A narrative review of community-based dementia care in India: experiences, challenges, and policy initiatives.

IF 7.5 2区医学 Q1 PSYCHIATRY

Current Opinion in Psychiatry Pub Date : 2024-09-01 Epub Date: 2024-05-07 DOI:10.1097/YCO.0000000000000944

Trisha Thomas, Jayashree Dasgupta

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引用次数: 0

Abstract

Purpose of review: India is facing a significant increase in the aging population who are at risk for dementia. This review evaluates recent literature on community-based care, focusing on caregiver experiences, challenges and policy initiatives.

Recent findings: Dementia care in India is traditionally provided by family members who take on the role of caregivers. Studies on caregiver experiences have reflected high caregiving burden and related impact on their mental health. During the pandemic, caregivers experienced several unprecedented challenges in providing care, emphasizing the need for more research on community-based dementia care across the country. Telehealth and online caregiver training were identified as viable alternatives to support community dementia care. However, it may not be a feasible mode of delivery suitable across the Indian context, underscoring the need for culturally relevant and acceptable interventions. India is currently undertaking concerted policy efforts for dementia care through multiple initiatives like the National Program for Healthcare of the Elderly, the Mental Healthcare Act, and initiatives like the Atal Vayo Abhyuday Yojna. These initiatives aim to address the healthcare requirements of the elderly; nevertheless, a comprehensive evaluation of their impact is yet to be discerned.

Summary: There is a need for comprehensive research, to inform evidence-based policy and improve dementia care systems in India. Addressing gaps in existing dementia care capacities and healthcare initiatives, along with tailoring interventions to India's diverse contexts are critical for effective community care for dementia.

查看原文本刊更多论文

印度社区痴呆症护理回顾：经验、挑战和政策倡议。

审查目的：印度面临着老年痴呆症高危人群大幅增加的问题。本综述评估了有关社区护理的最新文献，重点关注护理者的经验、挑战和政策措施：在印度，痴呆症护理传统上由家庭成员提供，他们承担着照顾者的角色。有关照护者经历的研究反映了照护者的高照护负担及其对心理健康的相关影响。在大流行病期间，护理人员在提供护理时经历了一些前所未有的挑战，这强调了在全国范围内开展更多基于社区的痴呆症护理研究的必要性。远程医疗和护理人员在线培训被认为是支持社区痴呆症护理的可行替代方案。但是，这可能不是一种适合印度国情的可行的提供模式，这就强调了文化相关性和可接受性干预的必要性。印度目前正通过《国家老年人医疗保健计划》、《精神医疗保健法》以及《Atal Vayo Abhyuday Yojna》等多项倡议，为痴呆症护理做出协调一致的政策努力。这些举措旨在满足老年人的医疗保健需求；然而，对其影响的全面评估仍有待确定。摘要：有必要开展全面研究，为循证政策提供依据，并改善印度的痴呆症护理系统。弥补现有痴呆症护理能力和医疗保健措施的不足，并根据印度的不同情况采取相应的干预措施，对于有效开展痴呆症社区护理至关重要。

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

Current Opinion in Psychiatry 医学-精神病学

CiteScore

12.20

自引率

1.40%

发文量

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Psychiatry is an easy-to-digest bimonthly journal covering the most interesting and important advances in the field of psychiatry. Eight sections on mental health disorders including schizophrenia, neurodevelopmental disorders and eating disorders, are presented alongside five area-specific sections, offering an expert evaluation on the most exciting developments in the field.