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国家痴呆症战略:加拿大应借鉴什么?

National Dementia Strategies: What Should Canada Learn?

作者信息

Chow Selina, Chow Ronald, Wan Angela, Lam Helen R, Taylor Kate, Bonin Katija, Rowbottom Leigha, Lam Henry, DeAngelis Carlo, Herrmann Nathan

机构信息

Division of Geriatric Psychiatry, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.

出版信息

Can Geriatr J. 2018 Jun 30;21(2):173-209. doi: 10.5770/cgj.21.299. eCollection 2018 Jun.

Abstract

BACKGROUND

In order to provide appropriate care for the aging population, many countries are adopting a National Dementia Strategy (NDS). On June 22, 2017, Canada announced it will become the 30th country to launch a NDS. In light of this announcement and as Canada prepares to develop its own NDS, we conducted this review to examine and compare the NDSs of the other previous 29 countries with Canadian government's policies to date.

METHODS

NDSs were compared according to their major priorities. The primary endpoints were the framework conditions and key actions outlined in the strategies. Secondary endpoints included the years active, involvement of stakeholders, funding, and implementation.

RESULTS

We were able to review and compare 25 of the 29 published NDSs. While the NDSs of each country varied, several major priorities were common among the strategies-increasing awareness of dementia, reducing its stigma, identifying support services, improving the quality of care, as well as improving training and education and promoting research.

CONCLUSIONS

This review comprehensively lists and compares the NDSs of different countries. The results should be of great interest to policy-makers, health-care professionals and other key stakeholders involved in developing Canada's forthcoming NDS. We hope that policy-makers in Canada can review other NDSs, learn from their example, and develop an effective NDS for our country.

摘要

背景

为了向老年人口提供适当的护理,许多国家正在采用国家痴呆症战略(NDS)。2017年6月22日,加拿大宣布将成为第30个推出国家痴呆症战略的国家。鉴于这一宣布,并且由于加拿大准备制定自己的国家痴呆症战略,我们进行了这项综述,以审查和比较前29个国家的国家痴呆症战略与加拿大政府迄今为止的政策。

方法

根据主要优先事项对国家痴呆症战略进行比较。主要终点是战略中概述的框架条件和关键行动。次要终点包括实施年限、利益相关者的参与、资金和实施情况。

结果

我们能够审查和比较已发布的29项国家痴呆症战略中的25项。虽然每个国家的国家痴呆症战略各不相同,但这些战略中有几个主要优先事项是共同的——提高对痴呆症的认识、减少其污名化、确定支持服务、提高护理质量,以及改善培训和教育并促进研究。

结论

本综述全面列出并比较了不同国家的国家痴呆症战略。这些结果应该会引起参与制定加拿大即将出台的国家痴呆症战略的政策制定者、医疗保健专业人员和其他关键利益相关者的极大兴趣。我们希望加拿大的政策制定者能够审查其他国家痴呆症战略,借鉴它们的经验,并为我国制定一项有效的国家痴呆症战略。

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