- Email: [email protected]
Comparison of national dementia plans
P598
Poster Presentations: P2
differences in the perception and experience of dementia may extend to aspects of informant report, potentially manifesting as under-report of certain symptoms.
P2-278
A NOVEL APPROACH TO SELF-FINANCING MODEL FOR PREVENTION AND EARLY INTERVENTION OF DEMENTIA: KOREA EXPERIENCE
Hyunsang Muk1, Youngho Kim2, 1BrainCare, Inc., Seoul, South Korea; Medifron DBT, Inc., Seoul, South Korea. Contact e-mail: hsmuk@ medifron.com 2
Background: With the projected increasing costs of caring for the
dementia patients, countries must cope with the enormous financial and social impacts. In the absence of a cure, an evidence from a large randomized clinical trial, FINGER study showed prevention and early intervention (PEI) improved cognitive performance in the elderly at risk for cognitive impairment. Korea is one of the fastest aging societies but public scheme covers only severe dementia patients due to a lack of funds. Methods: To find new approaches for a sustainable long-term strategy for dementia patients in Korea, we reviewed current options including public Long-term Care Insurance Korea (LTCI) and private insurance schemes for dementia and the reports from Korea National Assembly. We could design a novel, self-financing model for prevention and early intervention (PEI) of dementia. Results: Korean severe dementia patients at low income status are hospitalized or in nursing homes with 80% financial support by public LTCI. However MCI, mild to moderate dementia or patients with higher income are not covered by those schemes. Familes of the elderly with mediocre or higher income are recommended to buy a private insurance policy for dementia. Around 5 million old people (74% of older than 65 years) possess poorly designed private insurance policy. The Korea government is under enormous budget pressure and strategies to prevent or delay the onset of dementia have been proposed as imperative. New selffinancing model for prevention and early intervention (PEI) of dementia was designed and implemented. The model enrolled the elderly in membership of “Dementia-Care-Club” run by private companies. The Club provides dementia diagnosis program every year and enrolls a member in the PEI program if diagnosed. In 2015, the Club provides a multi-domain PEI program modified from FINGER study. Conclusions: The model is self-financed by members’ monthly fee to provide early diagnosis, prevention and early intervention for dementia that have not been covered by public and private insurance policies. The model could change dementia care paradigm in Korea not only for individual patients by providing a sustainable care at an affordable cost but for society by reducing its burden of disease.
social care; long-term support and services, to assess availability of diagnostic services, public health efforts to conduct surveillance and promote brain health. Methods: National Government Plans are state implemented strategies for providing care and support for people with dementia and their families. Advantages of National Plans over international Plans are to address the problem using a system tailored to the unique culture and demographics of each country and create local infrastructure and promote accountability National Plans are collaborative venture involving government and non-governmental agencies, care providers, people with dementia, families, professionals, researchers. Results: The outcome of best practices using National dementia plans improved awareness and education, improved early diagnosis and treatment, improved support at home, strengthen support for family caregivers, improved care in care homes, Better coordination of care, improved training for health professionals, Monitor progress, Commitment to research, Recognise the role of innovative technologies Success Factors for implementation of national dementia plans based on comparison of 7 national plans Recognition of dementia as a public health priority, involvement of all key stakeholders, introducing a ‘system of care’ and a ‘case management’ approach , committing funding, effective monitoring, evaluation and update, monitor the numbers through prevalence and incidence research, mandate from national government is critical, Ministry of Health usually takes the lead. Conclusions: ADI recommends that dementia be made a national public health and social care priority worldwide. Developed countries should commit to developing National Plans as a priority. In low and middle income countries - Carer groups, health and social care professionals and voluntary organisations should target government machinery to emphasise the devastating impact of dementia and the need for prioritising the condition for funding, policy and service development.
P2-280 P2-279
COMPARISON OF NATIONAL DEMENTIA PLANS
Jacob Roy Kuriakose, Alzheimer’s Disease International, Thrissur, India. Contact e-mail: [email protected] Background: Number of people with dementia will increase from
115 to 135 million by 2050. Increasing numbers of governments are developing comprehensive public health strategies in response. Aims of Comprehensive Dementia Plans are Promote broad public awareness and combat stigma, to identify dementia support services at all stages of the disease, to Quantify the number of individuals with dementia, to assess and improve the quality of health and
EARLY LIFE FOOD INSUFFICIENCY MAY INCREASE RISK OF DEMENTIA IN LATE LIFE
Yadollah Abolfathi Momtaz1,2, Tengku Aizan Hamid2, Sharifah Azizah Haron2, Rahimah Ibrahim2, Jariah Masud2, 1University of Social Welfare, Tehran, Iran; 2Institute of Gerontology Universiti Putra Malaysia, Serdang, Malaysia. Contact e-mail: [email protected] Background: Despite several studies attempting to identify the risk
factors for dementia, little is known about the impact of childhood living conditions on cognitive function in later life. The present study aims to examine the unique contribution of food insufficiency in childhood to dementia in old age. Methods: Data for this study of 2,745 older Malaysians aged 60 years and older was obtained from
Poster Presentations: P2
differences in the perception and experience of dementia may extend to aspects of informant report, potentially manifesting as under-report of certain symptoms.
