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KMID : 1023720180730010315
Journal of Welfare for the Aged
2018 Volume.73 No. 1 p.315 ~ p.342
The Policy implications on dementia care village as dementia-friendly environment
Kim Min-Kyu

Jang Yei-Beech
Son Jeong-Houn
Abstract
The purpose of this study is to discuss policy implications for the development of dementia management policy focused on dementia care village. In doing so, we formed elements of dementia management based on person-centered care and analyzed the Hogeweyk dementia village case in Netherlands by using the elements. Specifically, we made five person-centered care components such as routineness, sociality, autonomy, individuality, and staff expertise. We conducted content analysis using 12 overseas data on Hogeweyk to find out how those abstract evaluation criteria were executed in practice. The principles of Hogeweyk can be described as making a space, where patients still can enjoy their lives, rather than simply having prolonged lives, and creating an environment focusing on what patients still can do to improve their quality of life. Considering person-centered care elements and Hogeweyk case analysis comprehensively, we suggested implications for dementia management policy as follows: 1) developing an activity model based on one¡¯s daily routine; 2) changing perspectives on space for dementia care center as a daily living environment; 3) constructing safe environment for autonomous behavior and offering selective care program; 4) supporting establishment of localized dementia care village, considering differences in individual characteristics and living environment; 5) expanding the concept of dementia care partners; and 6) establishing village-based nursing homes for severe dementia patients and a test operation of the facility.
KEYWORD
person-centered care, Hogeweyk, dementia care village, dementia-friendly environment, state responsibility for dementia patients, the 3rd comprehensive plan for dementia management
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