Centre for Dementia Research, Leeds Beckett University, Leeds, UK.
BMC Health Serv Res. 2024 Sep 27;24(1):1143. doi: 10.1186/s12913-024-11571-2.
To explore the design, delivery models and identify good and innovative practices in Memory Assessment Services (MAS) in England and Wales.
A two-stage service evaluation comprising (1) on-line survey of MAS providers to identify features of the commissioning models, service design, delivery, and challenges alongside examples of good/innovative practice; (2) qualitative case studies using video/telephone interviews with key staff and people who had used the service.
The 49 respondents to the survey reported a shift in delivery of MAS post COVID and identified key areas for improvement, including a need for specialist staff, support for MCI and rarer dementias, and capacity for post diagnostic support. The 15 case studies illustrated good practice and innovation focusing on post diagnostic support, equity of access, working with external services/service location, MCI and rarer dementia and involving specialist staff.
The evaluation speaks to the importance of (re)evaluation of services to identify local need and the importance of commissioning based on local need and innovative approaches that my sit outside of 'typical' MAS pathways.
探索英格兰和威尔士记忆评估服务（MAS）的设计、交付模式，并确定良好和创新的实践。
包括（1）对 MAS 提供者进行在线调查，以确定委托模型、服务设计、交付的特点以及良好/创新实践的例子；（2）使用视频/电话采访关键工作人员和使用过服务的人员进行定性案例研究。
对调查的 49 名受访者报告称，COVID 后 MAS 的交付发生了转变，并确定了需要改进的关键领域，包括需要专业人员、支持轻度认知障碍和更罕见的痴呆症以及诊断后支持的能力。15 个案例研究说明了良好的实践和创新，重点是诊断后支持、公平获取、与外部服务/服务地点合作、轻度认知障碍和更罕见的痴呆症以及涉及专业人员。
评估强调了（重新）评估服务以确定当地需求的重要性，以及根据当地需求和可能不在“典型”MAS 路径之外的创新方法进行委托的重要性。
