Effect of Primary Care‐Based Memory Clinics on Referrals to and Wait‐Time for Specialized Geriatric Services

Effect of Primary Care‐Based Memory Clinics on Referrals to and Wait‐Time for Specialized... To the Editor: Primary care collaborative memory clinics (PCCMC), were developed in Ontario, Canada, starting in 2006 to address challenges and build capacity for dementia care at a primary care level. These family physician–led interprofessional clinics provide comprehensive assessment and management within a shared care approach and with support from local geriatrics specialists. The PCCMC model features elements of person‐centered care, considered the criterion standard for the care of older adults. There are more than 100 PCCMCs across the province, and this is expected to increase over time.There is much anecdotal evidence from previous evaluations of this care model that the early identification and intervention that the PCCMCs offer contribute to more efficient use of existing specialist resources. PCCMCs have consistently demonstrated referral rates to specialists of approximately 10%, compared with typical referral rates of up to 82% from family physicians for persons with memory concerns, which is of concern given the critical shortage of geriatricians in Canada. Nevertheless, there has been limited empirical evidence demonstrating effect on system efficiency in the use of specialists, primarily because of difficulties accessing valid system‐level data. The purpose of this current study was to examine the effect of the PCCMCs on referrals http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of American Geriatrics Society Wiley

Effect of Primary Care‐Based Memory Clinics on Referrals to and Wait‐Time for Specialized Geriatric Services

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Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
© 2018 American Geriatrics Society and Wiley Periodicals, Inc.
ISSN
0002-8614
eISSN
1532-5415
D.O.I.
10.1111/jgs.15169
Publisher site
See Article on Publisher Site

Abstract

To the Editor: Primary care collaborative memory clinics (PCCMC), were developed in Ontario, Canada, starting in 2006 to address challenges and build capacity for dementia care at a primary care level. These family physician–led interprofessional clinics provide comprehensive assessment and management within a shared care approach and with support from local geriatrics specialists. The PCCMC model features elements of person‐centered care, considered the criterion standard for the care of older adults. There are more than 100 PCCMCs across the province, and this is expected to increase over time.There is much anecdotal evidence from previous evaluations of this care model that the early identification and intervention that the PCCMCs offer contribute to more efficient use of existing specialist resources. PCCMCs have consistently demonstrated referral rates to specialists of approximately 10%, compared with typical referral rates of up to 82% from family physicians for persons with memory concerns, which is of concern given the critical shortage of geriatricians in Canada. Nevertheless, there has been limited empirical evidence demonstrating effect on system efficiency in the use of specialists, primarily because of difficulties accessing valid system‐level data. The purpose of this current study was to examine the effect of the PCCMCs on referrals

Journal

Journal of American Geriatrics SocietyWiley

Published: Jan 1, 2018

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