REVIEW PAPER
Dementia in the aging population of Poland: challenges for medical and social care
1
Department of Public Health, Medical University of Bialystok, Poland
2
Department of Geriatrics, Medical University of Bialystok, Poland
Submission date: 2018-10-19
Final revision date: 2018-12-10
Acceptance date: 2018-12-19
Publication date: 2019-03-12
Health Prob Civil. 2019;13(3):161-169
KEYWORDS
TOPICS
ABSTRACT
With a projected rise in the percentage of elderly people in the population of Poland, the incidence of neurodegenerative diseases, including dementia, will increase. The aim of this paper is to present dementia as an increasing health and social problem in the aging Polish population. In 2015, the number of people with dementia of the Alzheimer's type in Poland was estimated to be between 360,000 and 470,000, which indicates a growth of almost 20% compared to 2005. The onset of dementia symptoms causes a relatively rapid impairment of patients’ daily functioning, creating the need for assistance by others. In Poland, caring for an elderly person with dementia is primarily non-institutional and provided by the closest family members in a home setting. Due to the shrinking care potential of Polish families, one should expect a growing need for formal forms of support to ensure proper care for elderly individuals with dementia. At present, Poland has a poorly developed system of formal assistance for dependent elderly people and the existing infrastructure of formal care services includes only a small proportion of potential beneficiaries. The prospect of further aging of the Polish population along with the growing risk of dementia and the shrinking family care potential justify the development and implementation of a comprehensive Alzheimer's plan at the central and local level of our country.
REFERENCES (31)
1.
World Health Organization and Alzheimer's Disease International. Dementia: a public health priority. Geneva: World Health Organization; 2012.
2.
The Central Statistical Office (GUS). [Population. Size and structure and vital statistics in Poland by territorial division in 2017. As of December 31]. Warszawa: GUS; 2018 (in Polish).
3.
The Central Statistical Office (GUS). [Demographic situation of the elderly and the consequences of population aging in Poland in the light of the prognosis for the years 2014-2050]. Warszawa: GUS; 2014 (in Polish).
4.
Plassman BL, Langa KM, Fishfer GG, Heeringa SG, Weir DE, Ofstedal MB, et al. Prevalence of dementia in the United States: the aging, demographics, and memory study. Neuroepidemiology. 2007; 29(1-2): 125–132. https://dx.doi.org/10.1159%2F0....
5.
Kukull WA, Higdon R, Bowen JD, McCormick WC, Teri L, Schellenberg GD, et al. Dementia and Alzheimer disease incidence: a prospective cohort study. Arch Neurol. 2002; 59(11): 1737-1746. https://doi.org/10.1001/archne....
6.
Klich-Rączka A, Siuda J, Piotrowicz K, Boczarska-Jedynak M, Skalska A, Krzystanek E, et al. [Cognitive impairment in the elderly]. In: Mossakowska M, Więcek A, Błędowski P., editors. [Medical, psychological, sociological and economic aspects of population aging in Poland]. Poznań: Termedia Wydawnictwa Medyczne; 2012. p. 109-121 (in Polish).
7.
Sejm Rzeczypospolitej Polskiej. [Full record of the session of Senior Policy Commission (no. 6) of 28th August 2014] [Internet]. Warszawa: Sejm Rzeczypospolitej Polskiej; 2014 [cited 2018 Jul 16]. Available from:.
9.
Najwyższa Izba Kontroli. [Care of patients with Alzheimer disease and support for their families]. Warszawa: Najwyższa Izba Kontroli; 2017 (in Polish).
10.
Bradford A, Kunik ME, Schulz P, Williams SP, Singh H. Missed and delayed diagnosis of dementia in primary care: prevalence and contributing factors. Alzheimer Dis Assoc Disord. 2009; 23(4): 306-314. https://doi.org/10.1097/WAD.0b....
11.
Szczudlik A, Barcikowska-Kotowicz M, Sadowska A. [Polish Alzheimer's Plan – presentation of the guidelines]. In: Szczudlik A., editor. [Situation of people with Alzheimer’s disease in Poland. RPO Report]. Warszawa: Biuro Rzecznika Praw Obywatelskich; 2016. p. 53-58 (in Polish).
12.
World Health Organization. The ICD-10 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines. Geneva: World Health Organization; 1992.
13.
