Dementia care management in primary care

Dreier-Wolfgramm, Adina; Michalowsky, Bernhard; Austrom, Mary Guerriero; Marck, Marjolein A. van der; Iliffe, Steve; Alder, Catherine A.; Vollmar, Horst Christian; Thyrian, Jochen René; Wucherer, Diana; Zwingmann, Ina; Hoffmann, Wolfgang

doi:10.1007/s00391-017-1220-8

Cited by 67 publications

(38 citation statements)

References 25 publications

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“…[ 24 ] Also, other collaborative care models employing a system-wide approach such as the Aging Brain Care Medical Homes in the US and the German Delphi-MV study, have shown positive results. [ 2 , 22 , 25 , 26 ]…”

Section: Discussionmentioning

confidence: 99%

Longitudinal multiple case study on effectiveness of network-based dementia care towards more integration, quality of care, and collaboration in primary care

et al. 2018

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IntroductionThis study aimed to provide insight into the merits of DementiaNet, a network-based primary care innovation for community-dwelling dementia patients.MethodsLongitudinal mixed methods multiple case study including 13 networks of primary care professionals as cases. Data collection comprised continuously-kept logs; yearly network maturity score (range 0–24), yearly quality of care assessment (quality indicators, 0–100), and in-depth interviews.ResultsNetworks consisted of median nine professionals (range 5–22) covering medical, care and welfare disciplines. Their follow-up was 1–2 years. Average yearly increase was 2.03 (95%-CI:1.20–2.96) on network maturity and 8.45 (95%-CI:2.80–14.69) on quality indicator score. High primary care practice involvement and strong leadership proved essential in the transition towards more mature networks with better quality of care.DiscussionProgress towards more mature networks favored quality of care improvements. DementiaNet appeared to be effective to realize transition towards network-based care, enhance multidisciplinary collaboration, and improve quality of dementia care.

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Section: Discussionmentioning

confidence: 99%

Longitudinal multiple case study on effectiveness of network-based dementia care towards more integration, quality of care, and collaboration in primary care

et al. 2018

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“…To address patients’ and caregivers’ complex healthcare needs, several collaborative care models have been published in the last decade 8–11. These models are characterized by interprofessional teams, multicomponent interventions, and shared decision-making between healthcare professionals and patients as well as their caregivers 12. Previous studies have performed comprehensive patient-centered assessments of PLWD and their care partners, including the patient’s function, behavior and health status, and their challenges or unmet needs 9,10.…”

Section: Introductionmentioning

confidence: 99%

<p>Using The Apriori Algorithm To Classify The Care Needs Of Patients With Different Types Of Dementia</p>

Jhang¹,

Chang²,

Lo³

et al. 2019

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PurposeTo elucidate specific combinations of care needs for people living with dementia (PLWD) and their caregivers according to specific subtypes of dementia.Patients and methodsA cross-sectional study at memory clinics in Changhua Christian Hospital, Taiwan, was conducted. Five hundred and eight people living with dementia and their caregivers joined the dementia collaborative care model. The care team established 15 care needs containing most of quality measures for PLWD and their caregivers. Individualized care plans including different combinations of care needs were addressed through face-to-face assessments. Apriori algorithm was used to find specific combinations of care needs for particular groups of PLWD and their caregivers.ResultsThis study identified the basic care needs of PLWD and caregivers including appropriate scheduling of activities, regular outpatient follow-up treatment, introduction and referral of social resources, referral to family support groups and care skills training, and health education for dementia and behavioral and psychological symptoms of dementia. Patients with Alzheimer’s dementia required more care to prevent traffic accidents and getting lost, while patients with vascular dementia required more care to prevent falls. The older (≥75 years old) PLWD were associated with more needs of fall prevention and care for the mood of the caregiver, especially in the female patients with mild Alzheimer’s dementia (CDR = 1).ConclusionBundling the needed care needs might be a more effective means to care for a wide variety of patients with dementia.

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“…Many studies throughout the world have reported the need for special, broad-scale, and regular training programs for GPs (Koch et al ., 2010b; Veneziani et al ., 2016; Dreier-Wolfgramm et al ., 2017). The importance of training cannot be emphasized enough to achieve higher quality dementia care.…”

Section: Discussionmentioning

confidence: 99%

“…Training and support for GPs may change their attitude that they have little to offer to patients living with dementia and to their relatives (Downs, 1996). Several studies confirm that GPs’ training should be practical, evidence-based and relevant, as well as tailored to their special needs: take into account their maturity, using individualized methods and include interprofessional education (Iliffe et al ., 2002; Dreier-Wolfgramm et al ., 2017).…”

Section: Discussionmentioning

confidence: 99%

Hungarian general practitioners’ attitude and the role of education in dementia care

Heim

Busa

Pozsgai

et al. 2019

Prim Health Care Res Dev

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Background: Dementia in the elderly constitutes a growing challenge in healthcare worldwide, including Hungary. There is no previous report on the role of general practitioners in the management of dementia. Aim: The purpose of the present study was to investigate the Hungarian general practitioners’ attitude toward their patients living with dementia as well as dementia care. Our goal was also to assess their willingness and habits in assessing dementia. Additionally we wanted to explore the role of education about dementia, and its impact on their attitude in dementia management. Methods: As part of a large survey, a self-administered questionnaire was filled out voluntarily by 402 of general practitioners. According to our preset criteria, 277 surveys were selected for evaluation. Descriptive statistical analysis and Likert-scale analysis were performed. Findings: Half of the doctors (49.8%) indicated that they conducted a test to assess cognitive functions in case of suspicion. Among the respondents who did not assess, 50.0% of physicians cited lack of time as the main reason for not doing so and 14.4% of them had not proper knowledge of testing methods. The respondents most often mentioned feelings toward their patients with dementia, were regret (Likert-scale mean: 3.33), helplessness (3.28) and sadness (3.07). The majority of physicians thought the treatment of dementia was difficult (4.46). Most of the respondents (81.2%) indicated that in the past 2 years they had not participated in any training about dementia. Those practitioners who had participated in some form of education were less likely to feel helpless facing a patient with dementia, and education also determined their approach to dementia care.

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Dementia care management in primary care

Cited by 67 publications

References 25 publications

Longitudinal multiple case study on effectiveness of network-based dementia care towards more integration, quality of care, and collaboration in primary care

Longitudinal multiple case study on effectiveness of network-based dementia care towards more integration, quality of care, and collaboration in primary care

<p>Using The Apriori Algorithm To Classify The Care Needs Of Patients With Different Types Of Dementia</p>

Hungarian general practitioners’ attitude and the role of education in dementia care

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