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建立痴呆症护理能力:培训计划以建立初级保健记忆诊所。

Building capacity for dementia care: training program to develop primary care memory clinics.

机构信息

The Centre for Family Medicine, 10 B Victoria St S, Kitchener, ON N2G 1C5.

出版信息

Can Fam Physician. 2011 Jul;57(7):e249-52.

PMID:21753083
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3135463/
Abstract

PROBLEM BEING ADDRESSED

Currently, dementia care provided by family physicians is suboptimal and access to specialist resources is limited. With the aging population, there is a need for system-wide, programmatic interventions to improve the diagnosis and management of patients with memory difficulties. The development of primary care memory clinics addresses this need.

OBJECTIVE

The Memory Clinic Training Program aims to develop highly functioning interprofessional memory clinics that assist family physicians in providing improved care for patients with dementia and other forms of cognitive impairment.

PROGRAM DESCRIPTION

The interprofessional training program consists of a 2-day case-based workshop, 1 day of observership and clinical training at the Centre for Family Medicine Memory Clinic, and 2 days of on-site mentorship at each newly formed memory clinic.

CONCLUSION

The Memory Clinic Training Program is an accredited, comprehensive program designed to assist family practice groups with developing primary care memory clinics. These clinics aim to transform the current limited practice capability of individual family physicians into a systematic, comprehensive, interprofessional health care service that improves capacity and quality of primary care for patients with cognitive impairment and dementia.

摘要

待解决的问题

目前,家庭医生提供的痴呆症护理不尽如人意,而且获得专家资源的机会有限。随着人口老龄化,需要在全系统范围内采取有计划的干预措施,以改善有记忆困难的患者的诊断和管理。设立初级保健记忆诊所就是为了满足这一需求。

目标

记忆诊所培训计划旨在建立运作良好的跨专业记忆诊所,帮助家庭医生为痴呆症和其他形式认知障碍的患者提供更好的护理。

项目描述

该跨专业培训计划包括为期 2 天的基于案例的研讨会、在家庭医学记忆诊所进行 1 天的观摩和临床培训,以及在每个新成立的记忆诊所进行 2 天的现场指导。

结论

记忆诊所培训计划是一个经过认证的综合项目,旨在帮助家庭医生团队建立初级保健记忆诊所。这些诊所旨在将目前个别家庭医生有限的实践能力转变为系统、全面、跨专业的医疗保健服务,从而提高认知障碍和痴呆症患者初级保健的能力和质量。

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本文引用的文献

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Assessment of barriers to changing practice as CME outcomes.将改变医疗行为作为继续医学教育成果的障碍评估。
J Contin Educ Health Prof. 2010 Fall;30(4):237-45. doi: 10.1002/chp.20088.
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Enhancing dementia care: a primary care-based memory clinic.强化痴呆症照护:以初级保健为基础的记忆诊所。
J Am Geriatr Soc. 2010 Nov;58(11):2197-204. doi: 10.1111/j.1532-5415.2010.03130.x. Epub 2010 Oct 26.
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National Dementia Strategy: well intentioned--but how well founded and how well directed?国家痴呆症战略:立意良好——但依据和方向如何?
Br J Gen Pract. 2010 Mar;60(572):193-8. doi: 10.3399/bjgp10X483553.
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Care of dementia in Canada: a collaborative care approach with a central role for the primary care physician.加拿大的痴呆症护理:一种以初级保健医生为核心角色的协作式护理方法。
J Nutr Health Aging. 2010 Feb;14(2):105-6. doi: 10.1007/s12603-010-0020-2.
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Patient-centered medical homes in Ontario.安大略省以患者为中心的医疗之家
N Engl J Med. 2010 Jan 21;362(3):e7. doi: 10.1056/NEJMp0911519. Epub 2010 Jan 6.
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Primary care providers' views of challenges and rewards of dementia care relative to other conditions.初级保健提供者对痴呆症护理相对于其他疾病的挑战和回报的看法。
J Am Geriatr Soc. 2009 Dec;57(12):2209-16. doi: 10.1111/j.1532-5415.2009.02572.x. Epub 2009 Nov 23.
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Commentary on "The Third Canadian Consensus Conference on the Diagnosis and Treatment of Dementia, 2006." Clinical guidelines are not enough: system-wide, population-based programs are needed to improve the care of patients with Alzheimer's disease and related dementias.《2006年第三届加拿大痴呆症诊断与治疗共识会议》述评。临床指南并不够:需要全系统、基于人群的项目来改善阿尔茨海默病及相关痴呆症患者的护理。
Alzheimers Dement. 2007 Oct;3(4):441-3. doi: 10.1016/j.jalz.2007.09.003.
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Family physicians and dementia in Canada: Part 2. Understanding the challenges of dementia care.加拿大的家庭医生与痴呆症:第2部分。理解痴呆症护理的挑战。
Can Fam Physician. 2009 May;55(5):508-9.e1-7.
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Family physicians and dementia in Canada: Part 1. Clinical practice guidelines: awareness, attitudes, and opinions.加拿大的家庭医生与痴呆症:第1部分。临床实践指南:认知、态度和观点。
Can Fam Physician. 2009 May;55(5):506-7.e1-5.
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Early identification and treatment of Alzheimer's disease: social and fiscal outcomes.阿尔茨海默病的早期识别与治疗:社会和财政成果
Alzheimers Dement. 2009 May;5(3):215-26. doi: 10.1016/j.jalz.2009.01.028. Epub 2009 Apr 11.