Collaborative Approaches to Team-Based Primary Health Care for Individuals with Dementia in Rural/Remote Settings

Abstract

ABSTRACTApplying primary health care (PHC) team-based approaches to diagnosing and treating dementia is considered best practice. Unfortunately, those living in rural and remote areas often have limited access to dementia-specific PHC services. The purpose of this scoping review was to identify and understand PHC team-based approaches for dementia care in rural settings. A search strategy was employed which included only peer-reviewed journal articles that were published from 1997 to 2017. Four databases (Embase, Medline, PsycInfo, and CINAHL) were searched from March 2017 to May 2017. Among the 10 studies included there was a variation in the degree of collaboration and interaction among the care teams. Limited information existed about collaboration strategies among care teams. An adaptation of the socio-ecological model enabled us to categorize key factors influencing collaborative team-based approaches. Combined, these findings can be used to inform both future research and the development of a rural PHC dementia model.

Keywords: aging; dementia; démence; interdisciplinary/interprofessional care; older adults; personnes âgées; primary health care; rural and remote; rural et éloigné; soins de santé de première ligne; soins interdisciplinaires/interprofessionnels; vieillissement.