Henein Mary, Arsenault-Lapierre Geneviève, Sourial Nadia, Godard-Sebillotte Claire, Vedel Isabelle
Lady Davis Institute for Medical Research Montreal Quebec Canada.
Department of Family Medicine McGill University Montreal Quebec Canada.
Alzheimers Dement (N Y). 2022 Feb 1;8(1):e12233. doi: 10.1002/trc2.12233. eCollection 2022.
Institutional support, encompassing financial and training support, as well as interdisciplinary teams, may be important for the quality of dementia primary care for persons living with dementia. The aim of this study was to measure the association between the level of institutional support provided to primary care practices and the quality of dementia care.
This was a cross-sectional chart review in 33 Canadian primary care practices to measure the quality of dementia primary care using a quality of follow-up score. The score was based on the assessment of 10 indicators. Practices were chosen using a purposeful sampling method with varying levels of institutional support for dementia primary care (e.g., financial support, training, interdisciplinary team). A linear mixed-effect model was used to measure the association between the level of institutional support and the quality of dementia care.
There was a significant association between the level of institutional support and the quality of dementia care (mean difference = 23.5, 95% confidence interval: 16.4, 30.6).
Providing more institutional support for primary care practices could be a promising avenue to improve the care of persons living with dementia.
机构支持，包括资金和培训支持以及跨学科团队，对于痴呆症患者的初级护理质量可能很重要。本研究的目的是衡量提供给初级护理机构的机构支持水平与痴呆症护理质量之间的关联。
这是一项对33家加拿大初级护理机构进行的横断面图表审查，使用随访质量评分来衡量痴呆症初级护理的质量。该评分基于对10项指标的评估。采用有目的抽样方法选择机构，这些机构对痴呆症初级护理的机构支持水平各不相同（例如，资金支持、培训、跨学科团队）。使用线性混合效应模型来衡量机构支持水平与痴呆症护理质量之间的关联。
机构支持水平与痴呆症护理质量之间存在显著关联（平均差异=23.5，95%置信区间：16.4，30.6）。
为初级护理机构提供更多的机构支持可能是改善痴呆症患者护理的一个有前景的途径。
