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当前的痴呆症照护:面临哪些困难,以及我们如何在全球范围内推进照护?

"Current dementia care: what are the difficulties and how can we advance care globally?".

机构信息

National Institute of Health Research Applied Research Collaboration North West Coast (NIHR ARC NWC), Liverpool, UK.

Institute of Population Health Sciences, University of Liverpool, Liverpool, UK.

出版信息

BMC Health Serv Res. 2020 May 13;20(1):414. doi: 10.1186/s12913-020-05307-1.

Abstract

BACKGROUND

Dementia is a growing global public health concern, with post-diagnostic care often very limited. Depending on where people live, both within a country and depending on high-, middle-, and low-income countries, they might also face barriers in accessing the right care at the right time. Therefore, it is important to highlight recent evidence on the facilitators and barriers to dementia care, but also evidence on how to move dementia care forward.

MAIN TEXT

Current dementia care is subject to several inequalities, including living in rural regions and being from a minority ethnic background. Evidence in this collection highlights the issues that both people living with dementia and unpaid carers are facing in accessing the right care, with evidence from Australia, Canada, Uganda, to the Netherlands, and further afield. Providing improved dementia-specific training to health care professionals and supporting medication and reablement interventions have been identified as possible ways to improve dementia care for all.

CONCLUSIONS

This special issue focuses on recent evidence on inequalities in dementia care across the globe and how dementia care can be advanced in various areas.

摘要

背景

痴呆症是一个日益严重的全球公共卫生问题,诊断后的护理通常非常有限。根据人们居住的地方,无论是在一个国家内部,还是取决于高、中、低收入国家,他们在获得适当的护理方面可能也会面临障碍。因此,重要的是要强调痴呆症护理的促进因素和障碍的最新证据,以及如何推进痴呆症护理的证据。

主要文本

目前的痴呆症护理存在多种不平等现象,包括居住在农村地区和属于少数民族背景。本研究集的证据突出了痴呆症患者和无薪护理者在获得适当护理方面面临的问题,证据来自澳大利亚、加拿大、乌干达、荷兰及其他更远的地方。向医疗保健专业人员提供更好的痴呆症专项培训,并支持药物治疗和康复干预措施,被认为是改善所有人的痴呆症护理的可能途径。

结论

本期特刊重点关注全球痴呆症护理方面的不平等问题,以及如何在各个领域推进痴呆症护理。

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