Korean national dementia plans: from 1st to 3rd

Lee, Dong Woo; Seong, Su Jeong

doi:10.5124/jkma.2018.61.5.298

Cited by 31 publications

(29 citation statements)

References 1 publication

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“…60 In Korea, the first Korean National Dementia Plan was established in 2008, followed by the second in 2012, and the third in 2014; the country continues to monitor dementia at a national level. 61 Even though dementia is not curable, many of its symptoms are now manageable; successful treatment can improve not only the patient's prognosis, but also help the patient's family cope with the disease. Nevertheless, prevention of dementia remains a public health priority and there is a growing interest in modifiable risk factors.…”

Section: Discussionmentioning

confidence: 99%

Association between dementia and depression: a retrospective study using the Korean National Health Insurance Service-National Sample Cohort database

Jung

et al. 2020

BMJ Open

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ObjectivesDementia is common in people over the age of 65 years, with 80% of people with dementia older than 75 years. Previous studies have linked dementia to late-life depression, but the association between dementia and mid-life depression is poorly understood. Depression is a preventable and treatable medical condition, which means it is a modifiable factor that can potentially prevent or delay dementia. This study aimed to identify the association between dementia and depression within the life course.DesignA nationwide, retrospective propensity score matched cohort study associating dementia with depression. Depression diagnosed between the ages of 45 and 64 years was classified as ‘mid-life’ and ‘late-life’ if diagnosed at 65 years or older. Patients were considered to have depression when one or more International Statistical Classification of Diseases and Related Health Problems, 10th revision codes for depression were recorded as primary or secondary diagnosis.SettingNational Health Insurance Service-National Sample Cohort database of the National Health Insurance Service in South Korea, containing patient data from 2002 to 2013.ParticipantsThe study included 1824 and 374 852 patients in the case and control groups, respectively. A logistic regression analysis with complex sampling design was performed after adjusting for covariates, using the propensity score matching method without callipers, with a 1:1 nearest neighbour matching algorithm.Primary and secondary outcome measuresThe association of mid-onset and late-onset depression with dementia in terms of sociodemographic characteristics, such as sex and age, within the Korean population.ResultsDementia was significantly associated with the presence of depression (OR=2.20, 95% CI=1.53–3.14); in particular, female patients with depression and patients aged 45–64 years with depression had increased odds of dementia (OR=2.65, 95% CI=1.78–3.93 and OR=2.72, 95% CI=1.41–5.24, respectively)ConclusionDepression is an associated factor for dementia, especially among people aged 45–64 years (mid-life).

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Section: Discussionmentioning

confidence: 99%

Association between dementia and depression: a retrospective study using the Korean National Health Insurance Service-National Sample Cohort database

Jung

et al. 2020

BMJ Open

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“…On the other hand, both the Republic of Korea and Japan did not address all aspects in the frameworks (see Table 2), which does not necessarily mean that their national policies had less impact. Indeed, the Republic of Korea had its first national dementia plan in 2008, four years before the United States, and its dementia management system has multi-level coverage along with integrated long-term care (19). Furthermore, national policy in Japan focuses on coordinating the continuum of care for dementia patients and on training dementia specialists (20).…”

Section: Discussionmentioning

confidence: 99%

National policy actions on dementia in the Americas and Asia-Pacific: Consensus and challenges

Sun

Chima

Wharton

et al. 2020

Revista Panamericana De Salud Pública

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Alzheimer’s disease and related dementias (ADRD) affect over 50 million persons globally, and the number is expected to rise. In response, health ministries are developing and implementing policies and programs to systemically address the needs of individuals and families affected by ADRD. While national plans of action on ADRD are advancing among European Member States of World Health Organization (WHO), those in the Asia-Pacific and Americas are lagging behind. Since previous studies have largely ignored the Americas and Asia-Pacific—where approximately two-thirds of the global ADRD population resides—this study sought to identify (a) the socioeconomic factors associated with the likelihood of having a national dementia policy, and (b) to examine common and differing features among the national plans in these regions. Employing the dementia policy guidelines of WHO and the Pan American Health Organization as an extraction guide for data collection and analysis, the national dementia plans and available socioeconomic data of 10 Member States were analyzed with comparative and qualitative analyses. Findings suggested at least a 14-fold increase in the likelihood of having a national dementia plan if a Member State had one of the following: a universal health care system, more than 14% of the population 65 years of age or older, or high-income. All the Member States in the study identified dementia as a public health priority, but priorities differed. Inconsistencies included development of information systems, training for health care professionals, and long-term care systems.

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“…Korean government has actively engaged in policy intervention on dementia management issues, ranging from the comprehensive plan announced by the Ministry of Health and Welfare in 2008 to the National Responsibility System for dementia announced in September 2017. 3,4 One of the major policies to reduce the burden of care for dementia patients and caregivers is the introduction of longterm care insurance. After the introduction of the special level (5th level) of long-term care insurance for dementia patients in 2014, this was expanded to include mild dementia patients who had not yet received benefits.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Cognitive Training in a Day Care Center in Patients with Early Alzheimer’s Disease Dementia: A Retrospective Study

Kwon

Yang

Yun³

et al. 2020

Psychiatry Investig

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Objective This study aimed to evaluate the effect of cognitive training programs on the progression of dementia in patients with early stage Alzheimer’s disease dementia (ADD) at the day care center.Methods From January 2015 to December 2018, a total of 119 patients with early ADD were evaluated. All subjects were classified into two groups according to participate in cognitive training program in addition to usual standard clinical care. Changes in scores for minimental status examination-dementia screening (MMSE-DS) and clinical dementia rating-sum of boxes (CDR-SOB) during the 12 months were compared between two groups. Multivariable logistic regression analyses were performed.Results As compared to case-subjects (n=43), the MMSE-DS and CDR-SOB scores were significantly worse at 12 months in the control-subjects (n=76). A statistically significant difference between the two groups was observed due to changes in MMSE-DS (p=0.012) and CDR-SOB (p<0.001) scores. Multivariable logistic regression analysis showed that the cognitive training program (odds ratio and 95% confidence interval: 0.225, 0.070–0.725) was independently associated with less progression of ADD.Conclusion The cognitive training program was associated with benefits in maintaining cognitive function for patients with earlystage ADD that were receiving medical treatment.

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Korean national dementia plans: from 1st to 3rd

Cited by 31 publications

References 1 publication

Association between dementia and depression: a retrospective study using the Korean National Health Insurance Service-National Sample Cohort database

Association between dementia and depression: a retrospective study using the Korean National Health Insurance Service-National Sample Cohort database

National policy actions on dementia in the Americas and Asia-Pacific: Consensus and challenges

The Effect of Cognitive Training in a Day Care Center in Patients with Early Alzheimer’s Disease Dementia: A Retrospective Study

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