Dementia care and service systems – a mapping system tested in nine Swedish municipalities

Lethin, Connie; Giertz, Lottie; Vingare, Emme-Li; Hallberg, Ingalill Rahm

doi:10.1186/s12913-018-3592-x

BMC Health Services Research

Table 3 Availability and utilization of care activities in the category Screening, the diagnostic procedures, and treatment

From: Dementia care and service systems – a mapping system tested in nine Swedish municipalities

Definition	Municipality*	Early stage		Intermediate stage		Late stage		End of life stage
Definition	Municipality*	Available for	Utilized by	Available for	Utilized by	Available for	Utilized by	Available for	Utilized by
Dementia screening programme/“case finding”: Carried out in primary care with the aim of detecting dementia at early stages. Different assessment tools might be used.	1	No one	No one	No one	No one	No one	No one	No one	No one
	2	All	All	All	Few	All	No one	All	No one
	3	No one	No one	No one	No one	No one	No one	No one	No one
	4	All	Few	All	Few	All	Few	All	No one
	5	No one	No one	No one	No one	No one	No one	No one	No one
	6	No one	No one	No one	No one	No one	No one	No one	No one
	7	All	Few	All	Few	All	Few	All	No one
	8	All	Most	All	Most	All	Most	All	Most
	9	All	Most	All	Most	All	Most	All	Most
Standard diagnostic procedure for dementia disease: National standard diagnostic procedure applied in accordance.	1	All	Most	All	Most	All	Few	All	No one
	2	All	All	All	All	All	Few	–	–
	3	All	Most	All	Most	All	Few	All	No one
	4	No one	No one	No one	No one	No one	No one	No one	No one
	5	All	Few	All	Most	All	Most	All	No one
	6	All	Most	All	Most	All	Few	All	No one
	7	All	Most	All	Most	All	Few	All	No one
	8	All	Most	All	Most	All	Most	All	Few
	9	All	Most	All	Most	All	Most	No one	No one
Pharmacological treatment specific for dementia disease: Medication of cognitive symptoms, combined with a likely slowing of disease progression, for instance Cholinesterase Inhibitors for improvement of cognition (memory, language). ATC code N06D [30]. Only validated treatment.	1	All	Most	All	Most	All	Few	All	No one
	2	All	All	All	Few	All	No one	No one	No one
	3	All	Most	All	Most	All	Few	All	No one
	4	All	Most	All	Most	All	Most	All	No one
	5	All	Few	All	Most	All	Most	All	Few
	6	All	Few	All	Most	All	Most	All	Few
	7	All	Most	All	Most	All	Few	All	No one
	8	All	Most	All	Most	All	Few	All	Few
	9	All	Few	All	Most	All	Most	All	Few
Non-pharmacological treatment: Treatment – not pharmacological, for instance orientation to reality, reminiscence therapy, tactile massage, cognitive stimulation etc.	1	Few	Few	Few	Few	Few	Few	Few	Few
	2	Most	Few	All	Most	All	Most	All	Few
	3	Few	Few	Few	Few	Few	Few	Few	Few
	4	All	Few	All	Most	All	Few	All	No one
	5	All	Few	All	Most	All	Most	All	Few
	6	All	Few	All	Few	All	Few	All	Few
	7	All	Few	All	Most	Most	Few	Few	Few
	8	All	Few	All	Few	All	Most	Most	Most
	9	No one	No one	No one	No one	No one	No one	No one	No one
Pharmacological treatment specific for Behavioural Psychological Symptoms of Dementia (BPSD): Pharmacological treatment of non-cognitive symptoms and behaviours, for instance psychotropic drugs for aggressive behaviour [31]. ATC code N05 [30].	1	All	Few	All	Few	All	Few	All	Few
	2	All	Few	All	Few	All	Most	All	Most
	3	All	Few	All	Most	All	Most	All	Few
	4	All	Most	All	Most	All	Most	All	Most
	5	All	Few	All	Few	All	Few	All	Few
	6	All	Most	All	Most	All	Most	All	Most
	7	All	Few	All	Few	All	Few	All	Few
	8	Most	Few	All	Most	All	Most	All	Most
	9	Most	Few	Most	Few	Most	Few	Most	Few
Non-pharmacological treatment specific for BPSD: Treatment – not pharmacological, for instance environmental modification, massage, presence of pets, selected music, distraction etc. [23].	1	Few	Few	Most	Most	Most	Most	Most	Most
	2	All	Few	All	Most	All	Most	All	Few
	3	Few	Few	Few	Few	Few	Few	Few	Few
	4	All	Few	All	Most	All	Most	All	Few
	5	Few	Few	Most	Most	Most	Most	Most	Most
	6	Most	No one	Most	Few	Most	Few	Most	Few
	7	Most	Few	Most	Few	Most	Few	Most	Few
	8	No one	No one	No one	No one	Few	Few	Few	Few
	9	Few	Few	Few	Few	Few	Few	Few	Few
Memory clinic: Outpatient clinic for examination and treatment of memory impairments, not only suspected dementia diseases.	1	All	Few	All	Few	All	Few	All	No one
	2	All	Few	All	Few	All	Few	All	No one
	3	Few	Few	Few	Few	Few	Few	No one	No one
	4	No one	No one	No one	No one	No one	No one	No one	No one
	5	Few	Few	Few	Few	Few	Few	No one	No one
	6	Few	No one	Few	Few	Few	Few	Few	No one
	7	All	Few	All	Few	All	Few	All	Few
	8	All	No one	All	No one	All	No one	All	No one
	9	No one	No one	Few	Few	Few	Few	No one	No one

*1–9 = represents the municipalities in two county councils in Sweden. ATC anatomical therapeutic chemical classification
*1–9 = represents the municipalities in two counties in Sweden

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