TY - JOUR
T1 - Improving access to dementia care
T2 - Development and evaluation of a rural and remote memory clinic
AU - Morgan, Debra G.
AU - Crossley, Margaret
AU - Kirk, Andrew
AU - D'Arcy, Carl
AU - Stewart, Norma
AU - Biem, Jay
AU - Forbes, Dorothy
AU - Harder, Sheri
AU - Basran, Jenny
AU - Dal Bello-Haas, Vanina
AU - McBain, Lesley
N1 - Funding Information:
The current paper reports on a study involving the development and evaluation of a new Rural and Remote Memory Clinic that incorporates telehealth videoconferencing with a one-stop interdisciplinary assessment in a tertiary care centre. This research is part of a larger 5-year research program Strategies to Improve the Care of Persons with Dementia in Rural and Remote Areas underway in the Canadian province of Saskatchewan (Morgan et al., 2005). The research was funded under the New Emerging Team initiative of the Canadian Institutes of Health Research (CIHR), which was designed to support teams of investigators conducting collaborative multidisciplinary research. The objectives of the memory clinic program are to increase the availability and accessibility of dementia care in rural and remote areas, to determine the acceptability of a one-stop clinic and of telehealth vs. regular follow-up, and to develop culturally appropriate assessment protocols for assessment of dementia in aboriginal older adults.
PY - 2009/1
Y1 - 2009/1
N2 - The availability, accessibility and acceptability of services are critical factors in rural health service delivery. In Canada, the aging population and the consequent increase in prevalence of dementia challenge the ability of many rural communities to provide specialized dementia care. This paper describes the development, operation and evaluation of an interdisciplinary memory clinic designed to improve access to diagnosis and management of early stage dementia for older persons living in rural and remote areas in the Canadian province of Saskatchewan. We describe the clinic structure, processes and clinical assessment, as well as the evaluation research design and instruments. Finally, we report the demographic characteristics and geographic distribution of individuals referred during the first three years.
AB - The availability, accessibility and acceptability of services are critical factors in rural health service delivery. In Canada, the aging population and the consequent increase in prevalence of dementia challenge the ability of many rural communities to provide specialized dementia care. This paper describes the development, operation and evaluation of an interdisciplinary memory clinic designed to improve access to diagnosis and management of early stage dementia for older persons living in rural and remote areas in the Canadian province of Saskatchewan. We describe the clinic structure, processes and clinical assessment, as well as the evaluation research design and instruments. Finally, we report the demographic characteristics and geographic distribution of individuals referred during the first three years.
KW - Alzheimer's disease
KW - Evaluation/effectiveness
KW - Rural
KW - Screening and diagnosis
KW - Service provision
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U2 - 10.1080/13607860802154432
DO - 10.1080/13607860802154432
M3 - Review article
C2 - 19197686
SN - 1360-7863
VL - 13
SP - 17
EP - 30
JO - Aging and Mental Health
JF - Aging and Mental Health
IS - 1
ER -