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Alzheimers Dement ; 14(1): 104-114, 2018 01.
Artículo en Inglés | MEDLINE | ID: mdl-29161539

RESUMEN

INTRODUCTION: A national consensus panel was convened to develop recommendations on future directions for home-based dementia care (HBDC). METHODS: The panel summarized advantages and challenges of shifting to HBDC as the nexus of care and developed consensus-based recommendations. RESULTS: The panel developed five core recommendations: (1) HBDC should be considered the nexus of new dementia models, from diagnosis to end of life in dementia; (2) new payment models are needed to support HBDC and reward integration of care; (3) a diverse new workforce that spans the care continuum should be prepared urgently; (4) new technologies to promote communication, monitoring/safety, and symptoms management must be tested, integrated, and deployed; and (5) targeted dissemination efforts for HBDC must be employed. DISCUSSION: HBDC represents a promising paradigm shift to improve care for those living with dementia and their family caregivers: these recommendations provide a framework to chart a course forward for HBDC.


Asunto(s)
Consenso , Costo de Enfermedad , Demencia/enfermería , Demencia/psicología , Servicios de Atención de Salud a Domicilio , Cuidadores/psicología , Cuidadores/estadística & datos numéricos , Análisis Costo-Beneficio/métodos , Análisis Costo-Beneficio/estadística & datos numéricos , Demencia/diagnóstico , Humanos
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