Research Article
Open access
Published on 20 June 2024
Download pdf
Shi,J.;Wu,S.;Li,H. (2024). Analysis and Prospect of Diagnosis, Treatment, and Public Health Policy of Dementia. Advances in Economics, Management and Political Sciences,92,218-225.
Export citation

Analysis and Prospect of Diagnosis, Treatment, and Public Health Policy of Dementia

Jing Shi *,1, Shuang Wu 2, Hancheng Li 3
  • 1 Traditional Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin, 301617, China,
  • 2 Shanghai Pinghe School, Shanghai, 200120, China
  • 3 Beijing Etown Academy, Beijing, 100176, China

* Author to whom correspondence should be addressed.

https://doi.org/10.54254/2754-1169/92/20231190

Abstract

In China, dementia is the leading cause of elderly disability and death. Its characteristics include a high prevalence rate, a low rate of diagnosis and treatment, and a high cost of treatment and maintenance. As a result, patients (and their families) as well as society are subjected to a significant mental and financial burden. Based on the available research and data, this paper examines the epidemiological classification of dementia, identifies issues with dementia diagnosis, treatment, and maintenance, examines and discusses the application of current public health regulations, and makes pertinent recommendations to advance the development of dementia prevention and maintenance. Finally, we draw the conclusion that while the current policies have somewhat improved the prevention and care conditions for dementia patients and their families, future long-term care and home-care policies, insurance policies, discipline development, and medical education policies still need to be implemented more effectively.

Keywords

dementia, public health policy, long-term care services, home-care services, insurance

[1]. Chinese Dementia and Cognitive Impairment Guidelines Writing Group, Cognitive Impairment Disease Professional Committee of the Neurology Physicians Association of the Chinese Medical Association. 2018 Chinese Guidelines for the Diagnosis and Treatment of Dementia and Cognitive Impairment (Part One): Dementia and its Classification Diagnostic Criteria. Chinese Medical Journal. ,2018,98(13):965-970. DOI: 10.3760/cma.j.issn.0376-2491.2018.13.003.

[2]. N.A. (2023). Dementia. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/dementia

[3]. Liu, D., Cheng, G., An, L., Gan, X., Wu, Y., Zhang, B., Hu, S., Zeng, Y., & Wu, L. (2019). Public Knowledge about Dementia in China: A National WeChat-Based Survey. International Journal of environmental research and public health, 16(21), 423.https://doi.org/10.3390/ijerph16214231

[4]. Dementia: number of people affected to triple in next 30 years,2017[EB/OL].[2021-03-08]. http://www.who.int/mediacentre/news/releases/2017/dementia-triple-affected/en/.

[5]. Wang, Z., Tang, R., Wang, J., Huang, Q., Li, J., Xie, X., Hu, Y., Cui, S., Zhu, Y., Yu, X., Wang, P., Zhu, Y., Wang, Y., Huang, Y., Hu, Y., … Wang, G. (2022). The China Alzheimer Report 2022. General psychiatry, 35(1), e100751. https://doi.org/10.1136/gpsych-2022-100751

[6]. Jia, L., Quan, M., Fu, Y., Zhao, T., Li, Y., Wei, C., Tang, Y., Qin, Q., Wang, F., Qiao, Y., Shi, S., Wang, Y. J., Du, Y., Zhang, J., Zhang, J., Luo, B., Qu, Q., Zhou, C., Gauthier, S., Jia, J., … Group for the Project of Dementia Situation in China (2020). Dementia in China: epidemiology, clinical management, and research advances. The Lancet. Neurology, 19(1), 81–92. https://doi.org/10.1016/S1474-4422(19)30290-X

[7]. Li, F., Qin, W., Zhu, M., & Jia, J. (2021). Model-Based Projection of Dementia Prevalence in China and Worldwide: 2020-2050. Journal of Alzheimer's disease: JAD, 82(4), 1823–1831. https://doi.org/10.3233/JAD-210493

[8]. Qi, S., Yin, P., Zhang, H., Zhang, Q., Xiao, Y., Deng, Y., Dong, Z., Shi, Y., Meng, J., Peng, D., & Wang, Z. (2021). Prevalence of Dementia in China in 2015: A Nationwide Community-Based Study. Frontiers in public health, 9, 733314. https://doi.org/10.3389/fpubh.2021.733314

[9]. N.A. (2021). Global Status Report on the Public Health Response to Dementia. World Health Organization. https://apps.who.int/iris/bitstream/handle/10665/344701/9789240033245-eng.pdf

[10]. Jia, J., Wei, C., Chen, S., Li, F., Tang, Y., Qin, W., Zhao, L., Jin, H., Xu, H., Wang, F., Zhou, A., Zuo, X., Wu, L., Han, Y., Han, Y., Huang, L., Wang, Q., Li, D., Chu, C., Shi, L., … Gauthier, S. (2018). The cost of Alzheimer's disease in China and re-estimation of costs worldwide. Alzheimer's & dementia: the journal of the Alzheimer's Association, 14(4), 483–491. https://doi.org/10.1016/j.jalz.2017.12.006

