National Dementia Strategy: well intentioned — but how well founded and how well directed?

Greaves, Ian; Jolley, David

doi:10.3399/bjgp10x483553

Cited by 29 publications

(17 citation statements)

References 13 publications

(10 reference statements)

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“…The emerging evidence from a Canadian and two British studies point to the potential benefits of these programs in building capacity within primary care, while improving the efficacy of the use of specialist expertise. (98–100) More research is needed to evaluate cost-effectiveness, feasibility and long-term sustainability of these innovations, and to test their replicability in various Canadian primary care practices.…”

Section: Resultsmentioning

confidence: 99%

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A Review of Barriers and Enablers to Diagnosis and Management of Persons with Dementia in Primary Care

et al. 2012

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BackgroundWith the rise in the prevalence of dementia disorders and the growing critical impact of dementia on health-care resources, the provision of dementia care has increasingly come under scrutiny, with primary care physicians (PCP) being at the centre of such attention.PurposeTo critically examine barriers and enablers to timely diagnosis and optimal management of community living persons with dementia (PWD) in primary care.MethodsAn interpretive scoping review was used to synthesize and analyze an extensive body of heterogeneous Western literature published over the past decade.ResultsThe current primary care systems in many Western countries, including Canada, face many challenges in providing responsive, comprehensive, safe, and cost-effective dementia care. This paper has identified a multitude of highly inter-related obstacles to optimal primary dementia care, including challenges related to: a) the complex biomedical, psychosocial, and ethical nature of the condition; b) the gaps in knowledge, skills, attitudes, and resources of PWD/caregivers and their primary care providers; and c) the broader systemic and structural barriers negatively affecting the context of dementia care.ConclusionsFurther progress will require a coordinated campaign and significantly increased levels of commitment and effort, which should be ideally orchestrated by national dementia strategies focusing on the barriers and enablers identified in this paper.

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Section: Resultsmentioning

confidence: 99%

“…Primary care has been identified as the Achilles’ heel of dementia services, with experts repeatedly calling for systematic approaches to strengthen it. (7,9,10,13,100) …”

Section: Discussionmentioning

confidence: 99%

A Review of Barriers and Enablers to Diagnosis and Management of Persons with Dementia in Primary Care

et al. 2012

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“…11,12 Beattie and colleagues have also noted the incongruence between positive commitment to good quality care for patients with dementia and poor or non-existent specialist services. 13 …”

Section: S Ahmad M Orrell S Iliffe and A Gracie E364mentioning

confidence: 99%

GPs' attitudes, awareness, and practice regarding early diagnosis of dementia

Ahmad¹,

Orrell²,

Iliffe³

et al. 2010

Br J Gen Pract

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In primary care, the diagnosis of dementia is often delayed and the 2007 National Audit Office Report concluded action was needed to improve patient care and value for money. AimTo investigate the attitudes, awareness, and practice of GPs in England regarding early diagnosis and management of patients with dementia, and perceptions of local specialist services, to identify training or support needs. Design of studySecondary analysis of survey data that capture the above attitudes, awareness, and practice. SettingOnline survey, targeting GP members of medeConnect. MethodSurvey data were obtained using an anonymised online self-completion questionnaire, and then analysed using standard data-analysis software.

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“…Indeed, research studies demonstrated that speedy and efficient diagnosis can be achieved accurately by primary care team staff [24] . Hence, a potential overlooked strategic recommendation is to maximize the strengths of primary care staff in dementia care assessment and investigation, and making use of them in the ongoing support of individuals who remain recognized, respected, and not displaced from their natural community-which would draw considerable savings in comparison to founding secondary care center services [25] .…”

Section: National Dementia Strategymentioning

confidence: 99%

National policies for healthy aging in Malta: achievements and limitations

Formosa¹

2018

har

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Background: Contemporary public policy in Malta is strongly geared toward improving the levels of healthy aging of present and incoming cohorts of older persons. Methods: A content analysis of contemporary policy directions launched and implemented by the Government of Malta toward healthy aging in Malta. Results: Healthy aging policy in Malta follows the European Commission's document Guiding principles for active aging and solidarity between generations which underlined how societies must not be solely content with a remarkable increase in life expectancy, but must also strive to extend healthy life years, and to provide opportunities for physical and mental activities adapted to the capacities of older individuals. The government of Malta employs 14 consultant geriatricians who work mainly in the public rehabilitation hospital and residential/nursing homes, concentrating on frail elders, and in specialty clinics-for example, on memory, falls, and continence. Maltese policies on healthy aging include the National Strategic Policy for Active Aging, National Demetria Strategy, and the Minimum Standards for Care Homes in Malta, all of which include a range of recommendations that aim to lead older persons toward higher levels of healthy aging, but which also include a number of limitations. Conclusions: In achieving better levels of healthy aging-that is, the process of optimizing opportunities for physical, social, and mental wellbeing to enable older people to enjoy an independent and good quality of life-this paper recommends 4 distinct and urgent pathways in healthy aging policy: addressing the further prevention and reduction of the burden of excess disabilities, chronic disease, and premature mortality; instigating an increased responsiveness to reducing risk factors associated with major diseases by taking comprehensive action to control the use of tobacco, increase physical activity for older adults, and the adoption of national nutrition action plans; investing more human and financial resources in long-term care services in the community and older persons' homes; and upholding further national capacity for training in geriatric training.

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National Dementia Strategy: well intentioned — but how well founded and how well directed?

Cited by 29 publications

References 13 publications

A Review of Barriers and Enablers to Diagnosis and Management of Persons with Dementia in Primary Care

A Review of Barriers and Enablers to Diagnosis and Management of Persons with Dementia in Primary Care

GPs' attitudes, awareness, and practice regarding early diagnosis of dementia

National policies for healthy aging in Malta: achievements and limitations

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