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Geneviève Arsenault-Lapierre, Claire Godard-Sebillotte, Nadia Sourial

    Sante Publique (Vandoeuvre-Les-Nancy, France)
    |January 29, 2021
    PubMed
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    The Quebec Alzheimer Plan integrates dementia care into primary healthcare settings, empowering interprofessional teams to manage patient and caregiver needs effectively. This approach demonstrates the feasibility and advantages of primary care-led dementia services.

    Area of Science:

    • Gerontology
    • Public Health Policy
    • Primary Care Medicine

    Background:

    • Globally, Alzheimer Plans vary, with some focusing on specialized care and others on primary care.
    • The World Health Organization encourages national Alzheimer Plans to address dementia care needs.
    • Implementing dementia care within existing healthcare structures is a key challenge.

    Purpose of the Study:

    • To present the Quebec Alzheimer Plan, focusing on its implementation in primary care settings.
    • To highlight the model's aim of providing personalized, coordinated dementia assessment and treatment.
    • To discuss the feasibility and advantages of integrating dementia care into interprofessional primary care.

    Main Methods:

    • The Quebec Alzheimer Plan is being implemented in Family Medicine Groups (FMGs), which are primary care interdisciplinary clinics.

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  • The plan empowers primary care clinicians (physicians, nurses, social workers) to manage dementia care.
  • Embedded evaluation and flexibility for local adaptations are core components of the strategy.

    • Main Results:

    • Primary healthcare teams are enabled to detect, diagnose, treat, and follow up on the majority of dementia patients and their caregivers.
    • The Quebec Alzheimer Plan facilitates personalized and coordinated care within the primary care setting.
    • The strategy's strength lies in its embedded evaluation and adaptability.

    Conclusions:

    • Anchoring dementia care within interprofessional primary care settings is feasible and advantageous.
    • The Quebec Alzheimer Plan model supports comprehensive dementia management by primary care teams.
    • This approach enhances access to coordinated and personalized dementia services for patients and caregivers.