Factors affecting timely recognition and diagnosis of dementia across Europe: from awareness to stigma

Autor: Vernooy-Dassen, M.J.F.J., Moniz-Cook, E., Woods, R.T., Lepeleire, J. De, Leuschner, A., Zanetti, O., Rotrou, J. de, Kenny, G., Franco, M., Peters, V.A.M., Iliffe, S., INTERDEM, Group
Rok vydání: 2005
Předmět:
Gerontology
Mental Health Services
medicine.medical_specialty
Stigma (botany)
Residential Facilities
Quality of Care [ONCOL 4]
Respite care
Intervention (counseling)
Health care
mental disorders
medicine
media_common.cataloged_instance
Dementia
Humans
European union
Alzheimer Centre [NCEBP 11]
Vascular dementia
Referral and Consultation
media_common
Quality of Health Care
Stereotyping
business.industry
Effective primary care and public health [NCEBP 7]
Focus Groups
medicine.disease
Focus group
Organizational Cybernetics
Home Care Services
Quality of Care [EBP 4]
Europe
Psychiatry and Mental health
Early Diagnosis
Family medicine
Practice Guidelines as Topic
Education
Medical
Continuing
Geriatrics and Gerontology
Psychology
business
Quality of hospital and integrated care [NCEBP 4]
Family Practice
Respite Care
Zdroj: International Journal of Geriatric Psychiatry, 20, 4, pp. 377-86
International Journal of Geriatric Psychiatry, 20, 377-386
International Journal of Geriatric Psychiatry, 20, 377-86
International Journal of Geriatric Psychiatry, 20, 4, pp. 377-386
ISSN: 0885-6230
Popis: Contains fulltext : 46623.pdf (Publisher’s version ) (Closed access) Contains fulltext : 184485.pdf (Publisher’s version ) (Closed access) BACKGROUND: Timely recognition and diagnosis of dementia is the pre-condition for improving dementia care, but diagnosis often occurs late in the disease process. OBJECTIVE: To compare facilitators and obstacles to the timely recognition of dementia across eight European Union states, in order to implement established policies for earlier diagnosis. METHODS: A modified focus group technique, including a pre and posterior procedure. RESULTS: Twenty-three participants from different disciplines, purposively sampled for professional expertise in dementia research and innovative practice, attended two focus groups. Stigma in ageing and dementia, accompanied by a sense that there is little to offer until later on in the disease, underpinned the widespread reluctance of GPs to recognise dementia at an early stage and were major obstacles to the timely diagnosis of dementia across all eight countries. Dementia care services varied widely across Europe. Countries with the greatest development of dementia health care services were characterised by national guidelines, GPs fulfilling a gatekeeper function, multi-disciplinary memory clinics and innovative programmes that stimulated practice and new services. Dementia-related stigma was perceived as being less prominent in these countries. CONCLUSIONS: Overcome of delays in the timely diagnosis of dementia needs more than specialist services. They should address the processes associated with stigma, age and dementia, especially where these relate to physician practice and diagnostic disclosure. Stigma is perceived as variable across European States, with a promising finding that its impact is relatively small in countries with the widest range of dementia care services.
Databáze: OpenAIRE
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