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Related Concept Videos

Primary Healthcare Services01:30

Primary Healthcare Services

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Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
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Levels of Health Promotion and Illness Prevention01:26

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Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
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Preventive Healthcare Services01:30

Preventive Healthcare Services

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Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
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Principles of Disease Surveillance01:26

Principles of Disease Surveillance

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Disease surveillance is the systematic collection, analysis, and interpretation of health data essential to the planning, implementation, and evaluation of public health practice. This process integrates data dissemination to entities responsible for preventing and controlling disease, injury, and disability. Surveillance systems provide crucial information for action, helping public health authorities make informed decisions to manage and prevent outbreaks, ensure public safety, optimize...
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Healthcare Agencies II01:17

Healthcare Agencies II

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There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
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Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
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Determining Soil-transmitted Helminth Infection Status and Physical Fitness of School-aged Children
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Public Health.

Caroline S Casey1, Heather E Fitzke2, Ben S Rothwell1

  • 1Eli Lilly and Company, Basingstoke, Hampshire, United Kingdom.

Alzheimer'S & Dementia : the Journal of the Alzheimer'S Association
|December 23, 2025
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Summary
This summary is machine-generated.

Alzheimer's disease (AD) staging is poorly documented in UK primary care, with most patients lacking disease severity records. This hinders timely support and treatment for individuals with AD.

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Area of Science:

  • Neurology
  • Geriatrics
  • Public Health

Background:

  • Alzheimer's disease (AD) prevalence is rising globally, imposing significant burdens on patients, families, and healthcare systems.
  • Accurate diagnosis and staging of AD are crucial for providing appropriate patient support and timely treatment.
  • The real-world reporting of AD patient characteristics and disease staging accuracy remains unclear.

Purpose of the Study:

  • To evaluate the status of real-world reporting of Alzheimer's disease (AD) patient characteristics and disease staging.
  • To assess the accuracy of AD staging in reflecting clinical disease severity.
  • To identify gaps in AD staging within primary care settings.

Main Methods:

  • Retrospective cohort study utilizing electronic health records from the Discover NOW secure data environment.
  • Extracted characteristics and staging data for patients aged ≥40 years with cognitive impairment, mild cognitive impairment (MCI), or AD in North-West London (2015-2023).
  • Identified AD staging events using global deterioration scale, cognitive testing, diagnoses, or care plans indicative of disease severity.

Main Results:

  • The study included 12,232 patients with MCI or dementia due to AD; 62.2% were female, with a mean age of 79.9 years.
  • Most patients (67.4%) with unclassified AD received no staging events during the study period.
  • Fewer than 1 in 10 patients diagnosed with AD received a classified disease stage within 3 months of diagnosis.

Conclusions:

  • Significant lack of recorded staging events for Alzheimer's disease (AD) patients in current UK primary care practice.
  • Limited real-world data on AD staging and disease progression hinders effective patient management.
  • Urgent efforts are required to improve timely AD staging for better patient outcomes and support.