Twenty‐year trends in patient referrals throughout the creation and development of a regional memory clinic network
Abstract 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...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Alzheimer’s & Dementia: Translational Research & Clinical Interventions |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/trc2.12048 |
| _version_ | 1819290589783392256 |
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| author | Yaohua Chen Thibaud Lebouvier Emilie Skrobala Lisette Volpe‐Gillot Dominique Huvent‐Grelle Nathalie Jourdan Mélanie Leroy Florence Richard Florence Pasquier and the Meotis network |
| author_facet | Yaohua Chen Thibaud Lebouvier Emilie Skrobala Lisette Volpe‐Gillot Dominique Huvent‐Grelle Nathalie Jourdan Mélanie Leroy Florence Richard Florence Pasquier and the Meotis network |
| author_sort | Yaohua Chen |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-12-24T03:25:09Z |
| format | Article |
| id | doaj.art-220b8cdcbffc47c4a9c265a2c176e796 |
| institution | Directory Open Access Journal |
| issn | 2352-8737 |
| language | English |
| last_indexed | 2024-12-24T03:25:09Z |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Alzheimer’s & Dementia: Translational Research & Clinical Interventions |
| spelling | doaj.art-220b8cdcbffc47c4a9c265a2c176e7962022-12-21T17:17:22ZengWileyAlzheimer’s & Dementia: Translational Research & Clinical Interventions2352-87372020-01-0161n/an/a10.1002/trc2.12048Twenty‐year trends in patient referrals throughout the creation and development of a regional memory clinic networkYaohua Chen0Thibaud Lebouvier1Emilie Skrobala2Lisette Volpe‐Gillot3Dominique Huvent‐Grelle4Nathalie Jourdan5Mélanie Leroy6Florence Richard7Florence Pasquier8and the Meotis network9Inserm CHU Lille Lille Neurosciences & Cognition UMR‐S1172 Degenerative and Vascular Cognitive Disorders Univ. Lille Lille FranceCHU Lille DistAlz Licend Memory Clinic Lille FranceCHU Lille DistAlz Licend Memory Clinic Lille FranceHôpital Léopold Bellan 19‐21 rue Vercingétorix 75674 Paris Cedex 14 Groupe hospitalier Paris St Joseph 185 rue Raymond Losserand 75674 Paris Cedex 14 Paris FranceDepartment of Geriatrics CHU Lille Lille FranceCHU Lille DistAlz Licend Memory Clinic Lille FranceCHU Lille DistAlz Licend Memory Clinic Lille FranceInserm UMR1167 CHU Lille DistAlz Licend Univ. Lille Lille FranceInserm CHU Lille Lille Neurosciences & Cognition UMR‐S1172 Degenerative and Vascular Cognitive Disorders Univ. Lille Lille FranceInserm CHU Lille Lille Neurosciences & Cognition UMR‐S1172 Degenerative and Vascular Cognitive Disorders Univ. Lille Lille FranceAbstract 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.https://doi.org/10.1002/trc2.12048Alzheimer's diseaseambulatory care facilitiescommunitydementiahealth networksmemory clinics |
| spellingShingle | Yaohua Chen Thibaud Lebouvier Emilie Skrobala Lisette Volpe‐Gillot Dominique Huvent‐Grelle Nathalie Jourdan Mélanie Leroy Florence Richard Florence Pasquier and the Meotis network Twenty‐year trends in patient referrals throughout the creation and development of a regional memory clinic network Alzheimer’s & Dementia: Translational Research & Clinical Interventions Alzheimer's disease ambulatory care facilities community dementia health networks memory clinics |
| 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 | Alzheimer's disease ambulatory care facilities community dementia health networks memory clinics |
| url | https://doi.org/10.1002/trc2.12048 |
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