Collaborative Approaches to Team-Based Primary Health Care for Individuals with Dementia in Rural/Remote Settings
Open accessAbstract
RÉSUMÉ: L’application d’approches d’équipes en soins de santé de première ligne (SPL) pour le diagnostic et le traitement de la démence est considérée comme une pratique exemplaire. Malheureusement, il arrive fréquemment que les personnes vivant dans les régions rurales et éloignées aient peu d’accès à des services de SPL spécialisés pour la démence. Le but de cet examen de la portée était d’identifier et de comprendre les approches d’équipes en SPL pour les soins en milieu rural visant les cas de démence. La stratégie de recherche utilisée a uniquement inclus des articles de revues à comité de lecture publiés entre 1997 et 2017. Quatre bases de données (Embase, Medline PsycInfo et CINAHL) ont été consultées de mars 2017 à mai 2017. Les dix études retenues montraient des degrés de collaboration et des interactions variables dans les équipes de soins. Peu d’informations étaient rapportées sur les stratégies de collaboration de ces équipes. Une adaptation du modèle socioécologique a été utilisée pour catégoriser les facteurs clés influençant les approches collaboratives. Ces résultats rassemblés pourraient être utilisés pour guider la recherche future et l’élaboration d’un modèle de soins de santé de première ligne pour la démence dans les milieux ruraux.
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Primary healthcare plays a critical role in rural dementia care due to lack of specialists and the importance of care coordination post-diagnosis.
“Primary healthcare plays a critical role in rural dementia care due to lack of specialists and the importance of care coordination post-diagnosis [24, 25], thus effective models of primary healthcare for dementia in rural settings are needed [26], along with strategies for translating these into practice and ensuring sustainability.”
From Factors influencing sustainability and scale-up of rural primary healthcare memory clinics: perspectives of clinic team members (2022) · cites this paper as [26]
At the team level, a committed team champion to galvanize interest and take on a leadership role was critical to both sustaining and scaling.
“At the team level, a committed team champion to galvanize interest and take on a leadership role was critical to both sustaining and scaling, a finding reported by others [26, 41, 42].”
From Factors influencing sustainability and scale-up of rural primary healthcare memory clinics: perspectives of clinic team members (2022) · cites this paper as [26]
Interprofessional primary care teams that allocate more time for planning and discussion are better able to tailor implementation and adapt to a changing context, resolve issues, and improve collaboration.
“Studies of factors affecting interprofessional primary care team function, including in rural areas, found that teams allocating more time for planning and discussion were better able to tailor the implementation and adapt to a changing context [49], resolve issues [48], and improve collaboration [26].”
From Factors influencing sustainability and scale-up of rural primary healthcare memory clinics: perspectives of clinic team members (2022) · cites this paper as [26]
Development of strategies for regular communication among team members is necessary for collaborative team-based primary healthcare for dementia in rural settings.
“A review of approaches to team-based primary healthcare for dementia in rural settings [26] found that development of strategies for regular communication among team members was necessary for collaborative care.”
From Factors influencing sustainability and scale-up of rural primary healthcare memory clinics: perspectives of clinic team members (2022) · cites this paper as [26]
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Self-citationde Zwart, L., Bischoff, E. W. M. A., van den Bemt, L., Perry, M., van den Borst, B., Man, M. D., Heuvel, M. V. D., Spruit, M. A., & Hul, A. J. V. ‘. (2025) · International Journal of Integrated Care · doi:10.5334/ijic.8991
- Authors
- Chow, A. F., Morgan, D., Bayly, M., Kosteniuk, J., & Elliot, V.
- Affiliations
- University of Saskatchewan (CA)
- Corresponding author
- Chow, Amanda Froehlich
- Venue
- Canadian Journal on Aging / La Revue canadienne du vieillissement
- Publisher
- Cambridge University Press (CUP)
- Published
- 2019-03-08
- Volume
- 38
- Issue
- 03
- Pages
- 367-383
- ISSN
- 0714-9808 (ISSN-L)
- 1710-1107
- OpenAlex
- W2921900614
- Cited by
- 17
- References
- 41
- Citations by year
- 2025: 2 · 2024: 5 · 2023: 3 · 2022: 6 · 2019: 1
- FWCI
- 0.32
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Canadian Journal on Aging / La Revue canadienne du vieillissement (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Project Muse (Johns Hopkins University) (submittedVersion)
- Funders
- Consortium canadien en neurodégénérescence associée au vieillissement
- Saskatchewan Health Research Foundation
- Canadian Institutes of Health Research
- Topics
- Health Sciences › Health Professions › General Health Professions › Interprofessional Education and Collaboration
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Healthcare Systems and Technology
- Keywords
- dementia care, primary health care teams, rural health care, remote areas, interprofessional collaboration, team-based care, socio-ecological model, models of care
- MeSH terms
- Aged, Cooperative Behavior, Dementia, Health Services Accessibility, Humans, Patient Care Team, Primary Health Care, Rural Population, Rural Health Services
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