瑞典一项针对初级医疗保健中痴呆症诊断的项目。
A Swedish programme for dementia diagnostics in primary healthcare.
作者信息
Jedenius Erik, Wimo Anders, Strömqvist Jan, Andreasen Niels
机构信息
Alzheimer's Disease Research Centre, Department of Neurobiology, Caring Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
出版信息
Scand J Prim Health Care. 2008;26(4):235-40. doi: 10.1080/02813430802358236.
OBJECTIVE
To meet diagnostic needs of dementia, a new care programme was implemented in the county of Kalmar, Sweden. The objective of the study was to analyse whether the programme could identify and diagnose the estimated number of new cases.
METHODS
A long-term follow up study on all new patients referred to primary and specialist care between 1999 and 2005 for dementia evaluation. RESULTS; Based on epidemiological data, 153 new cases per year were expected. Using the programme, an average of 127 cases was identified in primary healthcare and 22 at specialist level. Although the number of false-negative cases is not known, it may be concluded that most of the new cases with dementia were identified. The proportion of cases identified doubled after implementing the programme. The programme was implemented within an unchanged budget.
CONCLUSION
The programme may be of value for diagnosis and management of demented patients in primary healthcare.
目的
为满足痴呆症的诊断需求，瑞典卡尔马县实施了一项新的护理计划。该研究的目的是分析该计划是否能够识别并诊断出预估数量的新病例。
方法
对1999年至2005年间转诊至初级和专科护理机构进行痴呆症评估的所有新患者进行长期随访研究。结果：根据流行病学数据，预计每年有153例新病例。使用该计划，在初级医疗保健机构平均识别出127例病例，在专科层面识别出22例。虽然假阴性病例的数量未知，但可以得出结论，大多数痴呆症新病例已被识别。实施该计划后，识别出的病例比例翻了一番。该计划在预算不变的情况下实施。
结论
该计划可能对初级医疗保健中痴呆患者的诊断和管理具有价值。
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