DESK REVIEWS | 04.07.07.01. How are the different aspects of care coordination organised? For example, if task sharing is being pursued, who trains whom, who supervises whom?

DESK REVIEW | 04.07.07.01. How are the different aspects of care coordination organised? For example, if task sharing is being pursued, who trains whom, who supervises whom?

Brazil

There is no specific care coordination for people living with dementia. In the cases of the “Matriciamento em Saúde Mental”, there is neither supervision nor referral, it is a system that works horizontally, so when the family health team needs support regarding education, group intervention related to mental health etc., the “matriciamento” team is requested (Brazilian Ministry of Health, 2011b). The process through which different health and social care services which are relevant for people living with dementia should be coordinated/integrated is detailed in policies led by the Ministry of Health (Brazilian Ministry of Health, 2002, 2018e).

References:

Brazilian Ministry of Health. (2002). Redes estaduais de atenção à saúde do idoso: Guia operacional e portarias relacionadas. Editora MS. http://bvsms.saude.gov.br/bvs/publicacoes/redes_estaduais.pdf

Brazilian Ministry of Health. (2011b). Guia prático de matriciamento em saúde mental. http://bvsms.saude.gov.br/bvs/publicacoes/guia_pratico_matriciamento_saudemental.pdf

Brazilian Ministry of Health. (2018e). Orientações Técnicas para a Implementação de Linha de Cuidado para Atenção integral à Saúde da Pessoa Idosa no Sistema Único de Saúde—SUS. Ministério da Saúde do Brasil.

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Hong Kong SAR

The Government promotes a coordinated cross-sectoral and multi-disciplinary approach for dementia care. Health professionals and care workers are trained by academic institutions to provide quality care regulated by the government sectors, as well as the collaborations with NGOs and other sectors. The Dementia Community Support Scheme shows an example of care coordination between Social Welfare Department (SWD), Hospital Authority (HA), and NGOs, which work together to organise and provide community support services to persons with mild or moderate dementia and their family carers. The supervisory roles and corresponding responsibilities of these parties are listed below (Food and Health Bureau, 2017a, pp. 25-26):

Social Welfare Department (SWD)

Supervisory role of care coordination;
Referral of persons with suspected indicators on early dementia in the community.

Hospital Authority (HA)

Referral of suitable patients with mild or moderate dementia;
Primary care doctors (e.g., general practitioners) to provide medical support to stable patients through public-private partnership.

NGOs