Facilitators and Barriers to Dementia Assessment and Diagnosis : Perspectives From Dementia Experts Within a Global Health Context
Bernstein Sideman, Alissa (University of California)
Al-Rousan, Tala (University of California)
Tsoy, Elena (University of California)
Piña Escudero, Stefanie D. (University of California)
Pintado-Caipa, Maritza (Peruvian Institute of Neurosciences)
Kanjanapong, Suchanan (Mahidol University)
Mbakile-Mahlanza, Lingani (University of Botswana)
Okada de Oliveira, Maira (Hospital Santa Marcelina (Brasil))
De La Cruz Puebla, Myriam (Universitat Autònoma de Barcelona. Institut de Neurociències)
Zygouris, Stelios (Centre for Research & Technology Hellas)
Ashour Mohamed, Aya (Ain Shams University (El Caire, Egipte))
Ibrahim, Hany (Ain Shams University Hospital)
Goode, Collette A. (University of California)
Miller, Bruce L. (University of California)
Valcour, Victor (University of California)
Possin, Katherine L. (University of California)

Date:	2022
Abstract:	Dementia poses one of the greatest global health challenges, affecting 50 million people worldwide. With 10 million new cases each year, dementia is a growing burden, particularly in low- and middle-income countries (LMIC). This study aimed to identify the facilitators and barriers to providing quality dementia assessment and care in LMICs from a global health perspective. A qualitative semi-structured interview study with 20 dementia expert healthcare providers from 19 countries. To be included, providers had to: practice dementia assessment or care in LMICs where the population over age 60 is projected to more than double by 2050 and be recognized as a leading dementia expert in the region based on position, research publications, and/or policy leadership. Interviews were analyzed by a multidisciplinary team of researchers using thematic analysis. Barriers to dementia assessment and care included stigma about dementia, poor patient engagement in and access to healthcare, inadequate linguistic and cultural validation, limited dementia capable workforce, competing healthcare system priorities, and insufficient health financing. Facilitators included the rise in dementia awareness campaigns, dementia training for general practitioners, availability of family support and family caregivers, and national and international collaborations including coordinated policy efforts and involvement in international research initiatives. Findings from this study provide insights for prioritizing dementia assessment and care capacity-building in LMICs as a global health priority and for tailored public health approaches to strengthen dementia assessment and care at the individual, community, national, and multi-national levels.
Note:	Altres ajuts: National Institute on Aging ; National Heart, Lung, and Blood Institute
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Dementia ; Global health ; Dementia experts ; Qualitative study ; Cognitive assessment
Published in:	Frontiers in neurology, Vol. 13 (march 2022) , ISSN 1664-2295

DOI: 10.3389/fneur.2022.769360
PMID: 35418934

12 p, 1.2 MB

The record appears in these collections:
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Neurociències (INc)
Articles > Research articles
Articles > Published articles