Objectives:

We explored memory clinic care provision in Minnesota, examining diversity and similarities of services provided and challenges faced. We also considered how well their services and care philosophies aligned with national dementia care practice recommendations.

Methods:

We created a 53-question interview guide and interviewed 11 memory clinics across Minnesota in late 2019. Interview transcripts were analyzed using Braun and Clarke’s thematic analyses in NVivo 12.

Results:

We identified 6 themes regarding financial issues, staffing, appointment logistics, care provision during and after the memory evaluation as well as features of an ideal clinic.

Conclusions:

Memory evaluation and care provision were very different across clinics, primarily due to team make-up, particularly team size and specialty. However, memory care providers shared a passion for providing patient-centered memory care, emphasizing family and patient education and partnership. Their care was largely aligned with national memory care recommendations. Common challenges, including maintaining financial stability and clinic efficiency, exerted significant influence on clinic functioning and survival.

中文翻译：

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探索明尼苏达州的记忆护理诊所：定性分析

目标：

我们探索了明尼苏达州的记忆诊所护理提供，检查所提供服务的多样性和相似性以及面临的挑战。我们还考虑了他们的服务和护理理念与国家痴呆症护理实践建议的一致性。

方法：

我们创建了一个包含 53 个问题的访谈指南，并于 2019 年底采访了明尼苏达州的 11 家记忆诊所。访谈记录使用 Braun 和 Clarke 在 NVivo 12 中的主题分析进行了分析。

结果：

我们确定了 6 个主题，涉及财务问题、人员配备、预约后勤、记忆评估期间和之后的护理提供以及理想诊所的特征。

结论：

各个诊所的记忆评估和护理提供非常不同，这主要是由于团队组成，特别是团队规模和专业。然而，记忆护理提供者都热衷于提供以患者为中心的记忆护理，强调家庭和患者的教育和合作。他们的护理在很大程度上符合国家记忆护理建议。维持财务稳定和诊所效率等共同挑战对诊所的运作和生存产生了重大影响。