Vissenberg Rosa, Uysal Ozgul, Goudsmit Miriam, van Campen Jos, Buurman-van Es Bianca
GP and Postdoctoral Researcher, Department of Internal Medicine, Academic Medical Centre, Section of Geriatric Medicine, Amsterdam, The Netherlands.
Neuropsychologist and Postdoctoral Researcher, Department of Internal Medicine, Academic Medical Centre, Section of Geriatric Medicine, Amsterdam, The Netherlands.
BJGP Open. 2018 Oct 3;2(4):bjgpopen18X101610. doi: 10.3399/bjgpopen18X101610. eCollection 2018 Dec.
Dementia rates are growing rapidly in all regions of the world. In the Netherlands, the incidence of dementia among older immigrants will increase twice as fast compared with the native older population. It, therefore, needs special attention.
To describe the barriers for providing primary care to immigrant patients (Turkish, Moroccan and Surinamese) with dementia from the perspectives of GPs.
DESIGN & SETTING: A mixed-method study, consisting of an online survey and focus groups.
An online survey was performed among 76 GPs working in the four biggest cities of the Netherlands. The barriers to providing primary care for immigrants with dementia were identified. Subsequently, three focus groups were carried out among 17 primary care physicians to discuss this topic further, and identify possible solutions and recommendations to improve dementia care.
GPs experience many obstacles in the care for the immigrant patient with dementia, namely in the diagnostic process, early detection, and assessment of care needs. Strong collaboration between primary care, community care organisations, specialised memory clinics, and municipalities is needed to optimise healthcare information provision, the availability of culturally sensitive facilities, and the enhancement of healthcare professionals' training and education.
Important barriers were identified and recommendations were formulated for future healthcare policy. To be prepared and guarantee optimal care for the rising number of immigrant patients with dementia, recommendations should be implemented and effectiveness should be evaluated as soon as possible.
全球所有地区的痴呆症发病率都在迅速上升。在荷兰，老年移民中的痴呆症发病率增长速度将是本国老年人口的两倍。因此，这需要特别关注。
从全科医生的角度描述为患有痴呆症的移民患者（土耳其、摩洛哥和苏里南裔）提供初级护理的障碍。
一项混合方法研究，包括在线调查和焦点小组。
对在荷兰四个最大城市工作的76名全科医生进行了在线调查。确定了为患有痴呆症的移民提供初级护理的障碍。随后，对17名初级保健医生进行了三个焦点小组讨论，以进一步探讨该主题，并确定改善痴呆症护理的可能解决方案和建议。
全科医生在为患有痴呆症的移民患者提供护理方面遇到许多障碍，即在诊断过程、早期检测和护理需求评估方面。需要初级保健、社区护理组织、专业记忆诊所和市政当局之间进行强有力的合作，以优化医疗保健信息的提供、提供文化敏感设施以及加强医疗保健专业人员的培训和教育。
确定了重要障碍，并为未来的医疗保健政策制定了建议。为了为越来越多患有痴呆症的移民患者做好准备并保证提供最佳护理，应尽快实施建议并评估其有效性。
