Timely Diagnosis of Dementia in Rural Areas in Austria: The Dementia Service Centre Model

2020 ◽  
pp. 103-126
Author(s):  
Stefanie Auer ◽  
Paulina Ratajczak ◽  
Edith Span ◽  
Margit Höfler
Keyword(s):  
Rural Areas ◽  
Timely Diagnosis ◽  
Service Centre ◽  
Diagnosis Of Dementia

Timely diagnosis of dementia in rural areas in Austria: the Dementia Service Centre model

2020 ◽  
pp. 103-126
Author(s):  
Stefanie Auer ◽  
Paulina Ratajczak ◽  
Edith Span ◽  
Margit Höfler
Keyword(s):  
Rural Communities ◽  
Rural Areas ◽  
Psychosocial Support ◽  
Controlled Trial ◽  
Support Providers ◽  
Upper Austria ◽  
Service Centre ◽  
Model Research ◽  
Diagnosis Of Dementia ◽  
Support Model

The Dementia Service Centre Model was developed in order to serve rural communities in Upper Austria. The goals of the Dementia Service Centre were defined as a multicomponent, low threshold, ‘one-stop shop’ psychosocial support model, specifically addressing the needs of persons with dementia and their family carers and support providers in rural communities. The main goals of the DSC care model are: a) timely detection of dementia, b) delaying the institutionalisation of persons with dementia and c) reducing the burden of support providers. In 2001, a data base was established with the goal to providing evidence for the support model. Research projects, including a randomized controlled trial, were conducted. The results of the research influenced the decision of policy makers to promote the model for roll-out. During the pilot phase, 7 Centres were opened. The model has been selected for rollout and in 2020 eleven Centres will be available.

Timely diagnosis of dementia in rural areas in Austria:

2020 ◽  
pp. 103-126
Author(s):  
Stefanie Auer ◽  
Paulina Ratajczak ◽  
Edith Span ◽  
Margit Höfler
Keyword(s):  
Rural Areas ◽  
Timely Diagnosis ◽  
Diagnosis Of Dementia

scholarly journals BARRIERS AND ENABLERS TO TIMELY DIAGNOSIS OF DEMENTIA FROM THE PATIENTS’ PERSPECTIVE

2018 ◽  
Vol 2 (suppl_1) ◽  
pp. 532-532
Author(s):  
M Laron ◽  
I Mannheim ◽  
J Brodsky ◽  
S Sternberg ◽  
S Zalomonson ◽  
...  
Keyword(s):  
Barriers And Enablers ◽  
Timely Diagnosis ◽  
Diagnosis Of Dementia ◽  
Patients Perspective

scholarly journals ‘Timely’ diagnosis of dementia: what does it mean? A narrative analysis of GPs’ accounts

BMJ Open ◽  
2014 ◽  
Vol 4 (3) ◽  
pp. e004439 ◽  
Author(s):  
Saadia Aziz Dhedhi ◽  
Deborah Swinglehurst ◽  
Jill Russell
Keyword(s):  
Narrative Analysis ◽  
Timely Diagnosis ◽  
Diagnosis Of Dementia

scholarly journals Underdiagnosis of Dementia among Indigenous Older Adults with Cognitive Impairment

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 644-644
Author(s):  
Takashi Amano ◽  
Carlos Andres Gallegos ◽  
William Waters ◽  
Wilma Freire
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Binary Logistic Regression ◽  
Lower Probability ◽  
Binary Logistic Regression Analysis ◽  
Data Set ◽  
Timely Diagnosis ◽  
Diagnosis Of Dementia ◽  
Higher Educational Attainment ◽  
And Function

Abstract Early and timely diagnosis of dementia has been recognized as key to improving health outcomes. However, underdiagnosis among the indigenous population has not been adequately investigated. This study examines the association between indigenous ethnic identity and receiving a diagnosis of dementia and identifies factors associated with receiving a diagnosis of dementia. Data were drawn from Ecuador’s Survey of Health, Welfare and Aging (SABE) – 2009, based on a probability sample of households in Ecuador with at least one person 60 years or older. This is a robust data set that allows for understanding ethnic dimensions and disparities, especially because of the successful recruitment of indigenous households. The final sample consisted of 1,437 people who had cognitive impairment. Whether participants had ever been told that he/she had dementia was compared between the groups of people who identified themselves either as indigenous or others. Binary logistic regression analysis was utilized. Indigenous participants had a lower probability than others of receiving a diagnosis of dementia after controlling for health and function related covariates. This association became statistically insignificant after including socioeconomic factors in the model. The final model revealed that people who had higher educational attainment were more likely to receive a diagnosis of dementia. Findings suggest that underdiagnosis among indigenous older adults can be explained by their lower socioeconomic status rather than by health and functional status. This finding implies the possibility of developing strategies to promote timely diagnosis by targeting populations who are especially susceptible to underdiagnosis of dementia.

