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Navigating the Continuum: System-Level Requirements for High-Quality Dementia Care Transitions
Elham Lotfalinezhad1, Shannon Freeman2, William Kearns3
1School of Health Sciences, University of Northern British Columbia, Prince George, BC, Canada.
Summary
The global rise in dementia cases strains healthcare systems. Improving integrated, person-centered care during transitions is crucial for better outcomes and sustainable health system responses.
Area of Science:
- Gerontology
- Healthcare Management
- Public Health
Background:
- Increasing global dementia prevalence poses significant challenges to healthcare systems, clinicians, and policymakers.
- Dementia care is complex, often requiring individuals to transition between various care settings as their needs change.
- Current healthcare models struggle with fragmented service delivery and lack of coordination, impacting care quality.
Purpose of the Study:
- To explore service quality and structural challenges within the dementia care pathway.
- To identify key barriers affecting transitions between different stages of dementia care.
- To propose strategies for strengthening integrated care frameworks for dementia.
Main Methods:
- This study adopts a perspective approach, analyzing existing literature and healthcare system structures.
- Focuses on identifying barriers to effective dementia care coordination and transitions.
- Examines the impact of structural challenges on care quality and health system costs.
Main Results:
- Key barriers identified include fragmented services, short-term funding, poor inter-agency coordination, and staffing issues.
- These challenges lead to diminished care standards and increased utilization of emergency and acute care services.
- Avoidable emergency department and acute care visits contribute to rising healthcare expenditures.
Conclusions:
- Strengthening integrated, person-centered, and transition-oriented care is essential for improving dementia patient outcomes.
- Addressing structural challenges like fragmented care and staffing is critical for sustainable healthcare responses.
- Enhanced coordination across care settings is vital to manage the growing global burden of dementia.
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