A Multidisciplinary Model of Dementia Care in an Underserved Retirement Community, Made Possible by Telemedicine

Jason V Tso, Roxanna Farinpour, Helena C Chui, Collin Y Liu, Jason V Tso, Roxanna Farinpour, Helena C Chui, Collin Y Liu

Abstract

The need for memory specialists is increasing as the incidence of dementia rapidly rises across the globe. In rural areas, demand for these specialists far outstrips supply. It is increasingly difficulty for patients to receive care in a timely manner. In this paper, we document our experience using videoconference telemedicine to bring a multidisciplinary model of care to a rural retirement community in Southern California. To our knowledge, we are one of the first to integrate telemedicine into dementia care on this large a scale. Given the relatively remote location, patients and neurologists have previously had to travel great distances and bear with long wait times. With neurological consultation by telemedicine and a local team consisting of a geriatrician, a neuropsychologist, and a case manager, we have been able to provide comprehensive dementia care in this underserved area, comparable to university-affiliated California Alzheimer's Disease Centers, typically found only in major metropolitan areas. We have shown that telemedicine can be very effective in improving access and quality of dementia care.

Keywords: Alzheimer’s; dementia; remote assessment; telemedicine; teleneurology.

Figures

Figure 1
Figure 1
Workflow of the New Memory Assessment Center (MAC) model: behavioral neurologist by telemedicine.
Figure 2
Figure 2
Yearly new patient count before and after addition of telemedicine.

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