O5-02-02: BARRIERS AND ENABLERS TO TIMELY DIAGNOSIS OF DEMENTIA: PATIENTS' AND FAMILIES' POINTS OF VIEW

2006 ◽  
Vol 14 (7S_Part_31) ◽  
pp. P1642-P1642 ◽  
Author(s):  
Michal Laron ◽  
Ittay Mannheim ◽  
Jenny Brodsky ◽  
Shelly Sternberg ◽  
Svetlana Zalomonson ◽  
...  
Keyword(s):  
Barriers And Enablers ◽  
Timely Diagnosis ◽  
Dementia Patients ◽  
Diagnosis Of Dementia ◽  
Points Of View

Public health guidance to facilitate timely diagnosis of dementia: ALzheimer's COoperative Valuation in Europe recommendations

2014 ◽  
Vol 29 (7) ◽  
pp. 682-693 ◽  
Author(s):  
Dawn Brooker ◽  
Jenny La Fontaine ◽  
Simon Evans ◽  
Jennifer Bray ◽  
Karim Saad
Keyword(s):  
Public Health ◽  
Timely Diagnosis ◽  
Diagnosis Of Dementia ◽  
Health Guidance

scholarly journals Peran Pusat Layanan Internet Kecamatan dalam Upaya Menyetimuli Masyarakat Menuju Desa Wisata

2014 ◽  
Vol 17 (1) ◽  
pp. 15-28
Author(s):  
Sumarsono Soemardjo
Keyword(s):  
Rural Community ◽  
Rural Areas ◽  
Information Dissemination ◽  
Human Life ◽  
Research Question ◽  
The Internet ◽  
Internet Service ◽  
Service Centre ◽  
The Government

The use of internet was expanding, reaching various lines of human life, including ecotourism development sector. However, internet as a tool as well as an enabler, occasionally are less contributing to better accomplish human activity since various determinants which underestimated. Related to that, the government has made programs to expand internet access to rural areas in order to introduce innovation and creating opportunities through the construction of the District Internet Service Centre (PLIK). The research question is how the role of the District Internet Service Centre (PLIK) as stimuli for the rural community to develop a tourism village. The purpose of this research is to analyze the role of PLIK to stimuli the rural community to develop the tourism village. This research reveals how the internet could represent as a stimuli for the rural community to develop a tourism village. In addition, the approach of the research is qualitative. Data gathering through in-depth interview with purposive chosen key informants. The result indicates that the role of the internet can be increased to develop a tourism village through various activities of information dissemination and giving encouragement and transformation value of “sapta pesona” to the local rural community.

scholarly journals Establishment and preliminary evaluation of a teaching hospital-based dementia consultation service for rurally-based regional district general hospitals

2021 ◽  
Author(s):  
Björn Hendrik Schott ◽  
Jakob Christian Voetlause ◽  
Juliana Lisa Amoah ◽  
Alexander Kratzenberg ◽  
Michael Belz ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Rural Areas ◽  
Psychiatric Inpatient ◽  
Initial Evaluation ◽  
Preliminary Evaluation ◽  
Consultation Service ◽  
Behavioral Disturbances ◽  
General Hospitals ◽  
Psychiatric Inpatient Treatment ◽  
Diagnosis Of Dementia

The treatment of patients with dementia poses a considerable challenge to regional district general hospitals, particularly in rural areas. Here we report the establishment and initial evaluation of a dementia-specific consultation service provided by a teaching hospital-based Psychiatry Department to regional district general hospitals in smaller surrounding towns. The service was provided to patients both with pre-existing and newly diagnosed or suspected dementia, who were in acute hospital care for concurrent conditions. An initial evaluation of 61 consultations - 49 on-site and 12 via telemedicine - was performed to assess the needs of the participating hospitals and the specific nature of the referrals to the consultation service. Suspected dementia or cognitive dysfunction was the primary reason for consultation requests (>50% of cases). Other common requests concerned suspected delirium, behavioral disturbances, and therapeutic recommendations. During the consultations, a diagnosis of dementia was reached in 52.5% of cases, with other common diagnoses including delirium and depression. Recommendations related to pharmacotherapy were given in 54.1% of consultations. Other recommendations included referral for outpatient neurological or psychiatric follow-up, further diagnostic assessment, or assessment in a memory clinic. Geriatric psychiatric inpatient treatment was recommended in only seven cases (11.5 %). Our initial evaluation demonstrates the feasibility of providing a dementia-specific consultation service in a rural area. The service has the potential to reduce acute transfers to inpatient geriatric psychiatry and enables older patients with dementia or delirium to be treated locally by helping and empowering rurally-based regional hospitals to manage these problems and associated complications.

Sign in / Sign up

Export Citation Format

Share Document