Carter Kirsty, Monaghan Sophie, O'Brien John, Teodorczuk Andrew, Mosimann Urs, Taylor John-Paul
Institute for Ageing and Health, Newcastle University, Newcastle upon Tyne, UK.
Int J Geriatr Psychiatry. 2015 Feb;30(2):210-6. doi: 10.1002/gps.4132. Epub 2014 May 27.
This study aimed to develop a pathway to bring together current UK legislation, good clinical practice and appropriate management strategies that could be applied across a range of healthcare settings.
The pathway was constructed by a multidisciplinary clinical team based in a busy Memory Assessment Service. A process of successive iteration was used to develop the pathway, with input and refinement provided via survey and small group meetings with individuals from a wide range of regional clinical networks and diverse clinical backgrounds as well as discussion with mobility centres and Forum of Mobility Centres, UK.
We present a succinct clinical pathway for patients with dementia, which provides a decision-making framework for how health professionals across a range of disciplines deal with patients with dementia who drive.
By integrating the latest guidance from diverse roles within older people's health services and key experts in the field, the resulting pathway reflects up-to-date policy and encompasses differing perspectives and good practice. It is potentially a generalisable pathway that can be easily adaptable for use internationally, by replacing UK legislation for local regulations. A limitation of this pathway is that it does not address the concern of mild cognitive impairment and how this condition relates to driving safety.
本研究旨在制定一条途径，将英国现行立法、良好临床实践及适当管理策略整合起来，以便在一系列医疗环境中应用。
该途径由一个繁忙记忆评估服务部门的多学科临床团队构建。采用连续迭代过程来制定该途径，通过与来自广泛区域临床网络且具有不同临床背景的人员进行调查和小组会议，并与移动中心及英国移动中心论坛进行讨论，获取意见并加以完善。
我们为痴呆患者呈现了一条简洁的临床途径，它为各学科的卫生专业人员如何处理患有痴呆症且仍在驾车的患者提供了一个决策框架。
通过整合老年人健康服务领域不同角色及该领域关键专家的最新指导意见，最终形成的途径反映了最新政策，涵盖了不同观点和良好实践。它可能是一条通用途径，通过将英国立法替换为地方法规，可轻松适用于国际使用。该途径的一个局限性在于它未涉及轻度认知障碍问题以及该状况与驾驶安全的关系。
