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Early alzheimer disease round table project: Preparedness of the Belgian health system
Van Dyck, Walter Vandenberghe, Rik Salmon, Eric Hanseeuw, Bernard De Lepeleire, Jan Govaerts, Laurenz
Van Dyck, Walter
Vandenberghe, Rik
Salmon, Eric
Hanseeuw, Bernard
De Lepeleire, Jan
Govaerts, Laurenz
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Policy paper
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Publication Year
2022
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Book
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44
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Abstract
Disease modifying therapies (DMT) in the field of Alzheimer’s disease becoming accessible will require a transformation of Belgian health care practice. Early diagnosis is a crucial first step for these therapies as the maximal benefit outcome is expected if treatment is started as early as possible. This health policy-preparing paper resulting from a Belgian Early AD Round Table, complemented by an anonymized memory clinics survey and a computer simulation, was geared to investigate the Belgian healthcare system infrastructural preparedness to receive a DMT in the field of Alzheimer disease, which represents a high unmet clinical and societal need. Key summary recommendations include; • Conducting an awareness campaign towards the broader public as of a DMT becoming available; • Increasing GP awareness of implementation guidelines of the early-AD care and diagnostic pathway stressing multi-professional collaboration on diagnostic strategies; • To expedite patient diagnosis and treatment by considering reimbursement of CSF analysis, regardless of their use in symptomatic treatment or –even more so– DMT-available contexts; • CSF analysis cost-effectiveness is shown to require transversal budget impact analysis considering societal costs; • In the long run, to redesign the Belgian Memory Clinics Convention to act as the guardian of a national uniform quality AD health service offering; • To organically grow the present memory clinic-based loco-regional approach to AD treatment, which would result into a higher number of memory clinics acting upon a revised DMT-based health service offering; • To invest cost-effectively in the competence and skills of the informal caregiver; • To set up industry-independent societally funded national AD & dementia registries characterized as care registries and diagnosis/syndrome-specific quality of care registries. Please also consult the recommendations following the public presentation of these study results under Chapter 7 – Conclusions and Recommendations.
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Alzheimer's Disease