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Are older Australians slipping through gaps in primary healthcare?

The latest news from the Better Evaluation and Care of Health (BEACH) study, as recently covered at Croakey, raises some questions about the quality of dementia care, says Carol Bennett, chief executive officer of Alzheimer’s Australia.

Carol Bennett writes:

Carol BennettAre older Australians slipping through the health care gaps?

It was interesting to read the Bettering the Evaluation and Care of Health (BEACH) Report, Australian General Practice Activity 2014-15, released recently, which unequivocally said that older Australians are visiting their GPs more and more.

If this is the case, why then is the average time from first symptoms of dementia to diagnosis still three years?

We know that one in 10 people over 65 and three in 10 over 85 have dementia. If these older Australians are in fact visiting their GPs more and more – why is dementia still one of the most under-diagnosed and misunderstood of the chronic diseases?

We know that the role of primary health is absolutely critical for people with chronic conditions like dementia, as this is almost always their first point of contact.

Yet many GPs, as well as nurses and allied health professionals, have difficulty differentiating normal aging from the early stages of dementia. They often lack specific knowledge about dementia assessment, management and appropriate referral pathways.

At Alzheimer’s Australia, we believe this is due to a lack of good information and education about dementia, its warning signs, and its assessment, both for health care professionals and for the community in general.

The BEACH report indicated that with population ageing, older people have more chronic disease and higher health care needs and are going to require more diagnostics, more referrals, and more treatment and management.

We need to ensure these Australians are not falling through the gaps by providing targeted information and education on dementia in the primary health care area. This includes:

  • A systematic, competency-based approach to cognitive assessment, which includes input from family members and carers
  • Including cognitive assessment in the 75+ health assessment
  • Ensuring adequate management of medications that may cause or exacerbate cognitive impairment
  • Improving clear referral pathways to specialist dementia services
  • Providing education and support to enable primary health care nurses to play a greater role in assessment, diagnosing and managing dementia, as part of a primary health care team.

The 342,800 Australians living with dementia deserve to be better supported by their health care system so they can live successfully in the community for longer, where most people want to be, reducing early admission into residential aged care, reducing higher levels of avoidable hospital admissions and poorer end of life care.

To begin to achieve this, we need a comprehensive approach to education and information across general practice, primary health care, acute care and the aged care sector, to support our ageing population experiencing chronic illness.

• The report mentioned in the feature image, Dementia Friendly Societies, is available here.

 

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Croakey Conference News Service 2013 – 2023
2023 Conferences
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Our Democracy Forum
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2022 Conferences
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GiantSteps22
Equally Well 2022 Symposium
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2021 conferences
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2020 conferences
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2018 conferences
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2017 conferences
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#IDS17
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Australian Palliative Care Conference
2016 conferences
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#CPHCEforum16
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2015 conferences
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Population Health Congress 2015
2014 conferences
#IPCHIV14
AIDA Conference 2014
Congress Lowitja 2014
CRANAplus conference 2014
Cultural Solutions - Healing Foundation forum 2014
Lowitja Institute Continuous Quality Improvement conference 2014
National Suicide Prevention Conference 2014
Racism and children/youth health symposium 2014
Rural & Remote Health Scientific Symposium 2014
2013 conferences
Australian Centre for Health Services Innovation Forum 2013
Australian Health Promotion Association Conference 2013
Closing the Credibility Gap 2013
CRANAplus Conference 2013
FASD Conference 2013
Health Workforce Australia 2013
International Health Literacy Network Conference 2013
NACCHO Summit 2013
National Rural Health Conference 2013
Oceania EcoHealth Symposium 2013
PHAA conference 2013
Croakey Professional Services archive
#CommunityControl
#CommunityControl Twitter Festival
#COVIDthinktank21
Healthdirect Australia series 2019
Lowitja Indigenous knowledge translation series
Croakey projects archive
#PHAAThinkTank 2022
Summer reading 2022-2023
#CommunityMatters
#CroakeyFundingDrive 2022
#CroakeyLIVE #Budget2021Health
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@WePublicHealth2022
@WePublicHealth2021
@WePublicHealth2020
AroundTheTraps
Croakey register of influence
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Summer reading 2021-2022
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The Koori Woman
TOO MUCH of a Good Thing
Wonky Health
CroakeyGO archive 2017 – 2018
CroakeyGo 2018
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CroakeyGo 2017
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Elections and Budgets 2013 – 2021
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