Assessment of dementia by a primary health care dementia team cooperating with the family doctor - the Norwegian model.
| Autor: | Engedal K; Norwegian Centre for Ageing and Health, Oslo University Hospital, Ullevaal and Vestfold Mental Health Trust, Tønsberg, Norway. knut.engedal@aldringoghelse.no, Gausdal M, Gjøra L, Haugen PK |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Dementia and geriatric cognitive disorders [Dement Geriatr Cogn Disord] 2012; Vol. 34 (5-6), pp. 263-70. Date of Electronic Publication: 2012 Nov 23. |
| DOI: | 10.1159/000345435 |
| Abstrakt: | Background: To describe how dementia assessment could be organized in primary health care and how it works. Methods: The project had two phases. In phase one 104 elderly patients were assessed by a local authority dementia team that used a standardized examination protocol, which enabled the family doctors to establish a dementia diagnosis. After evaluation and adjustments the model was extended to 31 local authorities and 474 patients were assessed. Results: The mean age of the patients was 84.4 (SD 5.6) and 81.8 (SD 7.8) years, respectively; 81 and 67% were women, respectively. The mean Mini Mental State Examination scores were 21.1 (SD 5.0) and 19.2 (SD 5.1), respectively. All patients in phase one and 70% in phase two were diagnosed with dementia. In 15 local authorities a specially assigned family doctor assisted in establishing diagnoses. In these local authorities 80% of the patients were diagnosed. Conclusion: A local authority dementia team can collect the information required to enable a family doctor to establish a dementia diagnosis. Ideally, such teams should be assisted by a family doctor interested in dementia diagnostics. (Copyright © 2012 S. Karger AG, Basel.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|