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Dementia Evaluation, Management, and Outreach.

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  • 1is codirector of the GRECC assessment clinic and a geriatric physician; is a geriatric physician; is a geriatric psychiatrist; is a mental/behavioral health psychologist; is a mental/behavioral health psychologist; is a geriatric nurse practitioner; and is a neuropsychometrist; all at the VA Maryland Health Care System in Baltimore. is a professor of pharmacy practice and science at the University of Maryland Baltimore County. is a professor in the Public Health Sciences Department at the University of Rochester School of Medicine in New York. is an assistant professor at the University of Maryland Baltimore School of Pharmacy.

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|February 16, 2019
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Summary
This summary is machine-generated.

The Dementia Evaluation, Management, and Outreach (DEMO) program enhances healthcare access and patient satisfaction for rural individuals experiencing cognitive deficits. This initiative addresses critical needs in underserved areas.

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Area of Science:

  • Gerontology
  • Rural Health
  • Neurology

Background:

  • Cognitive deficits, such as dementia, disproportionately affect rural populations.
  • Limited access to specialized healthcare services in rural areas exacerbates challenges for patients with cognitive impairments.
  • The Dementia Evaluation, Management, and Outreach (DEMO) program was developed to address these disparities.

Purpose of the Study:

  • To evaluate the impact of the DEMO program on healthcare access for rural patients with cognitive deficits.
  • To assess patient satisfaction with the services provided by the DEMO program.
  • To identify key components of the DEMO program that contribute to improved outcomes.

Main Methods:

  • The study involved a cohort of rural patients diagnosed with cognitive deficits.
  • Data collection included measures of healthcare access, patient-reported satisfaction, and program utilization.
  • Statistical analyses were performed to compare outcomes before and after program implementation.

Main Results:

  • The DEMO program significantly improved access to dementia evaluation and management services for rural patients.
  • Patient satisfaction levels were markedly higher among participants in the DEMO program compared to standard care.
  • Key program elements contributing to success included telehealth integration and community outreach.

Conclusions:

  • The DEMO program is an effective model for improving dementia care in rural settings.
  • Addressing access and satisfaction is crucial for optimizing outcomes in underserved populations.
  • The program's success highlights the potential of targeted interventions for rural health challenges.