Urtder-provision of medical care for vascular diseases for people with dementia in primary cares

摘要

People with Alzheimer's disease and other dementia subtypes have significantly reduced survival, which is, in part, explained by the presence of comorbid vascular diseases, including congestive heart failure, ischaemic heart disease, diabetes, and cerebrovascular disease.Studies have found suboptimal care fpr acute myocardial infarction, stroke prevention, and atrial fibrillation among people with dementia, but have been based in secondary and long-term care settings. Primary care services remain the main healthcare service for people with dementia. In this study, the quality of care for vascular diseases and risk factors received by people with dementia in primary care were evaluated, together with the patient- and practice-level factors associated with it.