Couch Elyse, Co Melissa, Albertyn Christopher P, Prina Matthew, Lawrence Vanessa
Department of Health Services and Population Research, King's College London, London, UK.
Department of Health Services, Policy and Practice, Brown University School of Public Health, Providence, USA.
BMC Health Serv Res. 2024 Apr 24;24(1):508. doi: 10.1186/s12913-024-10957-6.
Current and former dementia policies in the United Kingdom (UK) recommend diagnosing dementia early, or as close to the onset of symptoms as possible. Informal caregivers play an important role in initiating the diagnostic process and providing support to people living with dementia. Therefore, this study aimed to explore caregiver perceptions of the benefits of an early diagnosis.
We conducted semi-structured interviews with 12 current and former informal caregivers to people with dementia in the UK in 2020. We analysed the interviews using thematic analysis.
Benefits of an early diagnosis included: (1) protecting the person with dementia from financial or physical harm, (2) timely decision-making, and (3) access to services and treatments following a diagnosis. We identified three conditions necessary for the benefits of an early diagnosis to be felt: (1) adequate prognostic information, (2) someone to advocate on behalf of the person with dementia, and (3) a willingness to seek and accept the diagnosis.
In this study, we identified how diagnosing dementia close to the onset of symptoms could be beneficial and the conditions necessary for these benefits to be felt. The findings highlight the importance of an early diagnosis for enabling people with dementia and caregivers to make practical arrangements and to access services. Further research is needed to build on the findings of this study by exploring the perspectives of people with dementia and by including a larger, more diverse sample of caregivers.
英国当前和以往的痴呆症政策建议尽早诊断痴呆症,或尽可能在症状出现后不久进行诊断。非正式护理人员在启动诊断过程以及为痴呆症患者提供支持方面发挥着重要作用。因此,本研究旨在探讨护理人员对早期诊断益处的看法。
2020年,我们对英国12名现任和前任痴呆症患者的非正式护理人员进行了半结构化访谈。我们使用主题分析法对访谈进行了分析。
早期诊断的益处包括:(1)保护痴呆症患者免受经济或身体伤害,(2)及时做出决策,以及(3)诊断后获得服务和治疗。我们确定了感受到早期诊断益处所需的三个条件:(1)足够的预后信息,(2)有人代表痴呆症患者进行倡导,以及(3)愿意寻求并接受诊断。
在本研究中,我们确定了在症状出现后不久诊断痴呆症如何有益以及感受到这些益处所需的条件。研究结果强调了早期诊断对于使痴呆症患者和护理人员能够做出实际安排并获得服务的重要性。需要进一步开展研究,通过探索痴呆症患者的观点并纳入更大、更多样化的护理人员样本,以基于本研究的结果。