Cahill Suzanne, Pierce Maria, Moore Vanessa
School of Social Work and Social Policy, Trinity College Dublin and The Dementia Services Information and Development Centre, Dublin, Ireland.
The Dementia Services Information and Development Centre's Living with Dementia Research Programme, School of Social Work and Social Policy, Trinity College Dublin, Dublin, Ireland.
Int Psychogeriatr. 2014 Apr;26(4):605-13. doi: 10.1017/S104161021300238X. Epub 2014 Jan 2.
This national survey investigates the location, resourcing, staff composition, treatments, waiting time, and numbers of patients attending memory clinics (MCs) in the Republic of Ireland. It also explores Directors' attitudes to future service development including their views about the advantages and disadvantages of quality standards for MCs.
An audio-taped telephone interview was conducted with the Directors.
A total of 14 MCs were identified across the Republic of Ireland, ten of which are hospital-based and most of which offer diagnostic services and are located in Dublin. Nine MCs are medical consultant led and operate under the direction of either Old Age Psychiatrists or Geriatricians. Results show wide variation regarding the location, team size, service availability, and numbers of patients attending. The average number of patients attending in 2011 was 126. Only six clinics employ dedicated Allied Health Professionals. Less than half of the clinics are research active. Whilst most Directors welcomed the availability of national standards, several expressed concern that standards might, in the absence of funding, result in the closure of the most poorly resourced services.
This survey provides valuable data on the main characteristics of all of the 14 MCs delivering services in the Republic of Ireland and raises critical and fundamental questions about the goals and outcomes of MC services. The survey data collected can be used by other countries for cross-national comparison.
这项全国性调查旨在探究爱尔兰共和国记忆诊所的地点、资源配置、人员构成、治疗方法、候诊时间以及就诊患者数量。同时,该调查还探讨了诊所主任对未来服务发展的态度,包括他们对记忆诊所质量标准优缺点的看法。
对诊所主任进行了电话录音采访。
在爱尔兰共和国共确定了14家记忆诊所,其中10家位于医院,大多数提供诊断服务,且位于都柏林。9家诊所由医学顾问主导,在老年精神病医生或老年病医生的指导下运营。结果显示,在地点、团队规模、服务可及性和就诊患者数量方面存在很大差异。2011年的平均就诊患者数量为126人。只有6家诊所雇佣了专职的专职医疗人员。不到一半的诊所开展研究活动。虽然大多数主任欢迎国家标准的出台,但也有几位表示担心,在没有资金的情况下,标准可能会导致资源最匮乏的服务关闭。
本次调查提供了有关爱尔兰共和国提供服务的所有14家记忆诊所主要特征的宝贵数据,并就记忆诊所服务的目标和成果提出了关键且基本的问题。收集到的调查数据可供其他国家用于跨国比较。