認知症の医療制度における認知症患者,介護者,介護従事者のニーズと満たされていないニーズ:体系的なレビュー
Michele Sorrentino1,2, Michelangelo Mercogliano1, Claudio Fiorilla1
1Department of Public Health, University "Federico II" of Naples, Naples, Italy.
Frontiers in public health
|September 5, 2025
まとめ
この見直しでは,欧州の認知症のケアにおいて満たされていない重大なニーズを強調し,よりよい心理社会的支援,介護者教育,統合医療制度の必要性を強調しています. 認知症患者の生活の質を向上させるには これらのギャップを埋めることが不可欠です
科学分野:
- ゲロントロジーと公衆衛生
- 医療システム分析
- 神経科学と社会福祉
背景:
- 認知症の罹患率と費用の上昇により 治療戦略の改善が求められています
- 現在の認知症の治療は非公式の介護者に大きく依存し,分散した医療システムの中で課題に直面しています.
- 既存のシステムは 認知症患者の複雑なニーズに 適切に対応できないことが多いのです
研究 の 目的:
- 欧州の認知症ケアにおける満たされていないニーズと障壁を体系的に特定する.
- 認知症ケア戦略と政策の強化のための枠組みを提供すること.
- 認知症患者とその家族に対する医療の改善を図る
主な方法:
- PRISMAのガイドラインに従った体系的な文献レビュー.
- 主要なデータベース (Embase,PsycINFO,HTA,Web of Science) から2013年から2023年の間に出版された論文のスクリーニング.
- ミックスメソッド評価ツールを用いて研究の質の評価
主要な成果:
- 認知症患者,介護者,医療従事者にとって 未解決の重要なニーズと障壁を特定しました.
- 心理社会的支援,介護者教育,医療従事者訓練の重要性を強調した.
- 医療へのアクセスの断片化,文化的な無感性,高いコスト,地理的な不平等が 重要な障壁であることが明らかになりました.
結論:
- 認知症に関する教育や コミュニティからの支援や 意識を向上させるための公共政策が 緊急に必要とされています
- 文化に敏感なケアアプローチを重視し,汚名を軽減し,インクルーシビリティを促進します.
- 統合され,アクセシブルで,サポート的な認知症ケアフレームワークを呼びかけ,生活の質を向上させる.
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