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Table 3 Availability and utilization of care activities in the category Screening, the diagnostic procedures, and treatment

From: Dementia care and service systems – a mapping system tested in nine Swedish municipalities

Definition Municipality* Early stage Intermediate stage Late stage End of life stage
Available for Utilized by Available for Utilized by Available for Utilized by Available for Utilized by
Dementia screening programme/“case finding”: Carried out in primary care with the aim of detecting dementia at early stages. Different assessment tools might be used. 1 No one No one No one No one No one No one No one No one
2 All All All Few All No one All No one
3 No one No one No one No one No one No one No one No one
4 All Few All Few All Few All No one
5 No one No one No one No one No one No one No one No one
6 No one No one No one No one No one No one No one No one
7 All Few All Few All Few All No one
8 All Most All Most All Most All Most
9 All Most All Most All Most All Most
Standard diagnostic procedure for dementia disease: National standard diagnostic procedure applied in accordance. 1 All Most All Most All Few All No one
2 All All All All All Few
3 All Most All Most All Few All No one
4 No one No one No one No one No one No one No one No one
5 All Few All Most All Most All No one
6 All Most All Most All Few All No one
7 All Most All Most All Few All No one
8 All Most All Most All Most All Few
9 All Most All Most All Most No one No one
Pharmacological treatment specific for dementia disease: Medication of cognitive symptoms, combined with a likely slowing of disease progression, for instance Cholinesterase Inhibitors for improvement of cognition (memory, language). ATC code N06D [30]. Only validated treatment. 1 All Most All Most All Few All No one
2 All All All Few All No one No one No one
3 All Most All Most All Few All No one
4 All Most All Most All Most All No one
5 All Few All Most All Most All Few
6 All Few All Most All Most All Few
7 All Most All Most All Few All No one
8 All Most All Most All Few All Few
9 All Few All Most All Most All Few
Non-pharmacological treatment: Treatment – not pharmacological, for instance orientation to reality, reminiscence therapy, tactile massage, cognitive stimulation etc. 1 Few Few Few Few Few Few Few Few
2 Most Few All Most All Most All Few
3 Few Few Few Few Few Few Few Few
4 All Few All Most All Few All No one
5 All Few All Most All Most All Few
6 All Few All Few All Few All Few
7 All Few All Most Most Few Few Few
8 All Few All Few All Most Most Most
9 No one No one No one No one No one No one No one No one
Pharmacological treatment specific for Behavioural Psychological Symptoms of Dementia (BPSD): Pharmacological treatment of non-cognitive symptoms and behaviours, for instance psychotropic drugs for aggressive behaviour [31]. ATC code N05 [30]. 1 All Few All Few All Few All Few
2 All Few All Few All Most All Most
3 All Few All Most All Most All Few
4 All Most All Most All Most All Most
5 All Few All Few All Few All Few
6 All Most All Most All Most All Most
7 All Few All Few All Few All Few
8 Most Few All Most All Most All Most
9 Most Few Most Few Most Few Most Few
Non-pharmacological treatment specific for BPSD: Treatment – not pharmacological, for instance environmental modification, massage, presence of pets, selected music, distraction etc. [23]. 1 Few Few Most Most Most Most Most Most
2 All Few All Most All Most All Few
3 Few Few Few Few Few Few Few Few
4 All Few All Most All Most All Few
5 Few Few Most Most Most Most Most Most
6 Most No one Most Few Most Few Most Few
7 Most Few Most Few Most Few Most Few
8 No one No one No one No one Few Few Few Few
9 Few Few Few Few Few Few Few Few
Memory clinic: Outpatient clinic for examination and treatment of memory impairments, not only suspected dementia diseases. 1 All Few All Few All Few All No one
2 All Few All Few All Few All No one
3 Few Few Few Few Few Few No one No one
4 No one No one No one No one No one No one No one No one
5 Few Few Few Few Few Few No one No one
6 Few No one Few Few Few Few Few No one
7 All Few All Few All Few All Few
8 All No one All No one All No one All No one
9 No one No one Few Few Few Few No one No one
  1. *1–9 = represents the municipalities in two county councils in Sweden. ATC anatomical therapeutic chemical classification
  2. *1–9 = represents the municipalities in two counties in Sweden