Integration of Dementia Systems in Central America: A Social Network Approach.

IF 2.6 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
International Journal of Integrated Care Pub Date : 2024-02-27 eCollection Date: 2024-01-01 DOI:10.5334/ijic.7630
Nereide A Curreri, Dave Griffiths, Louise Mccabe
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Abstract

Introduction: Action 3 of the UN Decade of Healthy Ageing plan is to deliver integrated care to improve older adults' lives. Integrated care is vital in meeting the complex needs of people with dementia but little is known about how this is or could be delivered in low and middle income countries (LMIC). This paper provides insights into previously unknown care system structures and on the potential and reality of delivering integrated care in Central America for people with dementia.

Methods: A social network analysis (SNA) methodology was adopted to engage with providers of services for older adults and families with dementia in Guatemala, El Salvador, Honduras, Costa Rica and Panama. Sixty-eight (68) semi-structured interviews were completed, 57 with organisations and 11 with families.

Results: Across the five countries there was evidence of fragmentation and low integration within the dementia care systems. A variety of services and types of providers are present in all five countries, and high levels of diversified connections exist among organisations of differing disciplines. However, unawareness among network members about other members that they could potentially form active links with is a barrier on the path to integration.

Conclusion: This innovative and robust study demonstrates SNA can be applied to evaluate LMIC care systems. Findings provide baselines of system structures and insights into where resources are needed to fortify integration strategies. Results suggest that Central American countries have the building blocks in place to develop integrated care systems to meet the needs of people with dementia, but the links across service providers are opportunistic rather than context based coordinated integration policies.

中美洲痴呆症系统的整合:社会网络方法。
导言:联合国健康老龄化十年计划的行动 3 是提供综合护理以改善老年人的生活。综合护理对于满足痴呆症患者的复杂需求至关重要,但人们对中低收入国家(LMIC)如何或可以如何提供综合护理却知之甚少。本文深入探讨了以前未知的护理系统结构,以及在中美洲为痴呆症患者提供综合护理的潜力和现实:方法:采用社会网络分析(SNA)方法,与危地马拉、萨尔瓦多、洪都拉斯、哥斯达黎加和巴拿马的老年痴呆症患者及家庭服务提供者进行接触。共完成了 68 次半结构式访谈,其中 57 次是对机构的访谈,11 次是对家庭的访谈:结果:在这五个国家中,有证据表明痴呆症护理系统内部存在分散和整合程度低的问题。所有五个国家都有各种服务和类型的提供者,不同学科的组织之间也存在着高度多样化的联系。然而,网络成员不了解他们有可能与之建立积极联系的其他成员,这是实现整合的一个障碍:这项创新而稳健的研究表明,国民账户体系可用于评估低收入与中等收入国家的医疗系统。研究结果提供了系统结构的基线,并揭示了加强整合战略所需的资源。研究结果表明,中美洲国家已经具备了发展整合护理系统以满足痴呆症患者需求的基石,但各服务提供者之间的联系是机会性的,而不是基于具体情况的协调整合政策。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
International Journal of Integrated Care
International Journal of Integrated Care HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.80
自引率
8.30%
发文量
887
审稿时长
>12 weeks
期刊介绍: Established in 2000, IJIC’s mission is to promote integrated care as a scientific discipline. IJIC’s primary purpose is to examine critically the policy and practice of integrated care and whether and how this has impacted on quality-of-care, user experiences, and cost-effectiveness. The journal regularly publishes conference supplements and special themed editions. To find out more contact Managing Editor, Susan Royer. The Journal is supported by the International Foundation for Integrated Care (IFIC).
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