Ojagbemi Akin, Daley Stephanie
J Health Care Poor Underserved. 2015 Nov;26(4):1368-76. doi: 10.1353/hpu.2015.0128.
Global estimates suggest that by 2040, over 71% of people living with dementia worldwide will reside in low- and middle-income countries, especially in sub-Saharan Africa. In this region, informal caregivers, who are mostly close family members, may number over nine times the number of dementia patients. This group of carers often lacks the support they require for their exceptional effort. The United Kingdom's National Institute for Health and Care Excellence (NICE) provides access to tailored psychosocial interventions as part of a comprehensive support for carers of patients with dementia. This paper appraises organizational considerations in introducing this initiative into the resource-poor health care delivery system typical of many sub-Saharan African settings. It concludes that one initial step in that direction may be the introduction--through a developmental change management framework led by all stakeholders--of a tailored carers' information package into the routine care for dementia.
全球估计数据表明，到2040年，全球超过71%的痴呆症患者将生活在低收入和中等收入国家，尤其是撒哈拉以南非洲地区。在该地区，主要由近亲家庭成员构成的非正式照料者数量可能超过痴呆症患者数量的九倍。这群照料者往往缺乏对他们非凡努力所需要的支持。英国国家卫生与临床优化研究所（NICE）提供了量身定制的心理社会干预措施，作为对痴呆症患者照料者全面支持的一部分。本文评估了在撒哈拉以南非洲许多地区典型的资源匮乏的医疗保健系统中引入这一举措时的组织考量因素。结论是，朝着这个方向迈出的第一步可能是通过由所有利益相关者主导的发展性变革管理框架，将量身定制的照料者信息包引入痴呆症的常规护理中。
