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From the editor-in-chief. 来自总编。
World health & population Pub Date : 2022-05-01 DOI: 10.12927/whp.2009.21139
J. Paul
{"title":"From the editor-in-chief.","authors":"J. Paul","doi":"10.12927/whp.2009.21139","DOIUrl":"https://doi.org/10.12927/whp.2009.21139","url":null,"abstract":"","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"11 2 1","pages":"3-4"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42949849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Promoting Quality Improvement in Long-Term Care: A Multi-Site Collaboration to Improve Outcomes with Pneumonia, Falls, Bacteriuria and Behavioural Issues in Dementia. 促进长期护理质量的提高:一项多站点合作，以改善痴呆症患者肺炎、跌倒、细菌尿和行为问题的结局。
World health & population Pub Date : 2019-12-01 DOI: 10.12927/whp.2019.26058
John Puxty, Rosemary A Brander, Susanne Murphy, Vaughan Byrnes
{"title":"Promoting Quality Improvement in Long-Term Care: A Multi-Site Collaboration to Improve Outcomes with Pneumonia, Falls, Bacteriuria and Behavioural Issues in Dementia.","authors":"John Puxty,&nbsp;Rosemary A Brander,&nbsp;Susanne Murphy,&nbsp;Vaughan Byrnes","doi":"10.12927/whp.2019.26058","DOIUrl":"https://doi.org/10.12927/whp.2019.26058","url":null,"abstract":"<p><p>The Bridges to Care for Long-Term Care research project aimed to facilitate improvements in outcomes for long-term care residents through the provision of knowledge-to-practice and quality improvement resources by trained facilitators. Point-of-care staff reported improved communication and collaboration, improved use of scope of practice and implementation of best practice knowledge. Overall, participating long-term care homes demonstrated an enhanced capacity for common care issues of the elderly (pneumonia, falls, bacteriuria and behavioural and psychological symptoms of dementia) and the ability to effectively engage in quality improvement processes with efficient and effective use of healthcare resources.</p>","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"18 1","pages":"61-67"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12927/whp.2019.26058","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37526727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Dementia: A Situation for Concern. 痴呆症:一种值得关注的情况。
World health & population Pub Date : 2019-12-01 DOI: 10.12927/whp.2019.26063
{"title":"Dementia: A Situation for Concern.","authors":"","doi":"10.12927/whp.2019.26063","DOIUrl":"https://doi.org/10.12927/whp.2019.26063","url":null,"abstract":"<p><p>In this final issue of World Health and Population, the editors have elected to focus on issues related to dementia in elderly persons - and the demands caring for them places on health services delivery. In many parts of the world, aging populations are already causing a strain on health system budgets. Growing numbers of dementia patients further increase the load. The number of people living with dementia worldwide is currently at 50 million and will be approximately three times that number by 2050 (WHO 2019).</p>","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"18 1","pages":"3-5"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12927/whp.2019.26063","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37525332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Innovative Model of Interprofessional Geriatric Consultation: Specialized Seniors Clinics. 老年医学跨专业会诊的创新模式:老年专科诊所。
World health & population Pub Date : 2019-12-01 DOI: 10.12927/whp.2019.26056
Laura Kadowaki, Helen Chow, Sarah Metcalfe, Kathleen Friesen
{"title":"Innovative Model of Interprofessional Geriatric Consultation: Specialized Seniors Clinics.","authors":"Laura Kadowaki,&nbsp;Helen Chow,&nbsp;Sarah Metcalfe,&nbsp;Kathleen Friesen","doi":"10.12927/whp.2019.26056","DOIUrl":"https://doi.org/10.12927/whp.2019.26056","url":null,"abstract":"As the Canadian population ages, healthcare systems have become increasingly interested in exploring new ways to deliver services to frail older adults, and in particular older adults with dementia. The Specialized Seniors Clinics (SSCs) are an innovative integrated network of six outpatient clinics in BC's Fraser Health Authority that utilize interprofessional teams to provide comprehensive geriatric assessments and care planning for frail older adults. The SSCs provided approximately 19,000 appointments in the past fiscal year, and clients and primary care physicians are highly satisfied with the model. This article describes the SSC model and provides reflection on the model development, implementation and standardization processes.","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"18 1","pages":"82-89"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12927/whp.2019.26056","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37526141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Key Lessons Learned in the Strategic Implementation of the Primary Care Collaborative Memory Clinic Model: A Tale of Two Regions. 初级保健协作记忆诊所模式战略实施的关键经验教训:两个区域的故事。
World health & population Pub Date : 2019-12-01 DOI: 10.12927/whp.2019.26057
Linda Lee, Loretta M Hillier, Kelly Lumley-Leger, Frank J Molnar, Kelly Kay, Denyse Netwon, Linda Stirling, Kelly Milne
