Barriers to dementia diagnosis and care in China

Quail, Zara; Wei, Angelina; Zhang, Vicky Fan; Carter, Mark

doi:10.1136/bcr-2019-232115

Cited by 12 publications

(12 citation statements)

References 55 publications

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“…Gaps still existed in dementia diagnosis in rural and urban areas with 93.5% of patients being undetected in rural areas and 77.5% being undetected in urban. This might be due to rural elderly residents having lower awareness and worse medical conditions when compared to urban residents or due to the higher prevalence of dementia in rural areas than in urban areas (13). This study also found that in urban areas, the proportion of undetected dementia increased with age before 75 years but decreased with age after 75 years.…”

Section: Discussionmentioning

confidence: 49%

The 27<sup>th</sup> World Alzheimer’s Day — September 21, 2020

Weekly¹

2020

China CDC Weekly

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Section: Discussionmentioning

confidence: 49%

The 27<sup>th</sup> World Alzheimer’s Day — September 21, 2020

Weekly¹

2020

China CDC Weekly

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“…Several of them become overly protective and resort to using punitive approaches, such as blaming, isolation and physical restraint, to control the residents. Attitudes and behaviours of the care home staff seem largely because they lack knowledge and skills in managing challenging behaviours (Cooke et al, 2014 Quail et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

“…Literature generally showed that dementia care has not been provided widely in the country because both formal and informal carers, including healthcare professionals, care workers and family members, in community and care facilities lack relevant caregiving knowledge and skill (Wang, Cheung, et al, 2019). Particularly, Quail et al (2020) identified that limited accessibility to specialist services for dementia diagnosis and care, limited availability of dementia-related training for healthcare providers, and poor awareness of care needs of people with dementia as the major challenges in dementia care in China. Wu et al (2016) and Zhang et al (2020) found that some residential care facilities refused to admit people with dementia due to a lack of trained care staff in dementia care.…”

Section: Introductionmentioning

confidence: 99%

Understanding dementia care in care home setting in China: An exploratory qualitative study

Zhao

Liu

Ding

et al. 2020

Health Soc Care Community

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Dementia education for healthcare providers has gained growing attention in China.This study aimed to explore the current dementia care practices in care home setting in China because people with dementia have increased need for residential care as the cognitive function worsens. An exploratory qualitative study was conducted among care staff and residents with dementia in four care homes in a metropolitan city in China between May and August 2019. Participant observations were conducted to understand how the care environment and activities affect residents with dementia. Care records were reviewed to explore the kind of care provided. In-depth individual interviews were conducted with a purposive sample of 15 care staff members of different ranks to clarify the care practices and understand their training needs with dementia care. Field notes of observations, nursing care records and interviews transcripts were triangulated for qualitative content analysis. The theme emerged is 'suboptimal dementia care practices'. Four categories about dementia care practices in care homes were identified: (a) care environment (hospital-like layout, inappropriate lighting, environmental noise, inappropriate use of colour and unclear signage), (b) care culture (being medical-oriented, overlooking individual uniqueness and privacy), (c) attitudes towards dementia (treating as children, being authoritative, adopting punitive approaches, trying to respect the residents and having a positive learning attitude) and (d) dementia care competence (questing for specific training and resources, questing for culturally specific practices and strengthening communication with family). Creating a dementia-friendly and enabling environment, shifting the care culture paradigm from disease-oriented to person-centred and developing culturally sensitive care practices are imperative. Dementia care education for care home staff using a systematic, comprehensive approach is fundamental to achieve these goals.

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“…Among the global population in 2017, nearly a quarter of the population over 60 was living in China; the population over 60 in China is estimated to increase to 478.9 million people by 2050 [5]. The significant increase in the ageing population will lead to a substantial increase in demand for health workers [6].…”

Section: Introductionmentioning

confidence: 99%

An investigation of the intention and reasons of senior high school students in China to choose medical school

et al. 2021

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Background Shortages of qualified health workers have been a global concern, especially in developing countries. China also faces this dilemma, which hinders the development of public health services. Senior high school students are a group who are considering their college majors and careers after graduation. They are also a potential and basic talent reserve for the health sector. This survey focused on senior high school students’ intention to learn clinical medicine and explored potential influencing factors. Methods An anonymous questionnaire containing 20 items was distributed to 5344 senior high school students. The questions covered the following topics: students’ intention to learn clinical medicine, personal and family information, understanding of medical education, cognition of doctors’ working conditions, and doctor-patient relationships. Logistic regression and the chi-square test were used to compare students with and without a clear intention to learn clinical medicine to explore influencing factors. Results Only 5.6% of senior high school students had a clear intention to learn medicine (CILCM). Personal and family information had distinct impacts. Interest and anatomy course were also associated with students’ choice. There was a positive correlation between understanding of medical education and students’ intention Meanwhile, students’ cognition of doctors, career prospects, and social status had significant impacts. The more optimistic students were about doctors’ working conditions and doctor-patient relationships, the more likely they were to have a CILCM. Conclusion To some extent, this survey reflects the shortage of medical talent in China and provides possible clues for solving this problem. In addition, these findings may provide a perspective for understanding the development of health services in developing countries.

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Barriers to dementia diagnosis and care in China

Cited by 12 publications

References 55 publications

The 27<sup>th</sup> World Alzheimer’s Day — September 21, 2020

The 27<sup>th</sup> World Alzheimer’s Day — September 21, 2020

Understanding dementia care in care home setting in China: An exploratory qualitative study

An investigation of the intention and reasons of senior high school students in China to choose medical school

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