期刊
JOURNAL OF GERIATRIC PSYCHIATRY AND NEUROLOGY
卷 35, 期 4, 页码 601-612出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/08919887211044752
关键词
memory clinic; memory evaluation; memory care; Alzheimer's disease; dementia; cognitive
The study found that memory clinics in Minnesota have differences in financial issues, staffing, and appointment logistics, but they all emphasize patient-centered care and align with national memory care recommendations. Common challenges such as maintaining financial stability and clinic efficiency have a significant impact on clinic functioning and survival.
Objectives: We explored memory clinic care provision in Minnesota, examining diversity and similarities of services provided and challenges faced. We also considered how well their services and care philosophies aligned with national dementia care practice recommendations. Methods: We created a 53-question interview guide and interviewed 11 memory clinics across Minnesota in late 2019. Interview transcripts were analyzed using Braun and Clarke's thematic analyses in NVivo 12. Results: We identified 6 themes regarding financial issues, staffing, appointment logistics, care provision during and after the memory evaluation as well as features of an ideal clinic. Conclusions: Memory evaluation and care provision were very different across clinics, primarily due to team make-up, particularly team size and specialty. However, memory care providers shared a passion for providing patient-centered memory care, emphasizing family and patient education and partnership. Their care was largely aligned with national memory care recommendations. Common challenges, including maintaining financial stability and clinic efficiency, exerted significant influence on clinic functioning and survival.
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