DESK REVIEWS | 07.01.07.02. Are there protocols/bills (laws)/policies that outline who carries responsibility or is this depending on local practice/individuals?
DESK REVIEW | 07.01.07.02. Are there protocols/bills (laws)/policies that outline who carries responsibility or is this depending on local practice/individuals?
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).
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 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.
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