The Wisconsin Alzheimer's Institute Dementia Diagnostic Clinic Network: A community of practice to improve dementia care.

The Wisconsin Alzheimer's Institute Dementia Diagnostic Clinic Network: A community of practice to improve dementia care.
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威斯康星州阿尔茨海默氏症研究所痴呆症诊断诊所网络:一个改善痴呆症护理的实践社区。

DOI:
10.1111/jgs.17768
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发表时间:
2022-07
影响因子:
6.3
通讯作者:
Carlsson, Cynthia M.
Carlsson, Cynthia M.
中科院分区:
医学1区
文献类型:
--
作者:
Pinzon, Maria Mora;Krainer, Jody;LeCaire, Tamara;Houston, Stephanie;Green-Harris, Gina;Norris, Nia;Barnes, Stacy;Clark, Lindsay R.;Gleason, Carey E.;Hermann, Bruce P.;Ramon, Helen;Buckingham, Will;Chin, Nathaniel A.;Asthana, Sanjay;Johnson, Sterling C.;Walaszek, Art;Carlsson, Cynthia M.

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威斯康星州阿尔茨海默病研究所 (WAI) 痴呆症诊断诊所网络是一个实践社区,成立于 1998 年,由全州各个医疗保健系统的社区诊所合作组成。其目的是促进使用基于证据的策略,为整个威斯康星州的痴呆症患者提供高质量的护理。本研究的目的是描述如何使用实践社区来促进医疗保健提供者有关痴呆症护理最佳实践的教育,以及实施跨专业方法来诊断和管理痴呆症及相关疾病。对 WAI 痴呆症诊断诊所网络成员的横断面研究。从评估表中收集诊所和医疗团队的特征、学习者对教育活动的参与和教育成果。在记忆诊所就诊的患者数量和特征是从成员提交到集中位置进行数据分析的去识别化数据表格中收集的。该诊所网络目前在威斯康星州 72 个县中的 21 个县拥有 38 家诊所,隶属于 26 个不同的医疗保健系统或独立医疗团体。大多数 (56%) 从事初级保健,15% 从事精神病学,29% 从事神经病学。 2018 年至 2021 年间,我们收到了 4710 名患者的数据; 92% 年龄≥65 岁,60% 为女性,92% 为白人。网络成员每年举行两次面对面会议,了解痴呆症护理领域的创新并分享最佳实践。与网络相关的教育活动被证明是相关的、有用的,并且可以提高参与者的知识和技能。实践社区通过共享最佳实践和教育资源、卫生人员的继续教育、临床实践的持续质量改进以及在痴呆症护理中采用新的诊断和管理方法来提供附加值。
The Wisconsin Alzheimer's Institute (WAI) Dementia Diagnostic Clinic Network is a community of practice formed in 1998 as a collaboration of community‐based clinics from various healthcare systems throughout the state. Its purpose is to promote the use of evidence‐based strategies to provide high quality care throughout Wisconsin for people with dementia. The purpose of this study is to describe the use of a community of practice to facilitate education of healthcare providers on best practices in dementia care, and the implementation of an interprofessional approach to diagnose and manage dementia and related disorders. Cross‐sectional study of the members of the WAI's Dementia Diagnosis Clinic Network. Characteristics of clinics and healthcare teams, learners' participation in educational events and educational outcomes were collected from evaluation forms. Number and characteristics of patients seen in the memory clinics were collected from de‐identified data forms submitted by members to a centralized location for data analysis. The clinic network currently has 38 clinics affiliated with 26 different healthcare systems or independent medical groups in 21 of 72 Wisconsin counties. Most (56%) are based in primary care, 15% in psychiatry, and 29% in neurology. Between 2018 and 2021, we received data on 4710 patients; 92% were ≥65 years old, 60% were female, and 92% were white. Network members meet in‐person twice a year to learn about innovations in the field of dementia care and to share best practices. Educational events associated with the network are shown to be relevant, useful, and improve knowledge and skills of participants. Communities of practice provide added value via shared best practices and educational resources, continuing education of the health workforce, continuous quality improvement of clinical practices, and adoption of new diagnostic and management approaches in dementia care.
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期刊: Alzheimer's & dementia : the journal of the Alzheimer's Association
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