Facilitators and Barriers to Dementia Assessment and Diagnosis: Perspectives From Dementia Experts Within a Global Health Context.
Facilitators and Barriers to Dementia Assessment and Diagnosis: Perspectives From Dementia Experts Within a Global Health Context.
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DOI：
10.3389/fneur.2022.769360
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发表时间：
2022
影响因子：
3.4
通讯作者：
Possin KL
中科院分区：
文献类型：
--
作者：
Bernstein Sideman A;Al-Rousan T;Tsoy E;Piña Escudero SD;Pintado-Caipa M;Kanjanapong S;Mbakile-Mahlanza L;Okada de Oliveira M;De la Cruz-Puebla M;Zygouris S;Ashour Mohamed A;Ibrahim H;Goode CA;Miller BL;Valcour V;Possin KL
痴呆症是全球最大的健康挑战之一，影响着全球5000万人。随着每年1000万新病例的增加，痴呆症是一个日益沉重的负担，特别是在低收入和中等收入国家。这项研究旨在从全球健康的角度确定在LMICs中提供高质量的痴呆症评估和护理的促进者和障碍。对来自19个国家的20名痴呆症专家医疗保健提供者进行了定性的半结构化访谈研究。要被纳入，提供者必须：在60岁以上人口预计到2050年翻一番以上的低收入国家开展痴呆症评估或护理，并根据立场、研究出版物和/或政策领导力被公认为该地区领先的痴呆症专家。访谈由一个多学科的研究团队使用主题分析进行分析。痴呆症评估和护理的障碍包括对痴呆症的耻辱、患者对医疗保健的参与和获得机会不足、语言和文化验证不足、有能力患痴呆症的劳动力有限、医疗保健系统优先事项相互竞争以及医疗资金不足。促进因素包括提高对痴呆症的认识运动、对全科医生进行痴呆症培训、提供家庭支助和家庭照料者，以及国家和国际合作，包括协调政策努力和参与国际研究倡议。这项研究的结果为将LMICs中的痴呆症评估和护理能力建设作为全球卫生优先事项以及为在个人、社区、国家和多国层面加强痴呆症评估和护理的定制公共卫生方法提供了见解。
Dementia poses one of the greatest global health challenges, affecting 50 million people worldwide. With 10 million new cases each year, dementia is a growing burden, particularly in low- and middle-income countries (LMIC). This study aimed to identify the facilitators and barriers to providing quality dementia assessment and care in LMICs from a global health perspective. A qualitative semi-structured interview study with 20 dementia expert healthcare providers from 19 countries. To be included, providers had to: practice dementia assessment or care in LMICs where the population over age 60 is projected to more than double by 2050 and be recognized as a leading dementia expert in the region based on position, research publications, and/or policy leadership. Interviews were analyzed by a multidisciplinary team of researchers using thematic analysis. Barriers to dementia assessment and care included stigma about dementia, poor patient engagement in and access to healthcare, inadequate linguistic and cultural validation, limited dementia capable workforce, competing healthcare system priorities, and insufficient health financing. Facilitators included the rise in dementia awareness campaigns, dementia training for general practitioners, availability of family support and family caregivers, and national and international collaborations including coordinated policy efforts and involvement in international research initiatives. Findings from this study provide insights for prioritizing dementia assessment and care capacity-building in LMICs as a global health priority and for tailored public health approaches to strengthen dementia assessment and care at the individual, community, national, and multi-national levels.
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影响因子：
11.2
作者：
Surr CA;Gates C;Irving D;Oyebode J;Smith SJ;Parveen S;Drury M;Dennison A
通讯作者：
Dennison A
扩大全球痴呆症研究中低收入国家和中等收入国家的代表性：阿尔茨海默氏症协会的评论。
影响因子：
3.4
作者：
Sexton C;Snyder HM;Chandrasekaran L;Worley S;Carrillo MC
通讯作者：
Carrillo MC
影响因子：
3.7
作者：
Cations M;Radisic G;Crotty M;Laver KE
通讯作者：
Laver KE
影响因子：
2.8
作者：
Broda A;Bieber A;Meyer G;Hopper L;Joyce R;Irving K;Zanetti O;Portolani E;Kerpershoek L;Verhey F;Vugt M;Wolfs C;Eriksen S;Røsvik J;Marques MJ;Gonçalves-Pereira M;Sjölund BM;Woods B;Jelley H;Orrell M;Stephan A;ActifCare Consortium
通讯作者：
ActifCare Consortium
DOI：
10.1016/j.dadm.2017.01.006
发表时间：
2017-01-01
期刊：
Alzheimer's & dementia (Amsterdam, Netherlands)
影响因子：
--
作者：
Grober, Ellen;Wakefield, Dorothy;Lipton, Richard B
通讯作者：
Lipton, Richard B