初级保健痴呆团队与家庭医生合作评估痴呆 - 挪威模式。

Assessment of dementia by a primary health care dementia team cooperating with the family doctor - the Norwegian model.

机构信息

Norwegian Centre for Ageing and Health, Oslo University Hospital, Ullevaal and Vestfold Mental Health Trust, Tønsberg, Norway.

出版信息

Dement Geriatr Cogn Disord. 2012;34(5-6):263-70. doi: 10.1159/000345435. Epub 2012 Nov 23.

DOI:10.1159/000345435

PMID:23183640

Abstract

BACKGROUND

To describe how dementia assessment could be organized in primary health care and how it works.

METHODS

The project had two phases. In phase one 104 elderly patients were assessed by a local authority dementia team that used a standardized examination protocol, which enabled the family doctors to establish a dementia diagnosis. After evaluation and adjustments the model was extended to 31 local authorities and 474 patients were assessed.

RESULTS

The mean age of the patients was 84.4 (SD 5.6) and 81.8 (SD 7.8) years, respectively; 81 and 67% were women, respectively. The mean Mini Mental State Examination scores were 21.1 (SD 5.0) and 19.2 (SD 5.1), respectively. All patients in phase one and 70% in phase two were diagnosed with dementia. In 15 local authorities a specially assigned family doctor assisted in establishing diagnoses. In these local authorities 80% of the patients were diagnosed.

CONCLUSION

A local authority dementia team can collect the information required to enable a family doctor to establish a dementia diagnosis. Ideally, such teams should be assisted by a family doctor interested in dementia diagnostics.

摘要

背景

描述如何在初级保健中组织痴呆评估以及其运作方式。

方法

该项目分为两个阶段。在第一阶段，地方当局的痴呆症评估小组使用标准化的检查方案对 104 名老年患者进行了评估，这使家庭医生能够确定痴呆症的诊断。经过评估和调整，该模式扩展到 31 个地方当局，对 474 名患者进行了评估。

结果

患者的平均年龄分别为 84.4（SD 5.6）岁和 81.8（SD 7.8）岁；分别有 81%和 67%为女性。简易精神状态检查的平均得分为 21.1（SD 5.0）和 19.2（SD 5.1）。第一阶段的所有患者和第二阶段的 70%的患者均被诊断为痴呆症。在 15 个地方当局，专门指派的家庭医生协助确定了诊断。在这些地方当局，80%的患者被诊断为痴呆症。