McKhann GM, Knopman DS, Chertkow H, Hyman BT, Jack CR, Kawas CH, et al. The diagnosis of dementia due to Alzheimer’s disease: recommendations from the National Institute on Aging-Alzheimer’s Association workgroups on diagnostic guidelines for Alzheimer’s disease. Alzheimers Dement. 2011; 7(3): 263-269. https://doi.org/10.1016/j.jalz....
14.
Langa KM, Foster NL, Larson EB. Mixed dementia: emerging concepts and therapeutic implications. JAMA. 2004; 292(3): 2901-2908. https://doi.org/10.1001/jama.2....
15.
Kane RL, Ouslander JG, Resnik B, Malone ML. Essentials of clinical geriatrics, eighth edition. New York: McGraw Hill Education; 2018.
16.
Mathers C, Leonardi M. Global burden of dementia in the year 2000: summary of methods and data sources. GBD 2000 Working Paper. Geneva: World Health Organization; 2000.
17.
Iliffe S, Robinson L, Brayne C, Goodman C, Rait G, Manthorpe J, et al. Primary care and dementia: 1. diagnosis, screening and disclosure. Int J Geriatr Psychiatry. 2009; 24(9): 895-901. https://doi.org/10.1002/gps.22....
18.
Lyketsos CG, DelCampo L, Steinberg M, Miles Q, Steele CD, Munro C, et al. Treating depression in Alzheimer disease: efficacy and safety of sertraline therapy, and the benefits of depression reduction: The DIADS. Arch Gen Psychiatry. 2003; 60(7): 737-746. https://doi.org/10.1001/archps....
19.
Nowicka A. [Organization of care for patients with Alzheimer’s disease in Poland]. In: Zych AA., editor. [To learn, understand and accept old age. A selection of conference materials]. Łask: Wydawnictwo Progres; 2012. p. 225-246 (in Polish).
20.
Hess-Wiktor K, Opoczyńska M. [Family carer’s experience of caring for a person affected by Alzheimer's disease]. Psychoterapia. 2010; 4(155): 49-59 (in Polish).
21.
Karczewska B, Bień B, Ołdak E, Jamiołkowski J. [Family caregivers of older people with dementia or cognitive disorders in Poland — risk factors of care burden]. Gerontol Pol. 2012; 20(2): 59-67 (in Polish).
22.
Durda M. [Care arrangements for people with dementia in Poland and developed and developing countries]. Gerontol Pol. 2010; 18(2): 76-85 (in Polish).
23.
The Central Statistical Office (GUS). [Population projection 2014-2050]. Warszawa: GUS; 2014 (in Polish).
24.
Principi A, Lamura G, Sirolla C, Mestheneos L, Bień B, Brown J, et al. Work restrictions experienced by midlife family care-givers of older people: evidence from six European countries. Ageing Soc. 2014; 34(2): 209-231. https://doi.org/10.1017/S01446....
25.
Colombo F, Llena-Nozal A, Tjadens F. Help wanted? Providing and paying for long-term care. Paris: OECD Publishing; 2011.
26.
Bień B, McKee KJ, Döhner H, Triantafillou J, Lamura G, Doroszkiewicz H, et al. Disabled older people's use of health and social care services and their unmet care needs in six European countries. Eur J Public Health. 2013; 23(6): 1032-1038. https://doi.org/10.1093/eurpub....
27.
Najwyższa Izba Kontroli. [Nursing services for the elderly at their place of residence]. Warszawa: Najwyższa Izba Kontroli; 2018 (in Polish).
28.
Karczewska B, Bień B, Jamiołkowski J, Melchiorre MG, Chiatti C, Lamura G. Support gap in dementia family caregivers from Italy and Poland. Zdr Publ. 2012; 122(2): 160-164.
29.
Rossa A. [The role of patients’ families associations]. In: Szczudlik A., editor. [Situation of people with Alzheimer’s disease in Poland. RPO Report]. Warszawa: Biuro Rzecznika Praw Obywatelskich; 2016. p. 51-52 (in Polish).
30.
Lüdecke D, Bień B, McKee K, Krevers B, Mestheneos E, Di Rosa M, et al. For better or worse: factors predicting outcomes of family care of older people over a one-year period. A six-country European study. PLoS ONE. 2018; 13(4). https://doi.org/10.1371/journa....
31.
Sadowska A. [Organization of care for patients with Alzheimer’s disease in Poland]. In: Szczudlik A., editor. [Situation of people with Alzheimer’s disease in Poland. RPO Report]. Warszawa: Biuro Rzecznika Praw Obywatelskich; 2016. p. 42-45 (in Polish).
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