Current activities of medical centers for dementia in Japan

• Published in: Geriatrics & gerontology international 2014-04, Vol.14 (S2), p.23-27
• Main Author: Awata, Shuichi
• Format: Article
• Language: English
• Subjects: Aged; community-based integrated care system; Dementia; Dementia - diagnosis; Dementia - therapy; early diagnosis; Female; Geriatrics; Health Services for the Aged - organization & administration; Hospitals; Humans; Japan; Male; medical center for dementia; outreach service; Patient Care Team - utilization; Referral and Consultation - utilization; Retrospective Studies; specialist liaison-team service; Surveys and Questionnaires
• ISSN: 1444-1586; 1447-0594
• DOI: 10.1111/ggi.12253

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.