Vollmar Horst Christian, Abholz Heinz-Harald, Egidi Günther, Mand Peter, Butzlaff Martin E, Wilm Stefan
Institut für Allgemeinmedizin und Familienmedizin der Universität Witten/Herdecke, Witten/Herdecke, Germany.
Med Klin (Munich). 2010 Jan;105(1):41-7. doi: 10.1007/s00063-010-1005-y.
The evidence-based guidelines of the German Society of General Practice and Family Medicine (DEGAM) are developed according to an established ten-stage plan. The twelfth guideline addresses the health care problem of dementia. The main focus is the sensitive handling of patients and their relatives, e.g., although the goal is an early diagnosis, patients should also be protected against overdiagnosis. The treatment of Alzheimer's disease consists of three components: optimal care and supervision, the use of nondrug therapy, and a critically weighed administration of medications. The successful implementation of the guideline should be achieved by a multimodal strategy. This includes not only the direct integration of general practitioners (GPs) in developing the guideline, but also a comprehensive publication offensive, a wide use in training sessions including new media, the testing of complex implementation approaches in trials, and the use of the guideline in the context of GP contracts.
德国全科和家庭医学协会（DEGAM）的循证指南是根据既定的十阶段计划制定的。第十二项指南涉及痴呆症的医疗保健问题。主要重点是对患者及其亲属的敏感处理，例如，虽然目标是早期诊断，但也应防止患者被过度诊断。阿尔茨海默病的治疗包括三个组成部分：最佳护理和监督、非药物治疗的使用以及谨慎权衡用药。该指南的成功实施应通过多模式策略来实现。这不仅包括让全科医生直接参与指南的制定，还包括全面的宣传攻势、在包括新媒体在内的培训课程中的广泛应用、在试验中测试复杂的实施方法以及在全科医生合同中使用该指南。
