Assessing Dementia in Resource-Poor Regions

被引:39
作者
Maestre, Gladys E. [1 ,2 ,3 ,4 ]
机构
[1] Univ Zulia, Neurosci Lab, Maracaibo 4002, Zulia, Venezuela
[2] Columbia Univ, Dept Psychiat, New York, NY 10032 USA
[3] Columbia Univ, Dept Neurol, New York, NY 10032 USA
[4] Columbia Univ, Gertrude H Sergievsky Ctr, New York, NY 10032 USA
关键词
Developing countries; Low-to-middle-income countries; Resource-poor; Population demography; Elderly; Dementia; Prevalence; Diagnosis; Capacity building; Challenges; Obstacles; International partnerships; Cost-benefit analysis; Economics; Ethics; ALZHEIMERS ASSOCIATION WORKGROUPS; MENTAL-HEALTH-SERVICES; DIAGNOSTIC GUIDELINES; NATIONAL INSTITUTE; PRIMARY-CARE; GENERAL-PRACTITIONERS; DEVELOPING-COUNTRIES; METABOLIC SYNDROME; ELDERLY-PEOPLE; LATIN-AMERICA;
D O I
10.1007/s11910-012-0300-9
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The numbers and proportions of elderly are increasing rapidly in developing countries, where prevalence of dementia is often high. Providing cost-effective services for dementia sufferers and their caregivers in these resource-poor regions poses numerous challenges; developing resources for diagnosis must be the first step. Capacity building for diagnosis involves training and education of healthcare providers, as well as the general public, development of infrastructure, and resolution of economic and ethical issues. Recent progress in some low-to-middle-income countries (LMICs) provides evidence that partnerships between wealthy and resource-poor countries, and between developing countries, can improve diagnostic capabilities. Without the involvement of the mental health community of developed countries in such capacity-building programs, dementia in the developing world is a disaster waiting to happen.
引用
收藏
页码:511 / 519
页数:9
相关论文
共 100 条
[1]   Pre-dementia clinical stages in presenilin 1 E280A familial early-onset Alzheimer's disease: a retrospective cohort study [J].
Acosta-Baena, Natalia ;
Sepulveda-Falla, Diego ;
Mario Lopera-Gomez, Carlos ;
Cesar Jaramillo-Elorza, Mario ;
Moreno, Sonia ;
Camilo Aguirre-Acevedo, Daniel ;
Saldarriaga, Amanda ;
Lopera, Francisco .
LANCET NEUROLOGY, 2011, 10 (03) :213-220
[2]   Development of psychology in developing countries: Factors facilitating and impeding its progress - Introduction [J].
Adair, JG ;
Kagitcibasi, C .
INTERNATIONAL JOURNAL OF PSYCHOLOGY, 1995, 30 (06) :633-641
[3]  
Aisen PS, 2010, J NUTR HEALTH AGING, V14, P294
[4]   Subtypes of Dementia: A Study from a Memory Clinic in India [J].
Alladi, Suvarna ;
Mekala, Shailaja ;
Chadalawada, Santhoshi Kumari ;
Jala, Sireesha ;
Mridula, Rukmini ;
Kaul, Subhash .
DEMENTIA AND GERIATRIC COGNITIVE DISORDERS, 2011, 32 (01) :32-38
[5]   Economic impact of dementia in developing countries: an evaluation of costs of Alzheimer-type dementia in Argentina [J].
Allegri, Ricardo F. ;
Butman, Judith ;
Arizaga, Raul L. ;
Machnicki, Gerardo ;
Serrano, Cecilia ;
Toragano, Fernando E. ;
Sarasola, Diego ;
Lon, Leandro .
INTERNATIONAL PSYCHOGERIATRICS, 2007, 19 (04) :705-718
[6]  
[Anonymous], 2008, mhGAP: Mental Health Gap Action Programme: Scaling up Care for Mental, Neurological and Substance Use Disorders, P44
[7]  
[Anonymous], 2013, DEM PUBL HLTH PRIOR, DOI DOI 10.1007/S00406-005-0624-4
[8]  
[Anonymous], 2001, The World Health Report: Mental health: new understanding, new hope
[9]  
[Anonymous], 2009, INDIAN J PSYCHIAT
[10]  
[Anonymous], 2012, INT DAT BAS