Concept Analysis and Implementation Framework of Dementia Day Care Service

Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2024-05-14 Cooperative journals: 《中国全科医学》

LI Xianwen LI Xinru LIU Haining YIN Yueheng SHAN Enfang DING Yaping NIU Shuzhen XING Ying

Abstract： Day care service is an important component of the community care service system for elderly people with dementia. However，the concept of dementia day care has not been unified，and its connotation and implementation framework have not been clarified，which greatly affects the continuous construction and high-quality service supply of dementia day care service. The Walker classic concept analysis method was used and five attributes of the concept was introduced including（1） daytime intensive，non-residential care；（2）professional coordination and integrated care focused on families with dementia； （3）public respite care support for families with dementia；（4）a crucial complement to high-quality care for dementia；（5） a driving force in promoting a dementia-friendly community. The preconditions of dementia day care include high care needs， weakened family functions and the dominant role of public care，and the consequences involve dementia，family caregivers and social welfare. The implementation factors identification，implementation strategy design，implementation and effect evaluation were carried out respectively using the consolidated framework for implementation research，the replicating effective programs implementation framework and the RE-AIM evaluation framework in the field of implementation science. The specialization， high quality，integrated care，and the philosophy of the friendly community should be highlighted in the future development of dementia day care. The service content，facilities and implementation process need to be improved to promote the quality of dementia day care service.

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