Detailed Information

Cited 9 time in webofscience Cited 9 time in scopus
Metadata Downloads

Pathways to care for people with dementia: An international multicentre study

Authors
Volpe, UmbertoAmin, HaniaAyinde, Olatunde O.Burns, AlistairChan, Wai ChiDavid, RenaudDejanovic, Slavica DjukicDjokic, GoricaEraslan, DefneFischer, Giulia A. L.Gracia-Garcia, PatriciaHamdani, Syed UsmanHan, ChangsuJafri, HussainKallivayalil, Roy A.Kriekaart, R.Kua, Ee HeokLam, Linda C. W.Lecic-Tosevski, DusicaLeroi, IracemaLobo, AntonioMihai, AdrianaMinhas, Fareed AslamMistry, HeenaOgundele, Afolakemi T.Rikkert, Marcel G. M. OldeOlivera, JavierPalumbo, ClaudiaParker, AngelaPejuskovic, BojanaRiese, FlorianRobert, PhilippeSemrau, MayaStoppe, GabrielaSudhakar, SanuTirintica, Andreea RalucaTofique, SehrishTsoi, ChrisWolski, LucasYalug, IremWang, HualiYu, XinSartorius, Norman
Issue Date
Feb-2020
Publisher
WILEY
Keywords
dementia; geriatric psychiatry; health care policy; outcome; pathways to care; time to diagnosis
Citation
International Journal of Geriatric Psychiatry, v.35, no.2, pp.163 - 173
Indexed
SCIE
SSCI
SCOPUS
Journal Title
International Journal of Geriatric Psychiatry
Volume
35
Number
2
Start Page
163
End Page
173
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/28247
DOI
10.1002/gps.5223
ISSN
0885-6230
Abstract
Objective The aim of the present study was to characterize the clinical pathways that people with dementia (PwD) in different countries follow to reach specialized dementia care. Methods We recruited 548 consecutive clinical attendees with a standardized diagnosis of dementia, in 19 specialized public centres for dementia care in 15 countries. The WHO "encounter form," a standardized schedule that enables data concerning basic socio-demographic, clinical, and pathways data to be gathered, was completed for each participant. Results The median time from the appearance of the first symptoms to the first contact with specialist dementia care was 56 weeks. The primary point of access to care was the general practitioners (55.8%). Psychiatrists, geriatricians, and neurologists represented the most important second point of access. In about a third of cases, PwD were prescribed psychotropic drugs (mostly antidepressants and tranquillizers). Psychosocial interventions (such as psychological counselling, psychotherapy, and practical advice) were delivered in less than 3% of situations. The analyses of the "pathways diagram" revealed that the path of PwD to receiving care is complex and diverse across countries and that there are important barriers to clinical care. Conclusions The study of pathways followed by PwD to reach specialized care has implications for the subsequent course and the outcome of dementia. Insights into local differences in the clinical presentations and the implementation of currently available dementia care are essential to develop more tailored strategies for these patients, locally, nationally, and internationally.
Files in This Item
There are no files associated with this item.
Appears in
Collections
2. Clinical Science > Department of Psychiatry > 1. Journal Articles

qrcode

Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.

Related Researcher

Researcher Han, Changsu photo

Han, Changsu
구로병원 (Department of Psychiatry, Ansan Hospital)
Read more

Altmetrics

Total Views & Downloads

BROWSE