P2-278
A NOVEL APPROACH TO SELF-FINANCING MODEL FOR PREVENTION AND EARLY INTERVENTION OF DEMENTIA: KOREA EXPERIENCE
Hyunsang Muk1, Youngho Kim2, 1BrainCare, Inc., Seoul, South Korea; Medifron DBT, Inc., Seoul, South Korea. Contact e-mail: hsmuk@ medifron.com 2
Background: With the projected increasing costs of caring for the
dementia patients, countries must cope with the enormous financial and social impacts. In the absence of a cure, an evidence from a large randomized clinical trial, FINGER study showed prevention and early intervention (PEI) improved cognitive performance in the elderly at risk for cognitive impairment. Korea is one of the fastest aging societies but public scheme covers only severe dementia patients due to a lack of funds. Methods: To find new approaches for a sustainable long-term strategy for dementia patients in Korea, we reviewed current options including public Long-term Care Insurance Korea (LTCI) and private insurance schemes for dementia and the reports from Korea National Assembly. We could design a novel, self-financing model for prevention and early intervention (PEI) of dementia. Results: Korean severe dementia patients at low income status are hospitalized or in nursing homes with 80% financial support by public LTCI. However MCI, mild to moderate dementia or patients with higher income are not covered by those schemes. Familes of the elderly with mediocre or higher income are recommended to buy a private insurance policy for dementia. Around 5 million old people (74% of older than 65 years) possess poorly designed private insurance policy. The Korea government is under enormous budget pressure and strategies to prevent or delay the onset of dementia have been proposed as imperative. New selffinancing model for prevention and early intervention (PEI) of dementia was designed and implemented. The model enrolled the elderly in membership of “Dementia-Care-Club” run by private companies. The Club provides dementia diagnosis program every year and enrolls a member in the PEI program if diagnosed. In 2015, the Club provides a multi-domain PEI program modified from FINGER study. Conclusions: The model is self-financed by members’ monthly fee to provide early diagnosis, prevention and early intervention for dementia that have not been covered by public and private insurance policies. The model could change dementia care paradigm in Korea not only for individual patients by providing a sustainable care at an affordable cost but for society by reducing its burden of disease.
social care; long-term support and services, to assess availability of diagnostic services, public health efforts to conduct surveillance and promote brain health. Methods: National Government Plans are state implemented strategies for providing care and support for people with dementia and their families. Advantages of National Plans over international Plans are to address the problem using a system tailored to the unique culture and demographics of each country and create local infrastructure and promote accountability National Plans are collaborative venture involving government and non-governmental agencies, care providers, people with dementia, families, professionals, researchers. Results: The outcome of best practices using National dementia plans improved awareness and education, improved early diagnosis and treatment, improved support at home, strengthen support for family caregivers, improved care in care homes, Better coordination of care, improved training for health professionals, Monitor progress, Commitment to research, Recognise the role of innovative technologies Success Factors for implementation of national dementia plans based on comparison of 7 national plans Recognition of dementia as a public health priority, involvement of all key stakeholders, introducing a ‘system of care’ and a ‘case management’ approach , committing funding, effective monitoring, evaluation and update, monitor the numbers through prevalence and incidence research, mandate from national government is critical, Ministry of Health usually takes the lead. Conclusions: ADI recommends that dementia be made a national public health and social care priority worldwide. Developed countries should commit to developing National Plans as a priority. In low and middle income countries - Carer groups, health and social care professionals and voluntary organisations should target government machinery to emphasise the devastating impact of dementia and the need for prioritising the condition for funding, policy and service development.
P2-280 P2-279
COMPARISON OF NATIONAL DEMENTIA PLANS
Jacob Roy Kuriakose, Alzheimer’s Disease International, Thrissur, India. Contact e-mail: [email protected] Background: Number of people with dementia will increase from
115 to 135 million by 2050. Increasing numbers of governments are developing comprehensive public health strategies in response. Aims of Comprehensive Dementia Plans are Promote broad public awareness and combat stigma, to identify dementia support services at all stages of the disease, to Quantify the number of individuals with dementia, to assess and improve the quality of health and
EARLY LIFE FOOD INSUFFICIENCY MAY INCREASE RISK OF DEMENTIA IN LATE LIFE
Yadollah Abolfathi Momtaz1,2, Tengku Aizan Hamid2, Sharifah Azizah Haron2, Rahimah Ibrahim2, Jariah Masud2, 1University of Social Welfare, Tehran, Iran; 2Institute of Gerontology Universiti Putra Malaysia, Serdang, Malaysia. Contact e-mail: [email protected] Background: Despite several studies attempting to identify the risk
factors for dementia, little is known about the impact of childhood living conditions on cognitive function in later life. The present study aims to examine the unique contribution of food insufficiency in childhood to dementia in old age. Methods: Data for this study of 2,745 older Malaysians aged 60 years and older was obtained from