needed

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High-quality in-home primary healthcare services are pivotal for people with dementia and their families to avoid inappropriate hospital admissions and premature nursing home placement, which are associated with worsened quality of life of both the person with dementia and his family and financial burden. This chapter gives a qualitative overview of the evidence on the efficacy and effectiveness of different primary care models covering all the stages of the disease from the onset of the disease until the more advanced stages with a particular focus on the management of behaviour and psychological disorders. A detailed description is provided of the primary care model of the Province of Modena for people with dementia and their families in which the general practitioner plays a central role both in the diagnostic process and in follow-up and closely collaborates with first-and second-level healthcare professionals. This "collaborative care" network is able to address timely the continuously changing needs of these frail people and their caregivers, including acute severe behavioural and psychological disorders. A 10-item composite indicator of appropriateness of care by the general practitioner has been recently introduced to further improve the quality of care within primary care.

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Section: The Case Management Model In Primary Carementioning

confidence: 70%

The Management of Dementia in Primary Care

Vreese¹,

Salvatore²,

Rovesta³

et al. 2016

Primary Care in Practice - Integration Is Needed

Self Cite

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“…Evidence on SCU-Bs’ short-term efficacy is not robust, but it is encouraging. Some pioneering papers [ 16 , 17 ] and more recent studies [ 18 , 19 ] have demonstrated marked improvements in BPSD during a short stay in an SCU-B. In France, SCU-Bs (also known as unités cognitivo-comportementales) [ 20 ] have been widely used for more than ten years within the framework of a National Alzheimer Plan.…”

Section: Introductionmentioning

confidence: 99%

The Special Care Unit for People with Behavioral and Psychological Symptoms of Dementia (SCU- B) in the Context of the Project “RECage-Respectful Caring for Agitated Elderly”: A Qualitative Study

Guazzarini

Casanova

Buchholz

et al. 2022

IJERPH

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Background: Dementia is a priority for global public health. The management of behavioral and psychological symptoms of dementia (BPSD) is one of the highest ongoing challenges and needs new approaches. The special care unit for people with dementia and BPSD (SCU-B) is viewed in this context as a further medical intervention. Aim: this study aims to explore SCU-B units in order to describe their main characteristics in relation to different implementation contexts, identify the characteristics of their replicability, and examine the social innovation elements promoted by SCU-B units. Method: This qualitative study is based on focus groups (FGs) and interviews involving nine international centers. Five of the centers have a memory clinic unit and SCU-B, compared with six that only have a memory clinic unit. A total number of 18 FGs were held, which altogether involved 164 participants. All data were transcribed verbatim and analyzed by means of a content analysis and a SWOT (strengths, weaknesses, opportunities, and threats) analysis. Results: The qualitative analysis offers a vision of the SCU-B model as an innovative care unit for BPSD, promoting social innovation in the long-term care (LTC) sector. This system mainly targets people with dementia and BPSD and their informal caregivers but encourages collaboration between dementia care stakeholders at the micro and meso levels. Conclusions: Specific characteristics of the country’s LTC systems and the organization of specialized units are determinants for the success of the SCU-B experience. The replicability of the entire SCU-B model was considered low; however, the implementation of single elements composing the SCU-B model may foster innovation. This study provides relevant suggestions on how to implement the SCU-B unit and innovative solutions for dementia care.

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