DESK REVIEWS | 07.02.01.02.01. Diagnostic services (in primary care)

DESK REVIEW | 07.02.01.02.01. Diagnostic services (in primary care)

Usually, the GP refers those he/she suspects that have dementia to a specialist (psychiatrist, neurologist, or geriatrician) under secondary care, but may opt to conduct neuropsychological tests, as well as ask for the blood tests and tomography directly if possible.

Generally, a GP refers the person to a specialist (neurologist/psychiatrist).

PERDOSSI has developed a diagnostic protocol for primary care. In addition, from 2019 onwards primary care centres have to adopt a screening approach by the Ministry of Health’s regulation no. 4/2019 on Minimum Standard of Service. The document states that all people aged 60 years old or above should receive an annual check of blood glucose and cholesterol level, Geriatric Depression Scale, Abbreviated Mental Test, Instrumental Activities of Daily Living (Ministry of Health Regulation No. 4/2019 on Technical Standard to Fulfill Quality of Basic Service in Minimum Standard of Healthcare Service (Permenkes No. 4/2019 Tentang Standar Teknis Pemenuhan Mutu Pelayanan Dasar Pada Standar Pelayanan Minimal Bidang, 2019).

References:

Ministry of Health Regulation no. 4/2019 on Technical Standard to Fulfill Quality of Basic Service in Minimum Standard of Healthcare Service (Permenkes no. 4/2019 tentang Standar Teknis Pemenuhan Mutu Pelayanan Dasar pada Standar Pelayanan Minimal Bidang). (2019). (Testimony of Ministry of Health Republic of Indonesia).

Diagnosis for dementia is made by a medical officer at referral county hospitals, but as a secondary condition. Often, diagnosis is received late, following admission to inpatient care diagnosis because the primary complaint at the outpatient clinic is dementia unrelated and the dementia symptoms are mostly identified during inpatient care (Musyimi et al., 2019).

References:

Musyimi, C., Mutunga, E., & Ndetei, D. (2019). Stigma and dementia care in Kenya: Strengthening Responses to Dementia in Developing Countries (STRiDE) Project. In World Alzheimer Report 2019: Attitudes to dementia (pp. 121–122). London, UK: Alzheimer’s Disease International. https://www.alzint.org/u/WorldAlzheimerReport2019.pdf

Not as part of any public health or social security institutions. Most people with a diagnosis obtains it from private services/specialists.