[11]. Jia, J., Zuo, X., Jia, X., Chu, C., Wu, L., Zhou, A., Wei, C., Tang, Y., Li, D., Qin, W., Song, H., Ma, Q., Li, J., Sun, Y., Min, B., Xue, S., Xu, E., Yuan, Q., Wang, M., . . . Wu, X. (2015). Diagnosis and treatment of dementia in neurology outpatient departments of general hospitals in China. Alzheimers & Dementia, 12(4), 446–453. https://doi.org/10.1016/j.jalz.2015.06.1892

[12]. Feng, Z., Glinskaya, E., Chen, H., Gong, S., Qiu, Y., Xu, J., & Yip, W. (2020). Long-term care system for older adults in China: policy landscape, challenges, and future prospects. Lancet (London, England), 396(10259), 1362–1372. https://doi.org/10.1016/S0140-6736(20)32136-X

[13]. National Healthcare Security Administration(2023)The National Medical Insurance Bureau and the Ministry of Human Resources and Social Security issued the "National Basic Medical Insurance, Work-related Injury Insurance and Notice of Maternity Insurance Drug Catalog (2022)http://www.nhsa.gov.cn/art/2023/1/18/art_104_10078.html

[14]. The People's Government of Beijing Municipality(2019) Notice on Printing and Distributing the "Implementation Measures for the Management of Subsidies and Subsidies for the Elderly in Beijing" https://www.beijing.gov.cn/zhengce/zhengcefagui/202302/t20230207_2912924.html

[15]. Chinese People's Government of the People's Republic of China (2022) Opinions of the General Office of the State Council on Promoting the Development of Personal Pensionhttps://www.gov.cn/zhengce/content/202204/21/content_5686402.htm?trs=1

[16]. Xing, Y., Zhu, Z., Du, Y., Zhang, J., Qu, Q., Sun, L., Li, Y., Guo, Y., Peng, G., Liu, Y., Yu, Y., Qiao, Y., Xie, B., Shi, X., Lu, J., Jia, J., & Tang, Y. (2020). The Efficacy of cognitive training in patients with Amnestic mild cognitive impairment (COG-REAGENT): Protocol for a Multi-Center Randomized Controlled Trial. Journal of Alzheimer's disease: JAD, 75(3), 779–787. https://doi.org/10.3233/JAD-191314

[17]. Tang, Y., Xing, Y., Zhu, Z., He, Y., Li, F., Yang, J., Liu, Q., Li, F., Teipel, S. J., Zhao, G., & Jia, J. (2019). The effects of 7-week cognitive training in patients with vascular cognitive impairment, no dementia (the Cog-VACCINE study): A randomized controlled trial. Alzheimer's & dementia: the journal of the Alzheimer's Association, 15(5), 605–614. https://doi.org/10.1016/j.jalz.2019.01.009

[18]. Opinions of the General Office of the State Council on Promoting the Development of Personal Pension (2022)https://wwwgov.cn/xinwen/2022-09/21/content 5710969.htme

[19]. Notice of the General Office of the National Health Commission on Exploring and developing special services for the prevention and treatment of depression and senile dementia(2020)https://www.gov.cn/zhengce/zhengceku/2020-09/11/content_5542555.htm

[20]. Writing group of China's guidelines for the diagnosis and treatment of dementia and cognitive impairment, Professional Committee of Cognitive Impairment, Neurophysician Branch of Chinese Medical Association. 2018 China's guidelines for the diagnosis and treatment of dementia and cognitive impairment (6): Alzheimer's disease in the pre-dementia stage [J]. Chinese Medical Journal, 2018,98 (19): 1457-1460. DOI:10.3760/cma.j.issn.0376-2491.2018.19.001.

[21]. Ministry of Civil Affairs, China. China civil affairs statistical yearbook: statistics on China social services. Beijing: China Social Publishing House(2018).

[22]. Ministry of Civil Affairs of the People’s Republic of China. Press briefing on the promulgation of the National Occupational Standards for Aged Care Workers. Oct 16, 2019. http://www.mca.gov.cn/article/gk/jd/ylfw/201910/20191000020447.shtml (accessed Aug 29, 2020).

[23]. Song, Y., Anderson, R. A., Corazzini, K., & Wu, B. (2014). Staff characteristics and care in Chinese nursing homes: A systematic literature review. International Journal of Nursing Sciences, 1(4), 423–436. https://doi.org/10.1016/j.ijnss.2014.10.003.

Cite this article

Shi,J.;Wu,S.;Li,H. (2024). Analysis and Prospect of Diagnosis, Treatment, and Public Health Policy of Dementia. Advances in Economics, Management and Political Sciences,92,218-225.

Data availability

The datasets used and/or analyzed during the current study will be available from the authors upon reasonable request.

Disclaimer/Publisher's Note

The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of EWA Publishing and/or the editor(s). EWA Publishing and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content.

About volume

Volume title: Proceedings of the 2nd International Conference on Financial Technology and Business Analysis

Conference website: https://2023.icftba.org/
ISBN:978-1-83558-483-5(Print) / 978-1-83558-484-2(Online)
Conference date: 8 November 2023
Editor:Javier Cifuentes-Faura
Series: Advances in Economics, Management and Political Sciences
Volume number: Vol.92
ISSN:2754-1169(Print) / 2754-1177(Online)

© 2024 by the author(s). Licensee EWA Publishing, Oxford, UK. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license. Authors who publish this series agree to the following terms:
1. Authors retain copyright and grant the series right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this series.
2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the series's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this series.
3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See Open access policy for details).