Dementia care management in primary care Current collaborative care models and the case for interprofessional education
Dementia care management in primary care Current collaborative care models and the case for interprofessional education
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DOI：
10.1007/s00391-017-1220-8
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发表时间：
2017-05-01
影响因子：
1.2
通讯作者：
Hoffmann, Wolfgang
中科院分区：
文献类型：
--
作者：
Dreier-Wolfgramm, Adina;Michalowsky, Bernhard;Hoffmann, Wolfgang
背景痴呆症是老年人中最常见的疾病之一。人们开发了各种痴呆症护理模式来满足患者的医疗保健需求。它们可以被描述为“协作护理”或“以人为本的护理”。关于从事痴呆症患者工作的劳动力的需求，一个关键因素是使用跨专业教育。本文的目的是描述不同的国际合作护理模式，以定义一个最低标准的医疗保健专业合作痴呆症护理在初级保健。这有助于确定IPE的要求，以优化痴呆症患者的护理，并在未来支持非正式的照顾者。本文介绍了来自4个不同国家（德国、美国、英国和荷兰）的6种痴呆症护理模式，并从目标、干预措施和医护人员参与等方面进行了比较。护理团队最低限度由全科医生或初级保健提供者、护士和社会工作者组成。特定干预可能涉及其他医疗保健学科。大多数情况下，护理小组成员接受了具体培训，但这种培训不一定包括IPE方法。为确保专业人员的成功合作，IPE培训计划至少应包括以下核心主题：（1）早期诊断，（2）诊断后支持，（3）患者和护理人员的先进护理计划和（4）有效的合作护理。IPE计划的痴呆症应扩大，必须广泛实施，以评估合作实践的影响。这项研究将提供知识基础，为结构IPE培训，发展教育议程和适应现有的指导方针，以改善合作痴呆症护理在未来。
Background. Dementia is one of the most prevalent diseases in the older population. Various dementia care models have been developed to address patient's healthcare needs. They can be described as "collaborative care" or "person-centered care". Referring to the needs of the workforce working with persons with dementia, a key element is the use of interprofessional education (IPE).Objective. The purpose of this article is to describe different international collaborative care models to define a minimum standard of healthcare professions for collaborative dementia care in primary care. This helps to identify requirements for IPE to optimize care of people with dementia and to support informal caregivers in the future.Material and methods. In this article six dementia care models from 4 different countries (Germany, USA, UK and Netherlands) are described and compared regarding aims, interventions and healthcare professionals involved.Results. Care teams are minimally comprised of general practitioners or primary care providers, nurses, and social workers. Additional healthcare disciplinesmay be involved for specific interventions. Mostly, care team members received specific training but such training did not necessarily incorporate the IPE approach. To ensure successful collaboration of professions, IPE training programs should at least consist of the following core topics: (1) early diagnosis, (2) postdiagnostic support, 3) advanced care planning for patients and caregivers and (4) effective collaborative care.Conclusion. The IPE programs for dementia should be expanded and must be widely implemented in order to assess the impact on collaborative practice. This study will provide the knowledge base for structuring IPE trainings developing educational agendas and adapting existing guidelines to improve collaborative dementia care in the future.