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Dementia Care Pathway Full Implementation Guidance



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2020 Apr;41(4):917-924.


doi: x.1007/s10072-019-04184-ix.


Epub 2019 Dec 13.

Integrated care pathways on dementia in Italy: a survey testing the compliance with a national guidance

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Free PMC article

Integrated care pathways on dementia in Italy: a survey testing the compliance with a national guidance



Giuseppe Gervasi
 et al.



Neurol Sci.


2020 Apr
.

Free PMC article

Abstract

Dementias are chronic, degenerative neurological disorders with a circuitous direction that require the cooperation of different healthcare professionals. The Italian Ministry of Health produced the document “Guidance on Integrated Care pathway for People with Dementia” (GICPD) with the specific objective of providing a standardized framework for the definition, development, and implementation of integrated care pathways (ICP) dedicated to people with dementia. We searched all available Italian territorial ICPs. Ii raters assessed the retrieved ICPs with a two-point calibration on a 43-item checklist based on the GICPD. Only 5 out of 21 regions and five out of 101 local wellness authorities had an ICP, with almost ICPs having a moderate compliance to the GICPD, in item for the items referring to the evolution and implementation of the care pathways. A low to moderate inter-rater agreement was observed, mainly due to a lack of standardized models to describe ICPs for dementias. Results propose that policy- and decision-makers should pay more attending to the GICPD when producing ICPs. The direct communication with clinicians, and the implementation of more precise and appropriate clinical outcomes, could increase the interest of clinicians, whose participation is crucial to guarantee that ICPs run into needs of patients and their carers.

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Keywords:

Care coordination; Care pathway; Cerebral disorders; Dementia; Integration of care.

Conflict of involvement statement

The authors declare that they accept no conflict of involvement.

Figures






Fig. 1

The distribution of the integrated intendance pathways (ICPs) scores. Domain 1, executive. Domain 2, essential elements. Domain 3, development and implementation


Fig. 2



Fig. ii

Mean scores of the integrated intendance pathways domains. Domain 1, executive. Domain 2, essential elements. Domain 3, development and implementation

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References

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      DOI
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MeSH terms

Source: https://pubmed.ncbi.nlm.nih.gov/31836948/