Lee Linda, Hillier Loretta M, Weston W Wayne
The Centre for Family Medicine, Kitchener, Ontario.
St. Joseph's Health Care London and Lawson Health Research Institute.
Can J Aging. 2014 Mar;33(1):49-59. doi: 10.1017/S0714980813000652. Epub 2013 Dec 17.
Primary care-based memory clinics are attracting increasing interest because they present an opportunity to improve dementia diagnosis and management. In Ontario, more than 30 primary care setting participated in a training program aimed at assisting participants to establish an independent memory clinic in their practice setting. This article outlines the key lessons learned in implementing these clinics, on the basis of a study that--used an interview methodology with memory clinic team members and--identified facilitating factors, challenges, and suggestions for sustainability. Of key importance was access to training that facilitates knowledge transfer and supports practice change, interprofessional collaboration, and ongoing infrastructure support. Suggestions for clinic implementation and ongoing capacity building were identified. Lessons learned are applicable to the implementation of other chronic-disease care models aimed at improving the primary care management of complex chronic conditions.
以初级保健为基础的记忆诊所正吸引着越来越多的关注，因为它们为改善痴呆症的诊断和管理提供了契机。在安大略省，超过30个初级保健机构参与了一项培训计划，该计划旨在帮助参与者在其执业场所建立独立的记忆诊所。本文基于一项研究概述了在实施这些诊所过程中吸取的关键经验教训，该研究采用了与记忆诊所团队成员进行访谈的方法，确定了促进因素、挑战以及可持续性的建议。关键在于获得有助于知识转移并支持实践变革、跨专业协作和持续基础设施支持的培训。确定了诊所实施和持续能力建设的建议。吸取的经验教训适用于旨在改善复杂慢性病初级保健管理的其他慢性病护理模式的实施。
