Gnosall Medical Centre and Staffordshire University, Stafford, UK.
Br J Gen Pract. 2010 Mar;60(572):193-8. doi: 10.3399/bjgp10X483553.
The National Dementia Strategy was published in February 2009. It was eagerly anticipated and has generated a good deal of sustained media interest, widened awareness, and heightened expectation of better help for people with dementia. The three ambitions of the strategy--to raise awareness, facilitate assessment, and improve services--are unquestionably correct; but the assumptions, emphases, and economic predictions are questionable. Encouraging reliance on referral to secondary care centres, and exaggerated claims for the effectiveness of interventions to achieve clinical improvement and cost savings, may lead to disappointment and frustration. The infrastructure of care and treatment of people throughout the course of dementia will be better informed and delivered by a collaborative model which respects the knowledge and commitment contained within families and primary care. Better services will require substantial redirection of resources.
《国家痴呆症战略》于 2009 年 2 月发布。该战略备受期待，引起了媒体的持续关注，提高了公众对痴呆症患者获得更好帮助的期望。该战略的三个目标——提高认识、方便评估和改善服务——无疑是正确的；但该战略的假设、重点和经济预测值得商榷。鼓励依赖于向二级保健中心转介，以及夸大干预措施在实现临床改善和节省成本方面的有效性的说法，可能会导致失望和沮丧。通过尊重家庭和初级保健所包含的知识和承诺的协作模式，将更好地为痴呆症患者提供治疗和护理的基础设施，并更好地实施该模式。更好的服务将需要大量资源的重新分配。
