Enhancing dementia care: A primary care-based memory clinic

Journal of the American Geriatrics Society

Volumn 58, Issue 11, 2010, Pages 2197-2204

  Lee, Linda ^a,b   Hillier, Loretta M ^c,d   Stolee, Paul ^e   Heckman, George ^f,g   Gagnon, Micheline ^h   McAiney, Carrie A ^d,i   Harvey, David ^j  

^a Centre for Family Medicine Ontario   (Canada)

^b Faculty of Health Sciences   (United Kingdom)

^c Division of Geriatric Medicine   (United Kingdom)

^d Department of Medicine ^*  (Canada)

^e MCMASTER UNIVERSITY   (Canada)

^f Specialized Geriatric Services   (Germany)

^g ST JOSEPH S HEALTH CENTRE   (Canada)

^h LAWSON HEALTH RESEARCH INSTITUTE   (Canada)

ⁱ UNIVERSITY OF WATERLOO   (Canada)

^j Alzheimer Society of Canada   (Canada)

more..

Author keywords

capacity building; cognitive impairment; dementia; memory clinics; primary care

Indexed keywords

CHOLINESTERASE INHIBITOR; DONEPEZIL; GALANTAMINE; RIVASTIGMINE;

ADULT; AGED; CANADA; CAR DRIVING; CAREGIVER; COMMUNITY CARE; CONSULTATION; DEMENTIA; DIFFUSE LEWY BODY DISEASE; DRUG DOSE INCREASE; DRUG DOSE REDUCTION; DRUG WITHDRAWAL; ELECTRONIC MEDICAL RECORD; FEMALE; FOLLOW UP; FRONTOTEMPORAL DEMENTIA; HEALTH CARE ACCESS; HEALTH CARE QUALITY; HEALTH CENTER; HOME SAFETY; HUMAN; LONG TERM CARE; MAJOR CLINICAL STUDY; MALE; MEDICAL AUDIT; MEDICAL SPECIALIST; MILD COGNITIVE IMPAIRMENT; PATIENT ASSESSMENT; PATIENT MONITORING; PATIENT REFERRAL; PATIENT SATISFACTION; PHYSICIAN; PRACTICE GUIDELINE; PRIMARY MEDICAL CARE; REVIEW;

ADULT; AGED; AGED, 80 AND OVER; AMBULATORY CARE FACILITIES; DEMENTIA; FEMALE; HUMANS; JOB SATISFACTION; MALE; MEMORY DISORDERS; MIDDLE AGED; PATIENT SATISFACTION; PRIMARY HEALTH CARE;

EID: 78449310743     PISSN: 00028614     EISSN: 15325415     Source Type: Journal    
DOI: 10.1111/j.1532-5415.2010.03130.x     Document Type: Review

References (35)

