title: Access to diagnostic evaluation and treatment for dementia in Europe.
abstract: This paper reviews and discusses existing barriers to diagnosis and treatment for patients with dementia in Europe as well as approaches to overcome these barriers. The barriers to care are manifold, being present at all levels in each society and between countries in Europe. Multilevel and multifaceted strategies are needed to improve diagnosis and treatments for all patients with cognitive complaints. A multidisciplinary approach based on close collaboration between GPs and specialised memory clinics may be the ideal model for early accurate diagnosis and subsequently early pharmacological and psychosocial interventions. For all healthcare professionals, there should be specialised training in dementia and frequently updated practice guidelines to provide the framework for standards of care. Culture-sensitive strategies to promote public knowledge and destigmatize dementia are essential. Policy makers and authorities should be made aware of the benefits of early access to diagnosis and treatment.
authors.affiliation: Memory Disorder Research Group, Department of Neurology, Neuroscience Centre, Copenhagen University Hospital Rigshospitalet, Denmark. gunhild.waldemar@rh.hosp.dk
authors.forename: Gunhild
authors.initials: G
authors.lastname: Waldemar
authors.forename: Kieu T T
authors.initials: KT
authors.lastname: Phung
authors.forename: Alistair
authors.initials: A
authors.lastname: Burns
authors.forename: Jean
authors.initials: J
authors.lastname: Georges
authors.forename: Finn Ronholt
authors.initials: FR
authors.lastname: Hansen
authors.forename: Steven
authors.initials: S
authors.lastname: Iliffe
authors.forename: Christine
authors.initials: C
authors.lastname: Marking
authors.forename: Marcel Olde
authors.initials: MO
authors.lastname: Rikkert
authors.forename: Jacques
authors.initials: J
authors.lastname: Selmes
authors.forename: Gabriela
authors.initials: G
authors.lastname: Stoppe
authors.forename: Norman
authors.initials: N
authors.lastname: Sartorius
mesh_terms: D019033:Delivery of Health Care, Integrated / Q000458:organization & administration; D003704:Dementia / Q000175:diagnosis* / Q000628:therapy; D042241:Early Diagnosis; D005060:Europe; D006297:Health Services Accessibility / Q000458:organization & administration*; D006299:Health Services for the Aged / Q000458:organization & administration; D006801:Humans; D010348:Patient Care Team / Q000458:organization & administration; D017410:Practice Guidelines as Topic; D011320:Primary Health Care / Q000458:organization & administration