نبذة مختصرة : Background Currently, the state attaches great importance to the development of early diagnosis and treatment services for cognitive disorders, and the preliminary community cognitive screening is the underlying foundation of the early diagnosis and treatment service system for cognitive disorders, as well as the primary barrier in the cognitive screening process, and the quality of its screening has a direct impact on the level of brain health of the elderly and the overall efficiency of cognitive screening. Objective To provide a reference for promoting the high-quality construction of cognitive disorders service centers by analyzing the development of preliminary cognitive screening services in Nanjing. Methods From December 2023 to August 2024, we visited the cognitive service centers in Nanjing, and 12 sample institutions that provided early screening services for dementia among the surrounding elderly population were taken as the research objects. The questionnaire included the basic characteristics of the organization and the status of the initial cognitive screening service development. Results Basic characteristics of the institutions: 75.0% (9/12) of the sample institutions operated on the basis of elderly service organizations; the average number of months of cognitive primary screening services carried out in each sample institution was (16±6) months, and the average annual volume of screening services was (245±235) ; in terms of occupational category, nurses accounted for the highest proportion [36.8% (21/57) ] ; in terms of staffing, only 33.3% (4/12) of the sample institutions were staffed with both physicians and nurses. In terms of service content: 16.7% (2/12) of the sample institutions have adopted diversified screening methods for cognitive screening, and the types of cognitive early intervention services range from 3 to 7. Four (33.3%) institutions have penetrated the network of cognitive cooperative institutions, 5 (41.7%) institutions had plan to penetrate the network of cognitive cooperative institutions, but the service radiation scope of 16.7% (2/12) of the sample institutions is still limited to the community where the institutions are located. Only 66.7% (8/12) of the sample institutions provide cognitive early intervention services, and 75.0% (9/12) provided early follow-up services. In terms of the results of service development: the average annual screening rate of high-risk groups for cognitive disorders of the sample organizations is 28.85%, the average annual rate of early intervention for cognitive disorders is 60.97%, and the average annual rate of early follow-up for cognitive disorders is 70.94%. In terms of the source of funding, the funding for the cognitive screening program of the sample organizations came from the institutions themselves and government program subsidies. Conclusion Cognitive initial screening service system of Nanjing community cognitive service centers has begun to take shape, and early prevention and control of cognitive disorders have achieved certain results, but there are problems such as incomplete staffing, non-standardization of cognitive initial screening service, slow progress of cognitive initial screening service, and insufficient financial guarantee, etc. It is still necessary to improve cognitive prevention and control mechanism, strengthen cognitive prevention and control guarantee, and enhance social support to promote cognitive disorders service network construction and standardization management.
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