title: Present status and road map to achieve inclusive and holistic care for dementia in a Japanese community: analysis using the Delphi method.
abstract: OBJECTIVE
  Dementia is a priority issue in the public health realm. However, few reports address problems of dementia in the real world or provide comprehensive road maps to solve these problems.
  
  
  METHODS
  Nine groups of questions covering 4 topics were discussed using the Delphi method, relating to (1) current achievements and challenges regarding inclusive and holistic care in the community, (2) patients who are at a high risk of being excluded from care, (3) suggestions for a road map for the establishment of better and more inclusive medical and social care, and (4) unmet needs of patients with dementia.
  
  
  RESULTS
  In total, 477 opinions were obtained. Family issues, psychological/behavioral symptoms, and complications secondary to physical disorders are main factors for being excluded from care. To create a road map for care we have to address the topics of reaffirming care principles, multidisciplinary coalitions, and education for stakeholders.
  
  
  CONCLUSIONS
  Further effective collaboration to promote dementia care is required.
authors.affiliation: Department of Geriatric Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
authors.forename: Hajime
authors.initials: H
authors.lastname: Takechi
authors.forename: Toshio
authors.initials: T
authors.lastname: Mori
authors.forename: Takeya
authors.initials: T
authors.lastname: Hashimoto
authors.forename: Shigenobu
authors.initials: S
authors.lastname: Nakamura
mesh_terms: D017028:Caregivers; D032921:Consensus; D003697:Delphi Technique; D003704:Dementia / Q000628:therapy*; D006694:Holistic Health; D006801:Humans; D007564:Japan; D011787:Quality of Health Care; D012111:Residence Characteristics