Waldemar Gunhild, Phung Kieu T T, Burns Alistair, Georges Jean, Hansen Finn Ronholt, Iliffe Steven, Marking Christine, Rikkert Marcel Olde, Selmes Jacques, Stoppe Gabriela, Sartorius Norman
Memory Disorder Research Group, Department of Neurology, Neuroscience Centre, Copenhagen University Hospital Rigshospitalet, Denmark.
Int J Geriatr Psychiatry. 2007 Jan;22(1):47-54. doi: 10.1002/gps.1652.
This paper reviews and discusses existing barriers to diagnosis and treatment for patients with dementia in Europe as well as approaches to overcome these barriers. The barriers to care are manifold, being present at all levels in each society and between countries in Europe. Multilevel and multifaceted strategies are needed to improve diagnosis and treatments for all patients with cognitive complaints. A multidisciplinary approach based on close collaboration between GPs and specialised memory clinics may be the ideal model for early accurate diagnosis and subsequently early pharmacological and psychosocial interventions. For all healthcare professionals, there should be specialised training in dementia and frequently updated practice guidelines to provide the framework for standards of care. Culture-sensitive strategies to promote public knowledge and destigmatize dementia are essential. Policy makers and authorities should be made aware of the benefits of early access to diagnosis and treatment.
本文回顾并讨论了欧洲痴呆症患者在诊断和治疗方面存在的现有障碍以及克服这些障碍的方法。护理障碍是多方面的，存在于每个社会的各个层面以及欧洲各国之间。需要采取多层次、多方面的策略来改善对所有有认知问题患者的诊断和治疗。基于全科医生（GP）与专业记忆诊所密切合作的多学科方法可能是早期准确诊断以及随后进行早期药物和心理社会干预的理想模式。对于所有医疗保健专业人员，应该有针对痴呆症的专门培训以及经常更新的实践指南，以提供护理标准框架。促进公众知识并消除对痴呆症污名化的文化敏感策略至关重要。政策制定者和当局应意识到早期获得诊断和治疗的益处。
