11. The Americas
- Hugo de Waal MD, FRCPsych, FHEA8,
- Constantine Lyketsos MD, MHS9,
- David Ames BA, MD, FRCPsych, FRANZCP10 and
- John O'Brien BA, BM BCh, MA, FRCPsych, MD11
Published Online: 7 JUL 2013
Copyright © 2013 John Wiley & Sons, Ltd
Designing and Delivering Dementia Services
How to Cite
Bagnati, P. M., Kremer, J. L., Taragano, F. E., Allegri, R. F., Bottino, C. M. C., Fuentes, P. and Samus, Q. M. (2013) The Americas, in Designing and Delivering Dementia Services (eds H. de Waal, C. Lyketsos, D. Ames and J. O'Brien), John Wiley & Sons, Ltd, Oxford, UK. doi: 10.1002/9781118378663.ch11
Lead Consultant, Norfolk Dementia Care Academy, Norwich, UK
Associate Postgraduate Dean, East of England Deanery, Cambridge, UK
Elizabeth Plank Althouse Professor, Director of the Johns Hopkins Memory and Alzheimer's Treatment Center, Johns Hopkins Medicine, Maryland, USA
Director, National Ageing Research Institute, University of Melbourne Professor of Ageing and Health, Victoria, Australia
- Published Online: 7 JUL 2013
Print ISBN: 9781119953494
Online ISBN: 9781118378663
- dementia services;
- national case register;
- epidemiologic polarisation;
- dementia reference centres;
- Brazilian national dementia policies;
In this chapter we present an overview of dementia services and the general state of affairs regarding dementia in four countries, representing North and South America:
All expect increases in incidence and prevalence of dementias.
Argentina reports inequitable access to health care funding as well as a concentrated provision of specialists mainly in large cities, but also improved resources for carers. There are various partnerships and initiatives to progress research into eg biomarkers.
Brazil describes a particular diverging pattern of morbidity due to high levels of socio-economic inequality and a relatively younger age of onset in Latin America in general. It reports inadequate provision of dementia care and this is equally true with regards to postgraduate training in dementia. However, the picture overall is slowly improving, particularly through ‘dementia reference centres’ and other initiatives.
In Chile there is a comparable lack of attention to dementia care, in spite of a number of governmental health programmes. A number of professional organisations collaborate to counter this tendency and there is an expectation that current low levels of training in dementia will reverse.
The USA reports a complex, fragmented patchwork of services, providers and financing mechanisms. However, it is hoped that recent legislation will address these issues and specific national initiatives are observed to lead to improvements in practices and policy developments.