1. Iliffe S, Manthorpe J., Dementia in the community: Challenges for primary care development. Rev Clin Gerontol 2002; 12: 243-252.
2. Feldman HH, Jacova C, Robillard A, et al,. Diagnosis and treatment of dementia: 2. Diagnosis. Can Med Assoc J 2008; 178: 825-836.
3. Callahan CM, Hendrie HC, Tierney WM., Documentation and evaluation of cognitive impairment in elderly primary care patients. Ann Intern Med 1995; 122: 422-429.
4. Sternberg SA, Wolfson C, Baumgarten M., Undetected dementia in community-dwelling older people: The Canadian Study of Health and Aging. J Am Geriatr Soc 2000; 48: 1430-1434.
5. Steele C, Rovner B, Chase GA, et al,. Psychiatric symptoms and nursing home placement of patients with Alzheimer's disease. Am J Psychiatr 1990; 147: 1049-1051.
6. Barrett JJ, Haley WE, Harrell LE, et al,. Knowledge about Alzheimer disease among primary care physicians, psychologists, nurses, and social workers. Alzheimer Dis Assoc Disord 1997; 11: 99-106.
7. Chodosh J, Petitti DB, Elliott M, et al,. Physician recognition of cognitive impairment: Evaluating the need for improvement. J Am Geriatr Soc 2004; 52: 1051-1059.
8. Woods RT, Moniz-Cook E, Iliffe S, et al,. Dementia: Issues in early recognition and intervention in primary care. J Royal Soc Med 2003; 96: 320-324.
9. Hinton L, Franz CE, Reddy G, et al,. Practice constraints, behavioral problems and dementia care: Primary care physicians' perspectives. J Gen Intern Med 2007; 22: 1487-1492.
10. Turner S, Iliffe S, Downs M, et al,. General practitioners' knowledge, confidence and attitudes in the diagnosis and management of dementia. Age Ageing 2004; 33: 467.
11. Harris DP, Chodosh J, Vassar SD, et al,. Primary care providers' views of challenges and rewards of dementia care relative to other conditions. J Am Geriatr Soc 2009; 57: 2209-2216.
12. Brodaty H, Gresham M, Luscombe G., The Prince Henry dementia caregiver's training programme. Int J Geriatr Psychiatr 1997; 12: 183-192.
13. Morgan DG, Crossley M, Kirk A, et al,. Improving access to dementia care: Development and evaluation of a rural and remote memory clinic. Aging Ment Health 2009; 13: 17-30.
14. Van der Cammen TJ, Simpson JM, Fraser RM, et al,. The memory clinic: A new approach to the detection of dementia. Br J Psychiatr 1987; 150: 359-364.
15. Luce A, McKeith I, Swann A, et al,. How do memory clinics compare with traditional old age psychiatry services? Int J Geriatr Psychiatr 2001; 16: 837-845.
16. Jolley D, Benbow SM, Grizzell M., Memory clinics. Postgrad Med J 2006; 82: 199-206.
17. Logiudice D, Wlatrowicz W, Brown K, et al,. Do memory clinics improve quality life of carers? A randomized pilot trial. Int J Geriatr Psychiatr 1999; 14: 626-632.
18. Hogan B., Human resources training and geriatrics. Geriatr Today: J Can Geriatr Soc 2001; 4: 7-10.
19. Greening L, Greaves I, Greaves N, et al,. Positive thinking on dementia in primary care: Gnosall Memory Clinic. Com Pract 2009; 52: 20-23.
20. Rosser WW, Colwill JM, Kasperi J, et al,. Patient-centered medical homes in Ontario. N Eng J Med 2010; 362: e7.
21. Statistics Canada. Population and dwelling counts, for census metropolitan areas, 2006 and 2001 censuses [on-line]. Available at Accessed February 12, 2009.
22. Patterson CJ, Gauthier S, Bergman H, et al,. The recognition, assessment and management of dementing disorders: Conclusions from the Canadian Consensus Conference on Dementia. Can Med Assoc J 1999; 160 (Suppl 2): S1-S15.
23. Chow T, Structural neuroimaging in the diagnosis of dementia. Alzheimers Dement 2007; 3: 333-335.
24. Guerriero Austrom M, Damush TM, Hartwell CW, et al,. Development and implementation of nonpharmacologic protocols for the management of patients with Alzheimer's disease and their families in a multiracial primary care setting. Geronotology 2004; 44: 548-553.
25. Pratt R, Clare L, Kirchner V., "It's like a revolving door syndrome": Professional perspectives on models of access to services for people with early-stage dementia. Aging Ment Health 2006; 10: 55-62.
26. Venohr I, Fine R, Saunders V, et al,. Improving dementia care through community linkages: A multi-site demonstration project. Home Health Care Serv Q 2001; 19: 51-63.
27. Chertkow H., Introduction: The Third Canadian Consensus Conference on the Diagnosis and Treatment of Dementia, 2006. Alzheimers Dement 2007; 3: 262-265.
28. Rockwell SK, Kohn H., Post-then pre evaluation. J Extension 1989; 27: 1-7.
29. Wenghofer E, Klass D, Abrahamowicz M, et al,. Doctor scores on national qualifying examinations predict quality of care in future practice. Med Educ 2009; 43: 1166-1173.
30. Wenghofer E, Williams AP, Faulkner D, et al,. Physician-patient encounter: The structure of performance in family and general office practice. J Contin Ed Health Prof 2006; 26: 285-293.
31. Jellinger KA, The enigma of mixed dementia. Alzheimers Dement 2007; 3: 40-53.
32. Robillard A, Clinical diagnosis of dementia. Alzheimers Dement 2007; 3: 261-452.
33. Summerton N., The medicine of primary care. Br J Gen Pract 1999; 49: 604-605.
34. Werner P, Goldstein D, Heinik J., The process and organizational characteristics of memory clinics in Israel in 2007. Arch Gerontol Geriatr 2009; 49: 115-120.
35. Scott I., Chronic disease management: A primer for physicians. Int Med J 2008; 38: 427-437.