Integrated care pathways on dementia in Italy: a survey testing the compliance with a national guidance

Neurol Sci. 2020 Apr;41(4):917-924. doi: 10.1007/s10072-019-04184-9. Epub 2019 Dec 13.

Abstract

Dementias are chronic, degenerative neurological disorders with a complex management that require the cooperation of different healthcare professionals. The Italian Ministry of Health produced the document "Guidance on Integrated Care pathway for People with Dementia" (GICPD) with the specific objective of providing a standardized framework for the definition, development, and implementation of integrated care pathways (ICP) dedicated to people with dementia. We searched all available Italian territorial ICPs. Two raters assessed the retrieved ICPs with a 2-point scale on a 43-item checklist based on the GICPD. Only 5 out of 21 regions and 5 out of 101 local health authorities had an ICP, with most ICPs having a moderate compliance to the GICPD, in particular for the items referring to the development and implementation of the care pathways. A low to moderate inter-rater agreement was observed, mainly due to a lack of standardized models to describe ICPs for dementias. Results suggest that policy- and decision-makers should pay more attention to the GICPD when producing ICPs. The direct communication with clinicians, and the implementation of more precise and appropriate clinical outcomes, could increase the involvement of clinicians, whose participation is crucial to guarantee that ICPs meet needs of patients and their carers.

Keywords: Care coordination; Care pathway; Cognitive disorders; Dementia; Integration of care.

MeSH terms

  • Checklist / statistics & numerical data
  • Critical Pathways / standards*
  • Critical Pathways / statistics & numerical data
  • Delivery of Health Care, Integrated / standards*
  • Delivery of Health Care, Integrated / statistics & numerical data
  • Dementia / therapy*
  • Guideline Adherence / standards*
  • Guideline Adherence / statistics & numerical data
  • Guidelines as Topic / standards*
  • Humans
  • Italy
  • Process Assessment, Health Care / standards*
  • Process Assessment, Health Care / statistics & numerical data