{"title":"Key Lessons Learned in the Strategic Implementation of the Primary Care Collaborative Memory Clinic Model: A Tale of Two Regions.","authors":"Linda Lee,&nbsp;Loretta M Hillier,&nbsp;Kelly Lumley-Leger,&nbsp;Frank J Molnar,&nbsp;Kelly Kay,&nbsp;Denyse Netwon,&nbsp;Linda Stirling,&nbsp;Kelly Milne","doi":"10.12927/whp.2019.26057","DOIUrl":"https://doi.org/10.12927/whp.2019.26057","url":null,"abstract":"<p><p>Primary care collaborative memory clinics (PCCMCs) address existing challenges in dementia care by building capacity to meet the needs of persons living with dementia within primary care. This paper describes the strategic implementation of the PCCMC care model in two regions within Ontario. Evaluation of this initiative included the completion of individual interviews (N = 32) with key informants to identify impacts associated with the PCCMCs and tracking of all referrals and assessments completed in the first nine months of clinic implementation. The qualitative analysis of interview transcripts generated five major themes: (1) earlier identification of dementia and intervention; (2) increased capacity for dementia care within primary care; (3) better patient and caregiver experience with care; (4) improved continuity, integration and coordination and improved care; and (5) system efficiencies. Across both regions, 925 patients were referred to PCCMCs, of which 631 (68%) had been assessed during the evaluation period. Strategic, regional implementation of PCCMCs provides a significant opportunity to support better integrated and coordinated dementia care.</p>","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"18 1","pages":"68-81"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12927/whp.2019.26057","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37526140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Towards a Community-Based Dementia Care Strategy: How do We Get There from Here? 迈向以社区为基础的痴呆症护理策略:我们如何从这里到达那里?
World health & population Pub Date : 2019-12-01 DOI: 10.12927/whp.2019.26062
Frances Morton-Chang, A Paul Williams, Whitney Berta, Audrey Laporte
{"title":"Towards a Community-Based Dementia Care Strategy: How do We Get There from Here?","authors":"Frances Morton-Chang,&nbsp;A Paul Williams,&nbsp;Whitney Berta,&nbsp;Audrey Laporte","doi":"10.12927/whp.2019.26062","DOIUrl":"https://doi.org/10.12927/whp.2019.26062","url":null,"abstract":"<p><p>As recent policy reports in Ontario and elsewhere have emphasized, most older persons would prefer to age at home. This desire does not diminish for the growing numbers of persons living with dementia (PLWD). Nevertheless, many PLWD end up in residential long-term care (LTC) or in hospital beds. While LTC is valuable for PLWD with highly progressed cognitive and functional impairment requiring high-intensity care, it can be a costly and avoidable option for those who could remain at home if given early access to a coordinated mix of community-based supports. In this lead paper, we begin by exploring the \"state of the art\" in community-based care for PLWD, highlighting the importance of early and ongoing intervention. We then offer a brief history of dementia care policy in Ontario as an illustrative case study of the challenges faced by policy makers in all jurisdictions as they aim to re-direct healthcare systems focused on \"after-the-fact\" curative care towards \"before-the-fact\" prevention and maintenance in the community. Drawing on results from a \"balance of care\" study, which we conducted in South West Ontario, we examine how, in the absence of viable community-based care options, PLWD can quickly \"default\" to institutional care. In the final section, we draw from national and international experience to identify the following three key strategic pillars to guide action towards a community-based dementia care strategy: engage PLWD to the extent possible in decisions around their own care; acknowledge and support informal caregivers in their pivotal roles supporting PLWD and consequently the formal care; and enable \"ground-up\" change through policies and funding mechanisms designed to ensure early intervention across a continuum of care with the aim of maintaining PLWD and their caregivers as independently as possible, for as long as possible, \"closer to home.\"</p>","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"18 1","pages":"6-29"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12927/whp.2019.26062","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37526720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 15
Achieving the Goals of Dementia Plans: A Review of Evidence-Informed Implementation Strategies. 实现痴呆计划的目标:循证实施策略综述。
World health & population Pub Date : 2019-12-01 DOI: 10.12927/whp.2019.26060
Matthew Hacker Teper, Claire Godard-Sebillotte, Isabelle Vedel
{"title":"Achieving the Goals of Dementia Plans: A Review of Evidence-Informed Implementation Strategies.","authors":"Matthew Hacker Teper,&nbsp;Claire Godard-Sebillotte,&nbsp;Isabelle Vedel","doi":"10.12927/whp.2019.26060","DOIUrl":"https://doi.org/10.12927/whp.2019.26060","url":null,"abstract":"<p><p>A 2019 report by the Canadian Academy of Health Sciences identified the importance of evidence-informed implementation strategies in reforming dementia care. Such implementation strategies may be relevant to changing clinical practice in the wake of Canada's impending federal dementia plan (initiated by Bill C-233). As this federal dementia plan is elaborated, there may be value in looking ahead to some of the implementation challenges likely to be faced \"on the ground\" in healthcare settings. We thus conducted a rapid review of provincial and national dementia plans from high-income countries and reviewed studies on implementation strategies to dementia care. We advance seven key implementation strategies that may be useful for future dementia care reform.</p>","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"18 1","pages":"37-46"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12927/whp.2019.26060","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37526724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
