Kurz Carolin, Alimehmeti Ilir, Boban Marina, Kostic Smiljana, Sinanovic Osman, Kučuk Osman, Mehrabian Shima, Traykov Latchezar, Mimica Ninoslav, Novotni Gabriela, Pfaeffel Lea, Dogan Vildan, Diehl-Schmid Janine, Alexopoulos Panagiotis, Grünhaus Christian, Pirtošek Zvezdan, Kurz Alexander
Department of Psychiatry and Psychotherapy, LMU University Hospital, LMU Munich, Germany.
Faculty of Medicine, Department of Family Medicine, University of Medicine, Tirana, Albania.
J Public Health Res. 2025 Jul 30;14(3):22799036251361380. doi: 10.1177/22799036251361380. eCollection 2025 Jul.
Dementia is a growing challenge in Southeastern and Western Europe, with aging trends projected to accelerate in the former region. The region is facing critical gaps in dementia care due to rural-urban disparities, workforce shortages, and limited access to specialized services. Widespread reliance on informal caregiving and underdeveloped diagnostic infrastructure delay early diagnosis and equitable access to the healthcare system. This perspective article presents sustainable, regionally tailored solutions and innovative strategies from a multinational dementia network, which are aimed at improving care outcomes through collaboration, capacity building, and digital innovation. Tailored workshops and multilingual platforms have raised awareness and encouraged innovative care approaches. Meanwhile, mobile memory teams in underserved areas have been shown to enhance caregiver support and patient outcomes. The Circle of Care Hub framework was developed to bridge coordination gaps and promote equitable, integrated dementia care by linking healthcare providers, social workers, and families. Digital tools have been piloted to enhance professional training, interdisciplinary collaboration, and informal carer support. Addressing barriers such as limited services and workforce shortages is essential for sustainable improvements. Future initiatives should prioritize scalable interventions, such as mobile teams, digital platforms with evaluation mechanisms, and hybrid care models, while investing in early diagnosis, dementia centers and region-specific prevention strategies informed by robust epidemiological data. Achieving sustainable dementia care requires a combination of digital innovation and community-based solutions.
痴呆症在东南欧和西欧正成为日益严峻的挑战,预计前者地区的老龄化趋势将加速。由于城乡差距、劳动力短缺以及获得专业服务的机会有限,该地区在痴呆症护理方面存在重大差距。广泛依赖非正式照护以及诊断基础设施不发达,导致早期诊断延迟,且难以公平地获得医疗保健系统的服务。这篇观点文章介绍了一个跨国痴呆症网络提出的可持续、因地制宜的解决方案和创新策略,旨在通过合作、能力建设和数字创新改善护理结果。量身定制的研讨会和多语言平台提高了人们的认识,并鼓励了创新的护理方法。与此同时,在服务不足地区的流动记忆团队已被证明能加强对照护者的支持并改善患者的治疗效果。护理中心圈框架的制定是为了弥合协调差距,通过将医疗保健提供者、社会工作者和家庭联系起来,促进公平、综合的痴呆症护理。数字工具已在试点,以加强专业培训、跨学科合作和对非正式照护者的支持。解决服务有限和劳动力短缺等障碍对于实现可持续改善至关重要。未来的举措应优先考虑可扩展的干预措施,如流动团队、具有评估机制的数字平台和混合护理模式,同时投资于早期诊断、痴呆症中心以及基于可靠流行病学数据的特定地区预防策略。实现可持续的痴呆症护理需要数字创新和基于社区的解决方案相结合。