ArticlePrimary health care research & development2019
A five-step approach for developing and implementing a Rural Primary Health Care Model for Dementia: a community-academic partnership.
Article in Primary health care research & development, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 29 citations in OpenAlex.
- The experiences of living with dementia within an under-served geographical area: a systematic review and qualitative synthesis.Age and ageing · 2026Pooled it
- The implementation challenge of computerised clinical decision support systems for the detection of disease in primary care: systematic review and recommendations.Implementation science : IS · 2025Pooled it
- Tools, frameworks and resources to guide global action on strengthening rural health systems: a mapping review.Health research policy and systems · 2023Pooled it
- Plan for Scale Out: Adapting a Diabetes Prevention Program for Implementation in Rural and Remote British Columbia.International journal of behavioral medicine · 2026Article
- Implementation strategies for evidence-based healthcare interventions in rural and remote settings: a scoping review.The Lancet regional health. Western Pacific · 2026Review
- Patient and family perceptions of rural primary care interprofessional memory clinics for diagnosis and management of dementia: a mixed methods study.BMC health services research · 2025Article
- Scaling Alzheimer's Care: The Case for Specialized Treatment Clinics.Journal of the American Geriatrics Society · 2025Article
- Services for older adults in rural primary care memory clinic communities and surrounding areas: a qualitative descriptive study.BMC health services research · 2024Article
- Perceptions and outcomes of an embedded Alzheimer Society First Link Coordinator in rural primary health care memory clinics.BMC health services research · 2024Article
- Old-age mental telehealth services at primary healthcare centers in low- resource areas in Greece: design, iterative development and single-site pilot study findings.BMC health services research · 2023Article
- Extension, austerity, and emergence: Themes identified from a global scoping review of non-urban occupational therapy services.Australian occupational therapy journal · 2023Article
- Profile of occupational therapy services in non-urban settings: A global scoping review.Australian occupational therapy journal · 2023Article
- Factors influencing sustainability and scale-up of rural primary healthcare memory clinics: perspectives of clinic team members.BMC health services research · 2022Article
- A stakeholder engagement strategy for an ongoing research program in rural dementia care: Stakeholder and researcher perspectives.PloS one · 2022Article
- Discerning rural Appalachian stakeholder attitudes toward memory screening.Aging & mental health · 2021Article
- Barriers and facilitators to development and implementation of a rural primary health care intervention for dementia: a process evaluation.BMC health services research · 2019Article
Corrections and comments
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Authors and funding
12 authors at 4 institutions in 1 country.
Funding
Abstract
aimThis study is aimed at developing a Rural Primary Health Care (PHC) Model for delivering comprehensive PHC for dementia in rural settings and addressing the gap in knowledge about disseminating and implementing evidence-based dementia care in a rural PHC context.
backgroundLimited access to specialists and services in rural areas leads to increased responsibility for dementia diagnosis and management in PHC, yet a gap exists in evidence-based best practices for rural dementia care.
methodsElements of the Rural PHC Model for Dementia were based on seven principles of effective PHC for dementia identified from published research and organized into three domains: team-based care, decision support, and specialist-to-provider support. Since 2013 the researchers have collaborated with a rural PHC team in a community of 1000 people in the Canadian province of Saskatchewan to operationalize these elements in ways that were feasible in the local context. The five-step approach included: building relationships; conducting a problem analysis/needs assessment; identifying core and adaptable elements of a decision support tool embedded in the model and resolving applicability issues; implementing and adapting the intervention with local stakeholders; and sustaining the model while incrementally scaling up.
resultsDeveloping and sustaining relationships at regional and PHC team levels was critical. A comprehensive needs assessment identified challenges related to all domains of the Rural PHC Model. An existing decision support tool for dementia diagnosis and management was adapted and embedded in the team's electronic medical record. Strategies for operationalizing other model elements included integrating team-based care co-ordination into the decision support tool and family-centered case conferences. Research team specialists provided educational sessions on topics identified by the PHC team. This paper provides an example of a community-based process for adapting evidence-based practice principles to a real-world setting.
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Registered trials
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