Mending the Cracks: A Case Study in Using Technology to Assist with Transitional Care for Persons with Dementia. 修补裂缝:使用技术协助痴呆症患者过渡护理的案例研究。
World health & population Pub Date : 2019-12-01 DOI: 10.12927/whp.2019.26055
Kim Ritchie, Andra Duff-Woskosky, Sarah Kipping
{"title":"Mending the Cracks: A Case Study in Using Technology to Assist with Transitional Care for Persons with Dementia.","authors":"Kim Ritchie,&nbsp;Andra Duff-Woskosky,&nbsp;Sarah Kipping","doi":"10.12927/whp.2019.26055","DOIUrl":"https://doi.org/10.12927/whp.2019.26055","url":null,"abstract":"<p><p>Transitions between hospital and community are particularly challenging for vulnerable adults experiencing behavioural and psychological symptoms (BPSD) of dementia. Too often, miscommunication results in triggering a recurrence of disruptive behaviours leading to frustration of staff and families. As part of the implementation of Health Quality Ontario (HQO) Quality Standards, this project involved improving transitions using an electronic-based care plan on a 23-bed geriatric dementia unit in a mental health hospital. \"My Dementia Careplan,\" is an interprofessional care plan that was developed in the electronic medical record (EMR) to enhance communication of information between healthcare providers when patients are being discharged to the community. It is written from the patient's perspective in collaboration with the family and interprofessional team. It describes strategies to manage behavioural challenges along with the standardized tools to objectively monitor progress. This care planning will help to support transition of knowledge between hospital and community.</p>","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"18 1","pages":"90-97"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12927/whp.2019.26055","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37526142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
The Journey Towards Community-Based Dementia Care: The Destination, Roadmap, Guide, Tour Group and the Conditions. 社区痴呆症护理之旅:目的地、路线图、导游、旅行团和条件。
World health & population Pub Date : 2019-12-01 DOI: 10.12927/whp.2019.26061
Henk Nies
{"title":"The Journey Towards Community-Based Dementia Care: The Destination, Roadmap, Guide, Tour Group and the Conditions.","authors":"Henk Nies","doi":"10.12927/whp.2019.26061","DOIUrl":"https://doi.org/10.12927/whp.2019.26061","url":null,"abstract":"<p><p>In their paper, Morton-Chang et al. (2016) discuss how aging societies are struggling and trying to cope with the rapidly increasing numbers of persons living with dementia (PLWD). In that sense, the Canadian case is not unique. On the contrary, it is very similar to other developing countries. Therefore, it is worthwhile to reflect from another country's perspective on this unprecedented societal development. In this paper, I will consider the challenge of dealing with increasing numbers of PLWD from the European and, in particular, Dutch perspectives. Whereas, MortonChang et al. pose the question: \"How do we get there from here?\" I will address the issues of what the \"there\" should be and how we get there from my European/Dutch perspective. I will provide my view on how the roadmap can be drawn, who needs to be on the tour, who might be the guide and what conditions need to be in place to arrive at the desired destination.</p>","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"18 1","pages":"30-36"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12927/whp.2019.26061","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37526721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Mitigating Moral Distress in Dementia Care: Implications for Leaders in the Residential Care Sector. 减轻痴呆护理中的道德困扰:对住院护理部门领导者的影响。
World health & population Pub Date : 2019-12-01 DOI: 10.12927/whp.2019.26059
Shannon Spenceley, Sienna Caspar, Em Pijl
{"title":"Mitigating Moral Distress in Dementia Care: Implications for Leaders in the Residential Care Sector.","authors":"Shannon Spenceley,&nbsp;Sienna Caspar,&nbsp;Em Pijl","doi":"10.12927/whp.2019.26059","DOIUrl":"https://doi.org/10.12927/whp.2019.26059","url":null,"abstract":"<p><p>In 2012, the World Health Organization estimated that the number of people living with dementia worldwide was approximately 35.6 million; they projected a doubling of this number by 2030, and tripling by 2050. Although the majority of people living with a dementia live in the community, residential facility care by nursing providers is a common part of the dementia journey in most countries. Previously published research confirms that caring for people living with dementia in such facilities often creates moral distress for nursing care providers. In this paper, the authors share additional findings from a two-year, two-phase, mixed methods study of moral distress as experienced by nursing caregivers of residents with dementia in residential care settings in a Western Canadian province. The findings relate to strategies to reduce moral distress in this caregiving group, with a particular focus on the role of supportive and responsive leadership. Important implications for practice and for leadership in the residential care sector are presented.</p>","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"18 1","pages":"47-60"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12927/whp.2019.26059","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37526726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 10
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