Clark Jennie Leeder, Phoenix Sarah, Bilbrey Ann Choryan, McManis Terese, Escal Kristel Anne, Arulanantham Rohini, Sisay Tiana, Ghatak Rita
a Aging Adult Services , Stanford Health Care , Stanford , California , USA.
b Stanford School of Medicine , Department of Psychiatry & Behavioral Sciences , Stanford , California , USA.
Clin Gerontol. 2018 May-Jun;41(3):255-260. doi: 10.1080/07317115.2017.1420725. Epub 2018 Jan 17.
Age is the greatest risk factor for Alzheimer's disease, the most common cause of dementia. The older population in the United States is growing, and within this demographic ethnic and racial diversity is also on the rise. This article introduces Stanford Health Care's Memory Support Program (MSP) as a model for culturally competent dementia care that spans inpatient and outpatient settings. The case study of an African American patient and family dealing with an Alzheimer's disease diagnosis and comorbid conditions is presented and explored to illustrate the MSP model. The authors make recommendations for the implementation of similar continuum of care services in other institutions. As research continues to show, the cultural competence of medical professionals can impact patient quality of care and health outcomes. More research is needed to appropriately support positive outcomes for patients and families of diverse ethnic and racial backgrounds.
年龄是阿尔茨海默病（最常见的痴呆病因）最大的风险因素。美国老年人口在不断增长，且在这一人口群体中，种族和民族多样性也在上升。本文介绍了斯坦福医疗保健公司的记忆支持项目（MSP），作为一种跨越住院和门诊环境的具有文化能力的痴呆症护理模式。文中呈现并探讨了一名非裔美国患者及其家庭应对阿尔茨海默病诊断和合并症的案例研究，以阐释MSP模式。作者为其他机构实施类似的连续护理服务提出了建议。正如研究不断表明的那样，医疗专业人员的文化能力会影响患者的护理质量和健康结果。需要更多研究来适当支持不同种族和民族背景的患者及其家庭获得积极结果。
