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Health-Care Delivery for Older People with Dementia in Primary Care

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Primary Care Mental Health in Older People

Abstract

Dementia is a disabling, highly prevalent condition in older age. Complexities related to dementia care challenge the existing models of health and social services. Although for most people in Western Europe the first contact point for health-related concerns is a general practitioner, the role of primary care physicians and primary care teams regarding older people with dementia needs clarification. Primary care has much to offer to older people with dementia and their informal, family carers, but several challenges still need to be addressed. Given that the perspectives of people with dementia, their carers and staff regarding the role of primary care in dementia may share several points, it seems possible to define priority areas for intervention. Despite a growing number of studies on dementia care delivery in primary care, interventions addressing a wide range of important outcomes in dementia (e.g. falls, frailty) are overlooked in the research agenda; this probably hinders the quality of health care provided. At the end of the chapter, we finally discuss how current knowledge on dementia care fits into the Portuguese health and social care systems, as a case study example.

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Notes

  1. 1.

    In some countries (e.g. Germany, the UK), PCPs are not considered specialists. Therefore, in this chapter we will refer to ‘specialists’ meaning neurologists and psychiatrists (and geriatricians, in some countries) in charge of people with dementia, regardless of setting (public or private practice, hospital settings or not).

Abbreviations

BPSD:

Behavioural and psychological symptoms of dementia

PCP:

Primary care physicians

PwD:

People with dementia, or person with dementia

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Authors and Affiliations

  1. CEDOC, Chronic Diseases Research Centre, NOVA Medical School/Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisboa, Portugal

    Conceição Balsinha, Manuel Gonçalves-Pereira, José Alexandre Freitas & Joana Grave

  2. Unidade de Saúde Familiar Marginal, São João do Estoril, Portugal

    Conceição Balsinha & José Alexandre Freitas

  3. Primary Care and Population Health, University College London, London, UK

    Steve Iliffe

  4. Centre of Expertise in Longevity and Long-Term Care, Charles University, Prague, Czech Republic

    Steve Iliffe

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  1. Conceição Balsinha
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  5. Joana Grave
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Correspondence to Conceição Balsinha .

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  1. Unité de Psychiatrie et de Psychothérapie, Centre Les Toises, Lausanne, Switzerland

    Carlos Augusto de Mendonça Lima

  2. Mental Health and Population Health, NOVA University Lisbon, Lisbon, Portugal

    Gabriel Ivbijaro

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Balsinha, C., Gonçalves-Pereira, M., Iliffe, S., Freitas, J.A., Grave, J. (2019). Health-Care Delivery for Older People with Dementia in Primary Care. In: de Mendonça Lima, C., Ivbijaro, G. (eds) Primary Care Mental Health in Older People. Springer, Cham. https://doi.org/10.1007/978-3-030-10814-4_23

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  • DOI: https://doi.org/10.1007/978-3-030-10814-4_23

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