title: Diagnosis and treatment of dementia in neurology outpatient departments of general hospitals in China.
abstract: BACKGROUND
  The status of dementia diagnosis and treatment of neurology outpatients in general hospitals in China remains unclear.
  
  
  METHODS
  From neurology outpatients at 36 randomly selected hospitals, we first collected baseline data concerning the number of dementia doctors, memory clinics, and patients diagnosed with dementia. In stage 2, we intervened based on drawbacks discovered in stage 1, implementing a dementia initiative program. In stage 3, we reinvestigated the outpatients to determine the effects of intervention.
  
  
  RESULTS
  After intervention, all 36 hospitals had established memory clinics (205 dementia doctors) compared with only 6 (47 dementia doctors) before intervention. The percentage of patients diagnosed with dementia significantly increased from 0.10% (536 dementia patients of 553,986 outpatients) in stage 1 to 0.41% (2482 dementia patients of 599,214 outpatients) in stage 3.
  
  
  CONCLUSIONS
  Proper diagnosis and treatment are unavailable to many dementia patients because of a lack of dementia doctors and memory clinics in China.
authors.affiliation: Department of Neurology, Beijing Friendship Hospital, Capital Medical University; Department of Neurology, Xuan Wu Hospital, Capital Medical University; Center of Alzheimer's Disease of Beijing Institute for Brain Disorders; Beijing Key Laboratory of Geriatric Cognitive Disorders; Beijing, P. R. China. Electronic address: jjp@ccmu.edu.cn.
authors.forename: Jianping
authors.initials: J
authors.lastname: Jia
authors.affiliation: Department of Neurology, Xuan Wu Hospital, Capital Medical University; Center of Alzheimer's Disease of Beijing Institute for Brain Disorders; Beijing Key Laboratory of Geriatric Cognitive Disorders; Beijing, P. R. China.
authors.forename: Xiumei
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authors.lastname: Zuo
authors.affiliation: Department of Computer Science, University of Otago, Dunedin, New Zealand.
authors.forename: Xiang-Fei
authors.initials: XF
authors.lastname: Jia
authors.affiliation: Department of Neurology, Xuan Wu Hospital, Capital Medical University; Center of Alzheimer's Disease of Beijing Institute for Brain Disorders; Beijing Key Laboratory of Geriatric Cognitive Disorders; Beijing, P. R. China.
authors.forename: Changbiao
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authors.lastname: Chu
authors.affiliation: Department of Neurology, Xuan Wu Hospital, Capital Medical University; Center of Alzheimer's Disease of Beijing Institute for Brain Disorders; Beijing Key Laboratory of Geriatric Cognitive Disorders; Beijing, P. R. China.
authors.forename: Liyong
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authors.lastname: Wu
authors.affiliation: Department of Neurology, Xuan Wu Hospital, Capital Medical University; Center of Alzheimer's Disease of Beijing Institute for Brain Disorders; Beijing Key Laboratory of Geriatric Cognitive Disorders; Beijing, P. R. China.
authors.forename: Aihong
authors.initials: A
authors.lastname: Zhou
authors.affiliation: Department of Neurology, Xuan Wu Hospital, Capital Medical University; Center of Alzheimer's Disease of Beijing Institute for Brain Disorders; Beijing Key Laboratory of Geriatric Cognitive Disorders; Beijing, P. R. China.
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authors.initials: C
authors.lastname: Wei
authors.affiliation: Department of Neurology, Xuan Wu Hospital, Capital Medical University; Center of Alzheimer's Disease of Beijing Institute for Brain Disorders; Beijing Key Laboratory of Geriatric Cognitive Disorders; Beijing, P. R. China.
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authors.initials: Y
authors.lastname: Tang
authors.affiliation: Department of Neurology, Xuan Wu Hospital, Capital Medical University; Center of Alzheimer's Disease of Beijing Institute for Brain Disorders; Beijing Key Laboratory of Geriatric Cognitive Disorders; Beijing, P. R. China.
authors.forename: Dan
authors.initials: D
authors.lastname: Li
authors.affiliation: Department of Neurology, Xuan Wu Hospital, Capital Medical University; Center of Alzheimer's Disease of Beijing Institute for Brain Disorders; Beijing Key Laboratory of Geriatric Cognitive Disorders; Beijing, P. R. China.
authors.forename: Wei
authors.initials: W
authors.lastname: Qin
authors.affiliation: Department of Neurology, Xuan Wu Hospital, Capital Medical University; Center of Alzheimer's Disease of Beijing Institute for Brain Disorders; Beijing Key Laboratory of Geriatric Cognitive Disorders; Beijing, P. R. China.
authors.forename: Haiqing
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authors.lastname: Song
authors.affiliation: Department of Neurology, Xuan Wu Hospital, Capital Medical University; Center of Alzheimer's Disease of Beijing Institute for Brain Disorders; Beijing Key Laboratory of Geriatric Cognitive Disorders; Beijing, P. R. China.
authors.forename: Qingfeng
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authors.lastname: Ma
authors.affiliation: Department of Neurology, Xuan Wu Hospital, Capital Medical University; Center of Alzheimer's Disease of Beijing Institute for Brain Disorders; Beijing Key Laboratory of Geriatric Cognitive Disorders; Beijing, P. R. China.
