University of Illinois at Urbana-Champaign, USA.
J Appl Gerontol. 2021 Dec;40(12):1881-1892. doi: 10.1177/07334648211001190. Epub 2021 Mar 19.
The current increase in global dementia prevalence deserves public health intervention. While limited access to health care and a shortage of health care workers are significant shortcomings, utilizing community health workers (CHWs) could be a promising way to improve dementia care through cost-effective approaches. This scoping review synthesizes existing research on roles of CHWs in dementia-related services. PubMed, CINAHL, Scopus, CABI Global Health, Web of Science, PsycINFO, and Cochrane Library were searched from inception to October 2, 2019, and yielded 1,594 articles. Five broad areas emerged as potential roles of CHWs from 10 eligible articles: educational and community awareness, screening for dementia, screening for HIV-associated dementia, utilization of health care systems and other dementia-related resources by patients, and services to dementia caregivers. This scoping review sheds light on important contributions of CHWs in addressing dementia among vulnerable communities/groups around the world.
目前全球痴呆症患病率的上升值得公共卫生干预。虽然获得医疗保健的机会有限和医疗保健工作者短缺是重大的缺点,但利用社区卫生工作者(CHWs)可能是通过具有成本效益的方法改善痴呆症护理的有希望的途径。本范围综述综合了现有关于 CHWs 在与痴呆症相关服务中的作用的研究。从 1975 年开始,在 PubMed、CINAHL、Scopus、CABI 全球健康、Web of Science、PsycINFO 和 Cochrane Library 上进行了搜索,共产生了 1594 篇文章。从 10 篇合格的文章中,出现了 CHWs 的五个广泛领域的潜在作用:教育和社区意识、痴呆症筛查、艾滋病毒相关痴呆症筛查、患者对医疗保健系统和其他与痴呆症相关资源的利用,以及痴呆症护理人员的服务。本范围综述揭示了 CHWs 在解决世界各地弱势社区/群体中的痴呆症方面的重要贡献。