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荷兰记忆门诊的发展:1998 年至 2009 年。

Development of memory clinics in the Netherlands: 1998 to 2009.

机构信息

Department of Psychiatry and Neuropsychology, Maastricht University Medical Centre, The Netherlands.

出版信息

Aging Ment Health. 2011 Jan;15(1):34-9. doi: 10.1080/13607863.2010.519321.

DOI:10.1080/13607863.2010.519321
PMID:21271389
Abstract

OBJECTIVES

Memory clinics (MCs) are multidisciplinary teams involved with early diagnosis and treatment of people with dementia. The main aim of this study was to gain more insight into the development of MCs in the Netherlands since 1998.

METHODS

In 1998, 2004 and 2009, an MC survey with questions about patient groups, organisation and working procedures of the MC were sent to all MCs in the Netherlands.

RESULTS

The number of MCs increased from 12 in 1998, to 43 in 2004 and to 63 in 2009. In 2009, MCs were better embedded with other regional care and were delivering services for dementia with less emphasis on university-based research. While dementia was still the most common syndromal diagnosis, the proportion of subjects diagnosed with milder memory problems increased to 39%. Diagnostic tools, blood assessments and brain imaging were used in nearly all the facilities. There was an increase both in the use of extensive neuropsychological assessments and in the use of cerebrospinal fluid diagnostics.

CONCLUSION

MCs in the Netherlands have outgrown the primarily university-based setting, have focussed less on scientific research, and have taken a place in the regular care of people with cognitive problems and people in early phases of dementia.

摘要

目的

记忆门诊(MC)是一个多学科团队,致力于痴呆患者的早期诊断和治疗。本研究的主要目的是深入了解自 1998 年以来荷兰 MC 的发展情况。

方法

1998 年、2004 年和 2009 年,向荷兰所有 MC 发送了一份包含患者群体、MC 组织和工作流程问题的 MC 调查。

结果

MC 的数量从 1998 年的 12 家增加到 2004 年的 43 家,再增加到 2009 年的 63 家。2009 年,MC 与其他区域护理的联系更加紧密,为痴呆患者提供服务的同时,减少了对基于大学的研究的重视。尽管痴呆仍然是最常见的综合征诊断,但被诊断为轻度记忆问题的患者比例增加到 39%。近所有机构都使用了诊断工具、血液评估和脑部成像。广泛的神经心理学评估和脑脊液诊断的使用都有所增加。

结论

荷兰的 MC 已经超越了主要基于大学的环境,对科学研究的重视程度降低,并且在认知问题患者和早期痴呆患者的常规护理中占有一席之地。

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