Current activities of medical centers for dementia in Japan
Current activities of medical centers for dementia in Japan
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DOI：
10.1111/ggi.12253
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发表时间：
2014-04-01
影响因子：
3.3
通讯作者：
Awata, Shuichi
中科院分区：
文献类型：
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作者：
Awata, Shuichi
目的我们调查了痴呆症医疗中心（MCD）的当前活动，并提出了国家痴呆症战略的建议。方法截至2012年8月7日，向172家指定为MCD的医院邮寄问卷。结果分析了2012年4月1日之前充分应答并指定的117名MCD的数据。每个MCD的平均和中位数医疗咨询次数分别为1035和595/年（范围114-8541/年），诊断为痴呆相关疾病的患者分别为266和231/年（范围3-1179/年），MCD医院收治的痴呆相关疾病患者分别为89和47/年（0-1176/年），2个月内出院的患者比例的平均值和中位数分别为45.5%和36.8%（范围0-100%）。与社区一般支助中心合作提供的外展服务占23.9%，对社区一般支助中心工作人员的培训占66.7%。31.6%的精神疾病医院被指定为急诊医院，其中56.8%的医院在急诊室为痴呆症患者提供了专家联络小组服务。结论大多数MCD被认为是相当不错的功能与卫生，劳动和福利部公布的指导方针一致。然而，在被诊断患有痴呆症相关疾病的患者人数和住院治疗的住院时间方面，各设施之间存在巨大差异。为了使所有MCD充分发挥功能，应使用标准化的评估方法纵向监测MCD的活性。Geriatr Gerontol Int 2014; 14（Suppl. 2）：23-27.
Aim We investigated the current activities of medical centers for dementia (MCD), and proposed recommendations for a national dementia strategy. Methods A questionnaire was mailed to 172 hospitals designated as MCD as of 7 August 2012. Results Data from 117 MCD that adequately responded and were designated by 1 April 2012 were analyzed. The mean and median numbers of medical consultations per MCD were 1035 and 595/year (range 114-8541/year), those of patients diagnosed with dementia-related disorders were 266 and 231/year (range 3-1179/year), those of patients with dementia-related disorders admitted to the MCD hospital were 89 and 47/year (0-1176/year), and mean and median proportions of patients discharged within 2 months were 45.5 and 36.8% (range 0-100%). Outreach services in collaboration with a community general support center were provided in 23.9%, while training for community general support center staff members was carried out in 66.7%. Of MCD hospitals, 31.6% were designated as an emergency medical hospital, and of these, specialist liaison-team services for patients with dementia in the emergency room were provided in 56.8%. Conclusions Most MCD are considered to function fairly well in line with the guidelines published by the Ministry of Health, Labour and Welfare. However, there is a huge discrepancy in the number of patients diagnosed with dementia-related disorders and the length of stay for inpatient care among facilities. To make all MCD function adequately, the activity of MCD should be monitored longitudinally using the standardized assessment methods. Geriatr Gerontol Int 2014; 14 (Suppl. 2): 23-27.