DementiaNet facilitates a sustainable transition toward integrated primary dementia care: A long-term evaluation

被引:1
|
作者
Oostra, Dorien L. [1 ,2 ]
Nieuwboer, Minke S. [2 ,3 ]
Melis, Rene J. F. [2 ]
Remers, Toine E. P. [4 ]
Rikkert, Marcel G. M. Olde [2 ,5 ]
Perry, Marieke [2 ,5 ,6 ,7 ]
机构
[1] Radboud Univ Nijmegen, Radboud Inst Hlth Sci, Dept Geriatr Med, Med Ctr, Nijmegen, Netherlands
[2] Radboud Univ Nijmegen, Radboudumc Alzheimer Ctr, Med Ctr, Nijmegen, Netherlands
[3] HAN Univ Appl Sci, Acad Hlth & Vital, Nijmegen, Netherlands
[4] Radboud Univ Nijmegen, Radboud Inst Hlth Sci, Sci Ctr Qual Healthcare IQ healthcare, Med Ctr, Nijmegen, Netherlands
[5] Radboud Univ Nijmegen, Donders Inst Brain Cognit & Behav, Dept Geriatr Med, Med Ctr, Nijmegen, Netherlands
[6] Radboud Univ Nijmegen, Donders Inst Brain Cognit & Behav, Dept Primary & Community Care, Med Ctr, Nijmegen, Netherlands
[7] Radboud Univ Nijmegen, Dept Geriatr Med route 696, Med Ctr, POB 9101, NL-6500 HB Nijmegen, Netherlands
关键词
dementia; integrated care; networks; OLDER-ADULTS; MANAGEMENT; PROGRAMS; TRIPLE; HEALTH; AIM;
D O I
10.1002/alz.13154
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
INTRODUCTIONCare integration is a promising strategy to achieve sustainable health-care systems. With DementiaNet, a 2-year program, we facilitated collaboration between primary health-care professionals. We studied changes in primary dementia care integration during and after DementiaNet participation. METHODSA longitudinal follow-up study was performed. Networks started between 2015 and 2020; follow-up ended in 2021. Quantitative and quantitative data were collected annually to assess quality of care, network collaboration, and number of crisis admissions. Growth modeling was used to identify changes over time. RESULTSThirty-five primary care networks participated. Network collaboration and quality of care of newly formed networks increased significantly in the first 2 years (respectively, 0.35/year, P < .001; 0.29/year, P < .001) and thereafter stabilized. CONCLUSIONPrimary care networks improved their collaboration and quality of care during DementiaNet participation, which persisted after the program ended. This indicates that DementiaNet facilitated a sustainable transition toward integrated primary dementia care.
引用
收藏
页码:5498 / 5505
页数:8
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