Present Status and Road Map to Achieve Inclusive and Holistic Care for Dementia in a Japanese Community: Analysis Using the Delphi Method

Abstract

Background/Aims: Dementia is a priority issue in the public health realm. However, few reports address problems of dementia in the real world or provide comprehensive road maps to solve these problems. Methods: Nine groups of questions covering 4 topics were discussed using the Delphi method, relating to (1) current achievements and challenges regarding inclusive and holistic care in the community, (2) patients who are at a high risk of being excluded from care, (3) suggestions for a road map for the establishment of better and more inclusive medical and social care, and (4) unmet needs of patients with dementia. Results: In total, 477 opinions were obtained. Family issues, psychological/behavioral symptoms, and complications secondary to physical disorders are main factors for being excluded from care. To create a road map for care we have to address the topics of reaffirming care principles, multidisciplinary coalitions, and education for stakeholders. Conclusion: Further effective collaboration to promote dementia care is required.

Dynamics of Interaction among Professionals, Informal Supporters, and Family Caregivers of People with Dementia along the Dementia Care Pathway: A Nationwide Survey in Japan

“…Care for people with dementia and their family caregivers is not something that can be achieved only by medical interventions and care alone; it is important to build a comprehensive and coordinated care system that includes local governments and social organizations [ 8 , 9 , 10 , 14 , 19 , 20 , 21 ]. In response to the increase in the number of people with dementia, each country is summarizing and assessing the challenges of care and presenting a framework for care pathways as a national strategy [ 10 , 11 , 12 , 22 ]. Some countries employ a one-stop service, while others may have a variety of entry sites [ 10 ].…”

Dementia Cafés as Hubs to Promote Community-Integrated Care for Dementia through Enhancement of the Competence of Citizen Volunteer Staff Using a New Assessment Tool

“…We referred to previous studies on dementia care and dementia cafés [1,7,[14][15][16][17][18][19][20][21][22][23][24][25][26][27]. We also referred to the challenges related to dementia care in the community [3,4]. The DCSA is composed of 20 question items divided into 4 parts ( Fig.…”

“…Dementia places a serious burden on the person with dementia and on family caregivers [1,2]. The sense of fear of and the stigma surrounding dementia remain strong in the community despite various efforts [3,4]. To address these challenges, which cannot be solved by medical and care systems alone, a new approach is required [5].…”

Potential Clinical Applications and Future Prospect of Wireless and Mobile Electroencephalography on the Assessment of Cognitive Impairment

“…1 Dementia is now recognized as an important health problem, and causes a significant social and financial burden as life expectancy increases. [2][3][4] Alzheimer's disease (AD) is recognized worldwide as the most common form of dementia in the elderly. 5 This disease typically demonstrates an insidious initial impairment in memory that extends to multiple domains such as executive functions, language, and visuospatial abilities as the disease progresses.…”