Home 2014 - Volume 14(3) DEVELOPMENT OF CLINICAL PATHWAY FOR MILD COGNITIVE IMPAIRMENT AND DEMENTIA TO QUANTIFY COST OF AGE-RELATED COGNITIVE DISORDERS IN MALAYSIA
DEVELOPMENT OF CLINICAL PATHWAY FOR MILD COGNITIVE IMPAIRMENT AND DEMENTIA TO QUANTIFY COST OF AGE-RELATED COGNITIVE DISORDERS IN MALAYSIA PDF Print E-mail
Friday, 21 November 2014 23:38

Syed Mohamed Aljunid1,, Namaitijiang Maimaiti2, Zafar Ahmed1, Amrizal Muhammad Nur1, Norashidah Mohamed Nor3,4, Normazwana Ismail3,4, Sharifah Aizah Haron4, Asrul Akmal Shafie5,4, Mohmad Salleh6,4, Suraya Yusuf7, Zanariah Mat Saher8, Ismail Drahman9, Ahmad Rasidi M. Saring10, Nazariah Aiza Harun11, Roshanim Koris3

1International Centre for Casemix and Clinical Coding, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia

2International Institute for Global Health, United Nations University, Kuala Lumpur, Malaysia

3Faculty of Economics and Management, Universiti Putra Malaysia, Selangor, Malaysia

4Institute Gerontology,Universiti Putra Malaysia, Selangor, Malaysia

5Discipline of Social & Administrative Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia

6Family Health Development Division, Ministry of Health, Malaysia

7Hospital Sultan Ismail, Johor, Malaysia

8Hospital Kuala Lumpur, Malaysia

9Hospital Umum Sarawak, Sarawak, Malaysia

10Hospital Sultanah Bahiyah Kedah Malaysia

11Hospital Queen Elizabeth,Sabah Malaysia

ABSTRACT

As the Malaysian population ages, the burden of age-related cognitive disorders such as dementia and Alzheimer’s disease will increase concomitantly. This is one of the sub-study under a research project titled by quantify the cost of age-related cognitive impairment in Malaysia, which was undertaken to develop a clinical pathway for Mild Cognitive Impairment (MCI) and Dementia. The clinical pathway (CP) will be used to support the costing studies of MCI and Dementia. An expert group discussion (EGD) was conducted among selected experts from six (6) government hospitals from different states of Malaysia, Ministry of Health, and United Nations University, International Institute for Global Health, UKM and UPM. The expert group includes psychiatrist specialists and public health medicine specialists. A total of 15 participants took part in the EGD. The group was presented with the different approach in managing MCI and Dementia. Finally, the group came to the consensus agreement on the most appropriate and efficient ways of managing the two conditions. In the EGD, an operational definition for MCI and Dementia was agreed upon and a pathway was developed for the usual practice in the Malaysian health system.  A typical case used, as a reference is a 60-year-old patient referred to a memory clinic with complaint of “forgetfulness”. After three outpatient visits in the clinic, the diagnosis of MCI and Dementia could be clinically established. The clinical pathways covered all active clinical and non-clinical management of the patient over a period of one year. The experts identified the additional resources required to manage these patients for the whole spectrum of lifetime based on the expected life expectancy. The Clinical pathway (CP) for MCI and Dementia was successfully developed in EGD with strong support from practitioners in the health system. The findings will help the researchers to identify all-important clinical activities and interventions that will be included in the costing study.

Key words: Mild Cognitive Impairment, Dementia, Clinical pathway, Cost, Malaysia

 

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Last Updated on Friday, 21 November 2014 23:49
 

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ISSN No : 1675-0306
e-ISSN No : 2590-3829

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