There is the Family Health Strategy Policy. Usually in the public service the primary care unit covered by this program has several healthcare teams. Each team covers an area and is responsible for the health of those living in that area.

Not at the macro level, but yes for individual parties within their organisations. Each organisation, such as the Hospital Authority, the Social Welfare Department, and NGOs operated service providers, has internal protocols or practice guidelines regarding the responsibility of each type and rank of staff and when to refer cases to another department within the organisation or to an external party. Yet, there is no overarching protocol or policy guiding the development of these practice guidelines in the first place.

Mirroring on the seven-stage model for planning dementia services suggested by the WHO and the Alzheimer’s Disease International, the Food and Health Bureau has depicted the dementia care services in Hong Kong and the responsibilities of each party, reported in page 151 of the Mental Health Review Report (Food and Health Bureau, 2017a).

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.

The Ministry of Health’s regulation no. 74/2014 regulates the type of services, facilities, and resources an integrated geriatric unit should have. It also regulates that such services should be managed by an Integrated Geriatric Team, formed by the hospital director. The geriatric service is classified into sederhana, lengkap, sempurna, and paripurna types, ranging from very simple services to very comprehensive, respectively. The regulation stated that the team should be led by a geriatric specialist in the paripurna (highest) types, or an internal medicine specialist in the lower types (Ministry of Health Regulation No. 79/2014 on Geriatric Services in Hospitals (Permenkes No. 79/2014 Tentang Pelayanan Geriatri Di RS), 2014).

References:

Ministry of Health Regulation No. 79/2014 on Geriatric Services in Hospitals (Permenkes No. 79/2014 tentang Pelayanan Geriatri di RS). (2014). (Testimony of Ministry of Health Republic of Indonesia).

No data was sourced.

No dementia specific care is provided in levels 2 to 3. This means that referral is often made if the community providers or health care workers are not able to manage the conditions. Referral typically is made through a referral note and communication to higher levels of care. Sometimes patients refer themselves to the higher levels of care, bypassing the lower-level facilities either because they lack awareness on where to get the appropriate treatment or perceive those lower levels of care provide lower quality of care. The Kenya Health Sector referral Strategy outlines the roles of the providers (at the referral and receiving facilities) and ambulance crew for emergency referrals (Ministry of Health, 2014d). This strategy may not be specific for people with dementia but rather to all people in need of health emergency or referral services.

References:

Ministry of Health. (2014d). Kenya Health Sector Referral Strategy. Ministry of Health Division of Emergency and Disaster Risk Management Afya House. https://www.measureevaluation.org/pima/referral-systems/referral-strategy

No related protocols or policies are in place.

Based on the NZ Dementia framework, regional dementia pathways (as outlined earlier) outline the process of assessment and access to support services, as well as the local organisations responsible for providing them. The links between primary care and secondary/specialist services are also detailed in the pathway.