Canadian Centre for Health and Safety in Agriculture,University of Saskatchewan.
Can J Aging. 2019 Sep;38(3):367-383. doi: 10.1017/S0714980818000727. Epub 2019 Mar 8.
ABSTRACTApplying primary health care (PHC) team-based approaches to diagnosing and treating dementia is considered best practice. Unfortunately, those living in rural and remote areas often have limited access to dementia-specific PHC services. The purpose of this scoping review was to identify and understand PHC team-based approaches for dementia care in rural settings. A search strategy was employed which included only peer-reviewed journal articles that were published from 1997 to 2017. Four databases (Embase, Medline, PsycInfo, and CINAHL) were searched from March 2017 to May 2017. Among the 10 studies included there was a variation in the degree of collaboration and interaction among the care teams. Limited information existed about collaboration strategies among care teams. An adaptation of the socio-ecological model enabled us to categorize key factors influencing collaborative team-based approaches. Combined, these findings can be used to inform both future research and the development of a rural PHC dementia model.
摘要 采用以初级卫生保健（PHC）团队为基础的方法来诊断和治疗痴呆症被认为是最佳实践。不幸的是，那些生活在农村和偏远地区的人往往无法获得特定于痴呆症的 PHC 服务。本范围综述的目的是确定和了解农村地区基于 PHC 团队的痴呆症护理方法。采用了一种仅包括 1997 年至 2017 年发表的同行评议期刊文章的搜索策略。2017 年 3 月至 5 月，从 4 个数据库（Embase、Medline、PsycInfo 和 CINAHL）进行了搜索。在所纳入的 10 项研究中，护理团队之间的协作和互动程度存在差异。关于护理团队之间的协作策略的信息有限。社会生态模型的改编使我们能够对影响协作团队方法的关键因素进行分类。综合来看，这些发现可用于为未来的研究和农村 PHC 痴呆症模型的开发提供信息。
