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Twenty‐year trends in patient referrals throughout the creation and development of a regional memory clinic network

INTRODUCTION: Memory clinics (MCs) are the main model for dementia diagnosis and care. Following the development of a MC network in Northern France, our objectives were to assess its impact on patient characteristics over 20 years. METHODS: The characteristics of new consultants were studied from 19...

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Autores principales: Chen, Yaohua, Lebouvier, Thibaud, Skrobala, Emilie, Volpe‐Gillot, Lisette, Huvent‐Grelle, Dominique, Jourdan, Nathalie, Leroy, Mélanie, Richard, Florence, Pasquier, Florence
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7449245/
https://www.ncbi.nlm.nih.gov/pubmed/32875059
http://dx.doi.org/10.1002/trc2.12048
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author Chen, Yaohua
Lebouvier, Thibaud
Skrobala, Emilie
Volpe‐Gillot, Lisette
Huvent‐Grelle, Dominique
Jourdan, Nathalie
Leroy, Mélanie
Richard, Florence
Pasquier, Florence
author_facet Chen, Yaohua
Lebouvier, Thibaud
Skrobala, Emilie
Volpe‐Gillot, Lisette
Huvent‐Grelle, Dominique
Jourdan, Nathalie
Leroy, Mélanie
Richard, Florence
Pasquier, Florence
author_sort Chen, Yaohua
collection PubMed
description INTRODUCTION: Memory clinics (MCs) are the main model for dementia diagnosis and care. Following the development of a MC network in Northern France, our objectives were to assess its impact on patient characteristics over 20 years. METHODS: The characteristics of new consultants were studied from 1997 to 2016. RESULTS: New consultants increased from 774 per year in 1997 to 26258 per year in 2016, as the number of MCs increased from 12 to 29. Over time, patients were progressively older and less educated, and more were living alone. A greater proportion of patients were referred by specialists. Referral delay and home‐to‐MC distance kept decreasing. The oldest patients were referred at a progressively less‐severe stage. The proportion of young patients kept increasing in the tertiary referral center. DISCUSSIONS: The development of a region‐wide MC network led to increased referral of vulnerable patients and differentiation of the tertiary referral center over time.
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spelling pubmed-74492452020-08-31 Twenty‐year trends in patient referrals throughout the creation and development of a regional memory clinic network Chen, Yaohua Lebouvier, Thibaud Skrobala, Emilie Volpe‐Gillot, Lisette Huvent‐Grelle, Dominique Jourdan, Nathalie Leroy, Mélanie Richard, Florence Pasquier, Florence Alzheimers Dement (N Y) Research Articles INTRODUCTION: Memory clinics (MCs) are the main model for dementia diagnosis and care. Following the development of a MC network in Northern France, our objectives were to assess its impact on patient characteristics over 20 years. METHODS: The characteristics of new consultants were studied from 1997 to 2016. RESULTS: New consultants increased from 774 per year in 1997 to 26258 per year in 2016, as the number of MCs increased from 12 to 29. Over time, patients were progressively older and less educated, and more were living alone. A greater proportion of patients were referred by specialists. Referral delay and home‐to‐MC distance kept decreasing. The oldest patients were referred at a progressively less‐severe stage. The proportion of young patients kept increasing in the tertiary referral center. DISCUSSIONS: The development of a region‐wide MC network led to increased referral of vulnerable patients and differentiation of the tertiary referral center over time. John Wiley and Sons Inc. 2020-08-26 /pmc/articles/PMC7449245/ /pubmed/32875059 http://dx.doi.org/10.1002/trc2.12048 Text en © 2020 The Authors. Alzheimer's & Dementia: Translational Research & Clinical Interventions published by Wiley Periodicals, Inc. on behalf of Alzheimer's Association. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Research Articles
Chen, Yaohua
Lebouvier, Thibaud
Skrobala, Emilie
Volpe‐Gillot, Lisette
Huvent‐Grelle, Dominique
Jourdan, Nathalie
Leroy, Mélanie
Richard, Florence
Pasquier, Florence
Twenty‐year trends in patient referrals throughout the creation and development of a regional memory clinic network
title Twenty‐year trends in patient referrals throughout the creation and development of a regional memory clinic network
title_full Twenty‐year trends in patient referrals throughout the creation and development of a regional memory clinic network
title_fullStr Twenty‐year trends in patient referrals throughout the creation and development of a regional memory clinic network
title_full_unstemmed Twenty‐year trends in patient referrals throughout the creation and development of a regional memory clinic network
title_short Twenty‐year trends in patient referrals throughout the creation and development of a regional memory clinic network
title_sort twenty‐year trends in patient referrals throughout the creation and development of a regional memory clinic network
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7449245/
https://www.ncbi.nlm.nih.gov/pubmed/32875059
http://dx.doi.org/10.1002/trc2.12048
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