Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Collette C, Robitaille G. Repérage et processus menant au diagnostic de la maladie d'Alzheimer et d'autres troubles neurocognitifs. [Detection and diagnosis of Alzheimer's disease and other neurocognitive disorders] Quebec: Institut national d'excellence en sante et en services sociaux (INESSS). 2015 Authors' conclusions Several findings emerged from our work. First, Québec has a significant number of researchers interested in NCDs. Since there are substantial limitations in the scientific literature, a paucity of assessments of case-finding instrument quality in primary care and a lack of standardization in French Québec, it is essential that research teams initiate projects aimed at developing, adapting and assessing case-finding instruments among the community-dwelling population in Québec. Furthermore, these case-finding instruments must be assessed in different primary care settings to determine their effectiveness and usability in Québec's specific organizational context where time is an important issue.
Second, primary care professionals need to expand their knowledge of case-finding and diagnosis for AD and other NCDs. They must be familiar with the tools, their limitations and benefits, and the important aspects of this process. Continuing professional development must be encouraged to improve the exercise, to promote quality care and services and to ensure ethical and effective practices. Moreover, professionals' knowledge and confidence regarding the ethical and legal aspects of assessing mental competence are often obstacles to fully understanding the implications related to this particular type of assessment. Interprofessional
teams must therefore be better supported, and specific training sessions on legislative information must be offered to all the health and social service professionals concerned.
Third, communication and interprofessional work, two key aspects, could be better coordinated to improve the early detection of people with mild or major NCDs, but also to encourage the proper use of case-finding instruments. Interprofessional work and resource optimization need to be supported to ensure the accessibility and continuity of care and services. Indexing Status Subject indexing assigned by CRD MeSH Alzheimer Disease; Cognition Disorders; Humans; Neuropsychological Tests Country of organisation Canada English summary An English language summary is available. Address for correspondence Institut national d'excellence en santé et en services sociaux (INESSS), 1195 avenue Lavigerie, bureau 60 Québec (Québec) Canada, G1V 4N3
Email: inesss@inesss.qc.ca AccessionNumber 32015001241 Date abstract record published 22/12/2015 |