Tsuda Shuji, Toya Junichiro, Ito Kae
Tokyo Metropolitan Institute for Geriatrics and Gerontology, 35-2 Sakae-cho, Itabashi, Tokyo 173-0015, Japan.
Sakurashinmachi Urban Clinic, 3-21-1-2F Shinmachi, Setagaya, Tokyo 154-0014, Japan.
Int J Integr Care. 2024 Jun 3;24(2):21. doi: 10.5334/ijic.7726. eCollection 2024 Apr-Jun.
This study explored collaboration models between primary care physicians (PCPs) and care managers (CMs) and assessed each model's potential in meeting the support needs of individuals with early-stage dementia.
In 2022, a cross-sectional survey was conducted among the PCPs in Tokyo. The data regarding the participant and clinic characteristics and daily practices for individuals with early-stage dementia were collected. The clinical collaborative practice was classified using a latent class analysis; comparisons were made between the identified classes based on 14 items in seven domains of support.
Two collaborative and one stand-alone models were identified. The former varied in the professionals' roles, with one led by PCPs and the other by CMs. We named them PCP-led, CM-led, and stand-alone models, accounting for 46.4%, 32.8%, and 20.6% of the clinics, respectively. The PCP-led clinics were significantly more likely to provide support than the stand-alone ones across five domains: cognitive function, care planning, carers' support, information, and social health. The CM-led model clinics generally fell between those of the other two models.
Different leadership styles exist in the PCP-CM collaborations in care delivery for people with early-stage dementia. This collaboration offers distinct advantages for clinics in addressing their needs.
本研究探讨了初级保健医生（PCP）与护理经理（CM）之间的协作模式，并评估了每种模式在满足早期痴呆症患者支持需求方面的潜力。
2022年，对东京的初级保健医生进行了横断面调查。收集了参与者和诊所的特征以及早期痴呆症患者的日常实践数据。使用潜在类别分析对临床协作实践进行分类；根据七个支持领域的14项内容，对确定的类别进行比较。
确定了两种协作模式和一种独立模式。前者在专业人员的角色上有所不同，一种由初级保健医生主导，另一种由护理经理主导。我们将它们命名为初级保健医生主导模式、护理经理主导模式和独立模式，分别占诊所的46.4%、32.8%和20.6%。在认知功能、护理计划、照顾者支持、信息和社会健康这五个领域，初级保健医生主导的诊所比独立诊所更有可能提供支持。护理经理主导模式的诊所通常介于其他两种模式之间。
在为早期痴呆症患者提供护理服务时，初级保健医生与护理经理的合作存在不同的领导风格。这种合作为诊所满足患者需求提供了明显的优势。
