Integrated care for adults with dementia and other cognitive disorders

The importance of better care integration is emphasized in many national dementia plans. The inherent complexity of organizing care for people with dementia provides both the justification for improving care integration and the challenges to achieving it. The prevention, detection, and early diagnos...

Full description

Saved in:
Bibliographic Details
Published in:International review of psychiatry (Abingdon, England) England), 2018-11, Vol.30 (6), p.272-291
Main Authors: Draper, Brian, Low, Lee-Fay, Brodaty, Henry
Format: Article
Language:English
Subjects:
Acute services
Cognition Disorders - psychology
Cognition Disorders - therapy
cognitive disorders
Cognitive impairment
Coordination
Delivery of Health Care, Integrated - methods
Dementia
Dementia - psychology
Dementia - therapy
Early Diagnosis
End of life decisions
Health care
Hospice care
Humans
Integrated care
Integrated delivery systems
Interdisciplinary aspects
Justification
Long term
Long-Term Care
Medical diagnosis
Primary care
Primary Health Care - methods
Quality of care
Residential care
Social services
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The importance of better care integration is emphasized in many national dementia plans. The inherent complexity of organizing care for people with dementia provides both the justification for improving care integration and the challenges to achieving it. The prevention, detection, and early diagnosis of cognitive disorders mainly resides in primary care, but how this is best integrated within the range of disorders that primary care clinicians are expected to screen is unclear. Models of integrated community dementia assessment and management have varying degrees of involvement of primary and specialist care, but share an emphasis on improving care coordination, interdisciplinary teamwork, and personalized care. Integrated care strategies in acute care are still in early development, but have been a focus of investigation in the past decade. Integrated care outreach strategies to reduce transfers from long-term residential care to acute care have been consistently effective. Integrated long-term residential care includes considerations of end-of-life care. Future directions should include strategies for training and education, early detection in anticipation of disease modifying treatments, integration of technological developments into dementia care, integration of dementia care into general health and social care, and the encouragement of a dementia-friendly society.
ISSN:0954-0261
1369-1627
DOI:10.1080/09540261.2018.1564021