Transition of patients with recently diagnosed Dementia from inpatient to outpatient setting

  • \(\bf Introduction\) After being diagnosed with dementia, patients need a medical professional to empathetically address their fears and get initial questions answered. This scoping review therefore addresses how patients newly diagnosed with dementia are cared for in the general practitioner (GP) setting and how the communication between different healthcare professionals and the GP is handled. \(\bf Methods\) The scoping review was conducted based on the PRISMA Extension for Scoping Reviews checklist. After developing a search algorithm, literature searches were performed in PubMed, Scopus, Web of Science, Cochrane Library, PsychInfo, GeroLit and Cinahl using defined search criteria, such as a focus on qualitative study designs. After the removal of duplicates, title/abstract and full text screening was carried out. \(\bf Results\) Final data extraction included 10 articles out of 12,633 records. Strategies regarding the post-acute care of newly diagnosed patients included providing clarity and comfort to the patients and giving support and information both pre- and post-diagnosis. Care efforts were focused on advanced care planning and deprescribing. Involving people with dementia and their caregivers in further care was seen as crucial to provide them with the support needed. GPs emphasised the importance of listening to concerns, as well as ensuring wishes are respected, and autonomy is maintained. All studies found communication between the GP setting and other healthcare professionals regarding post-acute care to be inadequate. Lack of information sharing, clinical notes and recommendations for the GP setting resulted in inefficient provision of support, as GPs feel limited in their ability to act. \(\bf Discussion\) Sharing necessary information with the GP setting could promote patient-centred care for people living with dementia and facilitate appropriate and timely resource allocation and effective healthcare collaboration between the settings, for example, by defining clear care pathways and clarifying roles and expectations.

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Author:Flora-Marie HegerathGND, Chantal GiehlGND, Michael PentzekGND, Horst Christian VollmarORCiDGND, Ina OtteORCiDGND
Parent Title (English):BMC geriatrics
Subtitle (English):a scoping review
Publisher:BioMed Central
Place of publication:London
Document Type:Article
Date of Publication (online):2024/02/29
Date of first Publication:2024/01/08
Publishing Institution:Ruhr-Universität Bochum, Universitätsbibliothek
Tag:Alzheimer's disease; Communication; Dementia; Discharge management; Germany; Health services research; Hospital; Primary care; Scoping review
Issue:Article 37
First Page:37-1
Last Page:37-12
Dieser Beitrag ist auf Grund des DEAL-Springer-Vertrages frei zugänglich.
Institutes/Facilities:Medizinische Fakultät, Abteilung für Allgemeinmedizin
Dewey Decimal Classification:Technik, Medizin, angewandte Wissenschaften / Medizin, Gesundheit
open_access (DINI-Set):open_access
faculties:Medizinische Fakultät
Licence (English):License LogoCreative Commons - CC BY 4.0 - Attribution 4.0 International