老年人接受轻度认知障碍筛查后转诊的研究进展

Research progress of referral after screening for mild cognitive impairment in older adults

轻度认知障碍(MCI)的患病率越来越高。对患者进行早期筛查并干预可以有效延缓病程、促进转归,然而我国MCI就诊率不足4‰,大部分患者未获得相关的卫生服务,转诊是连接患者筛查与获取后续卫生服务的关键步骤,也是目前最薄弱的环节。本文就近年来国内外关于MCI筛查后转诊的现状进行综述,并从受者、供者和环境三方面总结并分析影响转诊的因素,探索提高转诊率的干预措施,为改善MCI患者的就医行为提供理论依据,使患者得到及时恰当的治疗和照护,减轻相关的疾病负担。

The prevalence of mild cognitive impairment(MCI)is increasing.Screening and early intervention on MCI patients can effectively delay the course of the disease and improve the outcome.However,the visit rate of MCI in China is less than 4‰,and the majority of the patients did not receive the relevant health services.The referral is the key steps between patient screening and getting the follow-up health service,which is currently the weakest link.This review discusses the status of referral after MCI screening in recent years,summarizes and analyzes the factors influencing the referral from three aspects of the recipients,donors and environment.We also summarized interventions to improve the referral rate,which provided the theoretical foundation for improving the medical behavior in patients with MCI,so as to make patients receive proper treatment and care for reducing the country-related burden of disease.