000165407 001__ 165407
000165407 005__ 20260108143203.0
000165407 0247_ $$2doi$$a10.1002/gps.5223
000165407 0248_ $$2sideral$$a116576
000165407 037__ $$aART-2020-116576
000165407 041__ $$aeng
000165407 100__ $$aVolpe, U.
000165407 245__ $$aPathways to care for people with dementia: An international multicentre study
000165407 260__ $$c2020
000165407 5060_ $$aAccess copy available to the general public$$fUnrestricted
000165407 5203_ $$aObjective: The aim of the present study was to characterize the clinical pathways that people with dementia (PwD) in different countries follow to reach specialized dementia care. Methods: We recruited 548 consecutive clinical attendees with a standardized diagnosis of dementia, in 19 specialized public centres for dementia care in 15 countries. The WHO “encounter form, ” a standardized schedule that enables data concerning basic socio-demographic, clinical, and pathways data to be gathered, was completed for each participant. Results: The median time from the appearance of the first symptoms to the first contact with specialist dementia care was 56 weeks. The primary point of access to care was the general practitioners (55.8%). Psychiatrists, geriatricians, and neurologists represented the most important second point of access. In about a third of cases, PwD were prescribed psychotropic drugs (mostly antidepressants and tranquillizers). Psychosocial interventions (such as psychological counselling, psychotherapy, and practical advice) were delivered in less than 3% of situations. The analyses of the “pathways diagram” revealed that the path of PwD to receiving care is complex and diverse across countries and that there are important barriers to clinical care. Conclusions: The study of pathways followed by PwD to reach specialized care has implications for the subsequent course and the outcome of dementia. Insights into local differences in the clinical presentations and the implementation of currently available dementia care are essential to develop more tailored strategies for these patients, locally, nationally, and internationally.
000165407 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttps://creativecommons.org/licenses/by/4.0/deed.es
000165407 590__ $$a3.485$$b2020
000165407 591__ $$aGERONTOLOGY$$b9 / 36 = 0.25$$c2020$$dQ1$$eT1
000165407 591__ $$aPSYCHIATRY$$b50 / 142 = 0.352$$c2020$$dQ2$$eT2
000165407 591__ $$aPSYCHIATRY$$b77 / 155 = 0.497$$c2020$$dQ2$$eT2
000165407 591__ $$aGERIATRICS & GERONTOLOGY$$b31 / 53 = 0.585$$c2020$$dQ3$$eT2
000165407 592__ $$a1.28$$b2020
000165407 593__ $$aPsychiatry and Mental Health$$c2020$$dQ1
000165407 593__ $$aGeriatrics and Gerontology$$c2020$$dQ1
000165407 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000165407 700__ $$aAmin, H.
000165407 700__ $$aAyinde, O. O.
000165407 700__ $$aBurns, A.
000165407 700__ $$aChan, W. C.
000165407 700__ $$aDavid, R.
000165407 700__ $$aDejanovic, S. D.
000165407 700__ $$aDjokic, G.
000165407 700__ $$aEraslan, D.
000165407 700__ $$aFischer, G. A. L.
000165407 700__ $$0(orcid)0000-0001-9822-6312$$aGracia-García, P.$$uUniversidad de Zaragoza
000165407 700__ $$aHamdani, S. U.
000165407 700__ $$aHan, C.
000165407 700__ $$aJafri, H.
000165407 700__ $$aKallivayalil, R. A.
000165407 700__ $$aKriekaart, R. L.
000165407 700__ $$aKua, E. H.
000165407 700__ $$aLam, L. C. W.
000165407 700__ $$aLecic-Tosevski, D.
000165407 700__ $$aLeroi, I.
000165407 700__ $$aLobo, A.
000165407 700__ $$aMihai, A.
000165407 700__ $$aMinhas, F. A.
000165407 700__ $$aMistry, H.
000165407 700__ $$aOgundele, A. T.
000165407 700__ $$aOlde Rikkert, M. G. M.
000165407 700__ $$0(orcid)0000-0001-9243-0339$$aOlivera, J.$$uUniversidad de Zaragoza
000165407 700__ $$aPalumbo, C.
000165407 700__ $$aParker, A.
000165407 700__ $$aPejuskovic, B.
000165407 700__ $$aRiese, F.
000165407 700__ $$aRobert, P.
000165407 700__ $$aSemrau, M.
000165407 700__ $$aStoppe, G.
000165407 700__ $$aSudhakar, S.
000165407 700__ $$aTirintica, A. R.
000165407 700__ $$aTofique, S.
000165407 700__ $$aTsoi, C.
000165407 700__ $$aWolski, L.
000165407 700__ $$aYalug, I.
000165407 700__ $$aWang, H.
000165407 700__ $$aYu, X.
000165407 700__ $$aSartorius, N.
000165407 7102_ $$11007$$2745$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Psiquiatría
000165407 773__ $$g35, 2 (2020), 163-173$$pInt. j. geriatr. psychiatry$$tInternational journal of geriatric psychiatry$$x0885-6230
000165407 85641 $$uhttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85076146950&doi=10.1002%2fgps.5223&partnerID=40&md5=ebb6013e1bc079a4dd47e9a265e48c8b$$zTexto completo de la revista
000165407 8564_ $$s477393$$uhttps://zaguan.unizar.es/record/165407/files/texto_completo.pdf$$yVersión publicada
000165407 8564_ $$s1867052$$uhttps://zaguan.unizar.es/record/165407/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000165407 909CO $$ooai:zaguan.unizar.es:165407$$particulos$$pdriver
000165407 951__ $$a2026-01-08-14:10:01
000165407 980__ $$aARTICLE