title: Dementia care management in primary care : Current collaborative care models and the case for interprofessional education.
abstract: BACKGROUND
  Dementia is one of the most prevalent diseases in the older population. Various dementia care models have been developed to address patient's healthcare needs. They can be described as "collaborative care" or "person-centered care". Referring to the needs of the workforce working with persons with dementia, a key element is the use of interprofessional education (IPE).
  
  
  OBJECTIVE
  The purpose of this article is to describe different international collaborative care models to define a minimum standard of healthcare professions for collaborative dementia care in primary care. This helps to identify requirements for IPE to optimize care of people with dementia and to support informal caregivers in the future.
  
  
  METHODS
  In this article six dementia care models from 4 different countries (Germany, USA, UK and Netherlands) are described and compared regarding aims, interventions and healthcare professionals involved.
  
  
  RESULTS
  Care teams are minimally comprised of general practitioners or primary care providers, nurses, and social workers. Additional healthcare disciplines may be involved for specific interventions. Mostly, care team members received specific training but such training did not necessarily incorporate the IPE approach. To ensure successful collaboration of professions, IPE training programs should at least consist of the following core topics: (1) early diagnosis, (2) postdiagnostic support, (3) advanced care planning for patients and caregivers and (4) effective collaborative care.
  
  
  CONCLUSIONS
  The IPE programs for dementia should be expanded and must be widely implemented in order to assess the impact on collaborative practice. This study will provide the knowledge base for structuring IPE trainings developing educational agendas and adapting existing guidelines to improve collaborative dementia care in the future.
authors.affiliation: Institute for Community Medicine, Dept. Epidemiology of Health Care and Community Health, University Medicine Greifswald, Greifswald, Germany. adina.dreier@uni-greifswald.de.
authors.forename: Adina
authors.initials: A
authors.lastname: Dreier-Wolfgramm
authors.affiliation: German Center for Neurodegenerative Diseases (DZNE), Rostock/Greifswald, Germany.
authors.forename: Bernhard
authors.initials: B
authors.lastname: Michalowsky
authors.affiliation: Department of Psychiatry, Indiana Alzheimer Disease Center, Indiana University Center for Aging Research (IU-CAR), Indiana University School of Medicine (IUSM), Indianapolis, USA.
authors.forename: Mary Guerriero
authors.initials: MG
authors.lastname: Austrom
authors.affiliation: Radboud Institute for Health Sciences, Department of Geriatric Medicine/Radboudumc Alzheimer Centre, Radboud university medical centre, Nijmegen, Netherlands.
authors.forename: Marjolein A
authors.initials: MA
authors.lastname: van der Marck
authors.affiliation: Research Department of Primary Care & Population Health, University College London, London, UK.
authors.forename: Steve
authors.initials: S
authors.lastname: Iliffe
authors.affiliation: USA Regenstrief Institute, Inc., Eskenazi Health, Indianapolis, USA.
authors.forename: Catherine
authors.initials: C
authors.lastname: Alder
authors.affiliation: Institute of General Practice and Family Medicine, Jena University Hospital, Friedrich-Schiller-University, Jena, Germany.|Institute of General Practice and Family Medicine, University Hospital Düsseldorf, Heinrich-Heine-University, Düsseldorf, Germany.
authors.forename: Horst Christian
authors.initials: HC
authors.lastname: Vollmar
authors.affiliation: German Center for Neurodegenerative Diseases (DZNE), Rostock/Greifswald, Germany.
authors.forename: Jochen René
authors.initials: JR
authors.lastname: Thyrian
authors.affiliation: German Center for Neurodegenerative Diseases (DZNE), Rostock/Greifswald, Germany.
authors.forename: Diana
authors.initials: D
authors.lastname: Wucherer
authors.affiliation: German Center for Neurodegenerative Diseases (DZNE), Rostock/Greifswald, Germany.
authors.forename: Ina
authors.initials: I
authors.lastname: Zwingmann
authors.affiliation: Institute for Community Medicine, Dept. Epidemiology of Health Care and Community Health, University Medicine Greifswald, Greifswald, Germany.|German Center for Neurodegenerative Diseases (DZNE), Rostock/Greifswald, Germany.
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Hoffmann
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003704:Dementia / Q000175:diagnosis* / Q000628:therapy*; D005060:Europe; D005260:Female; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D017146:Models, Organizational; D009937:Organizational Objectives; D010346:Patient Care Management / Q000458:organization & administration*; D010348:Patient Care Team / Q000458:organization & administration*; D058007:Physicians, Primary Care / Q000193:education* / Q000458:organization & administration; D011320:Primary Health Care / Q000458:organization & administration*; D014481:United States
keywords: Dementia; Interdisciplinary communication; Interprofessional education; Patient care planning; Primary care