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authors.lastname: Li
authors.affiliation: Department of Neurology, Xuan Wu Hospital, Capital Medical University; Center of Alzheimer's Disease of Beijing Institute for Brain Disorders; Beijing Key Laboratory of Geriatric Cognitive Disorders; Beijing, P. R. China.
authors.forename: Yongxin
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authors.lastname: Sun
authors.affiliation: Department of Neurology, Xuan Wu Hospital, Capital Medical University; Center of Alzheimer's Disease of Beijing Institute for Brain Disorders; Beijing Key Laboratory of Geriatric Cognitive Disorders; Beijing, P. R. China.
authors.forename: Baoquan
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authors.lastname: Min
authors.affiliation: Department of Neurology, Xuan Wu Hospital, Capital Medical University; Center of Alzheimer's Disease of Beijing Institute for Brain Disorders; Beijing Key Laboratory of Geriatric Cognitive Disorders; Beijing, P. R. China.
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authors.lastname: Xue
authors.affiliation: Department of Neurology, Xuan Wu Hospital, Capital Medical University; Center of Alzheimer's Disease of Beijing Institute for Brain Disorders; Beijing Key Laboratory of Geriatric Cognitive Disorders; Beijing, P. R. China.
authors.forename: Erhe
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authors.lastname: Xu
authors.affiliation: Department of Neurology, Xuan Wu Hospital, Capital Medical University; Center of Alzheimer's Disease of Beijing Institute for Brain Disorders; Beijing Key Laboratory of Geriatric Cognitive Disorders; Beijing, P. R. China.
authors.forename: Quan
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authors.affiliation: Department of Neurology, Xuan Wu Hospital, Capital Medical University; Center of Alzheimer's Disease of Beijing Institute for Brain Disorders; Beijing Key Laboratory of Geriatric Cognitive Disorders; Beijing, P. R. China.
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authors.lastname: Wang
authors.affiliation: Department of Neurology, Xuan Wu Hospital, Capital Medical University; Center of Alzheimer's Disease of Beijing Institute for Brain Disorders; Beijing Key Laboratory of Geriatric Cognitive Disorders; Beijing, P. R. China.
authors.forename: Xiaoqin
authors.initials: X
authors.lastname: Huang
authors.affiliation: Department of Neurology, Xuan Wu Hospital, Capital Medical University; Center of Alzheimer's Disease of Beijing Institute for Brain Disorders; Beijing Key Laboratory of Geriatric Cognitive Disorders; Beijing, P. R. China.
authors.forename: Chunqiu
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authors.affiliation: Department of Neurology, Xuan Wu Hospital, Capital Medical University; Center of Alzheimer's Disease of Beijing Institute for Brain Disorders; Beijing Key Laboratory of Geriatric Cognitive Disorders; Beijing, P. R. China.
authors.forename: Jianghong
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authors.affiliation: Department of Neurology, Xuan Wu Hospital, Capital Medical University; Center of Alzheimer's Disease of Beijing Institute for Brain Disorders; Beijing Key Laboratory of Geriatric Cognitive Disorders; Beijing, P. R. China.
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authors.initials: Y
authors.lastname: Ren
authors.affiliation: Department of Neurology, Xuan Wu Hospital, Capital Medical University; Center of Alzheimer's Disease of Beijing Institute for Brain Disorders; Beijing Key Laboratory of Geriatric Cognitive Disorders; Beijing, P. R. China.
authors.forename: Qian
authors.initials: Q
authors.lastname: Jia
authors.affiliation: Department of Neurology, Xuan Wu Hospital, Capital Medical University; Center of Alzheimer's Disease of Beijing Institute for Brain Disorders; Beijing Key Laboratory of Geriatric Cognitive Disorders; Beijing, P. R. China.
authors.forename: Qi
authors.initials: Q
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authors.affiliation: Department of Neurology, Xuan Wu Hospital, Capital Medical University; Center of Alzheimer's Disease of Beijing Institute for Brain Disorders; Beijing Key Laboratory of Geriatric Cognitive Disorders; Beijing, P. R. China.
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authors.affiliation: Department of Neurology, Xuan Wu Hospital, Capital Medical University; Center of Alzheimer's Disease of Beijing Institute for Brain Disorders; Beijing Key Laboratory of Geriatric Cognitive Disorders; Beijing, P. R. China.
authors.forename: Yi
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authors.lastname: Xing
authors.affiliation: Center for Evidence-Based Medicine, Xuan Wu Hospital, Capital Medical University, Beijing, P. R. China.
authors.forename: Xiaoguang
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mesh_terms: D002681:China / Q000453:epidemiology; D003704:Dementia / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*; D006297:Health Services Accessibility; D006769:Hospitals, General; D006801:Humans; D008875:Middle Aged; D010044:Outpatient Clinics, Hospital; D010045:Outpatients; D015995:Prevalence
keywords: Dementia; Diagnosis and treatment; Hospital; Intervention; Memory clinic