Yes, if we consider the “Matriciamento em Saúde Mental” care coordination occurs at all levels, but it is coordinated by the primary level of care.

The care coordination between multiple governmental sectors is occurring across primary, secondary, and tertiary levels for people with dementia and their family carers is described in section 04.07.01. The Mental Health Review Report (MHRR) illustrates a care pyramid in addressing appropriate levels of care and multiple needs at different stages of dementia (Food and Health Bureau, 2017a, p. 184).

References:

Food and Health Bureau. (2017a). Mental Health Review Report.  Retrieved from https://www.fhb.gov.hk/download/press_and_publications/otherinfo/180500_mhr/e_mhr_full_report.pdf.

Not applicable.

Yes, it is expected at all levels. Care coordination involving a multidisciplinary team is expected to be provided at the secondary and tertiary level of healthcare facilities, covered by the universal healthcare scheme. All these healthcare facilities are subject to the central government’s regulations. However, the National Dementia Plan encourages capacity building programmes to medics and non-medics to be emphasised in the primary care level (Ministry of Health Republic of Indonesia, 2015b).

References:

Ministry of Health Republic of Indonesia. (2015b). National Strategy: Management of Alzheimer and Other Dementia Diseases: Towards Healthy and Productive Older Persons. Ministry of Health Republic of Indonesia.

Not applicable due to a lack of an established dementia care pathway in the public health sector.

There is uncoordinated planning and weak monitoring and evaluation systems at both National and County levels which worsen in lower levels of care (John & Kiarie, 2019).

References:

John, T., & Kiarie, H. (2019). Building strong stewardship and collaborating systems towards UHC in Kenya’s Devolved Health system. Nairobi, Kenya.

No data is available as no care coordination mechanisms are in place.

Care coordination is occurring at all three levels of care.

Not applicable, see responses from 04.07.01 to 04.07.05.