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Improving access to dementia care: development and evaluation of a rural and remote memory clinic
Morgan DG, Crossley M, Kirk A, D'Arcy C, Stewart N, Biem J, Forbes D, Harder S et al.. Aging & mental health, 2009-01-01
Topic: Risk, prevention and care in population studies
The availability, accessibility and acceptability of services are critical factors in rural health service delivery. In Canada, the aging population and the consequent increase in prevalence of dementia challenge the ability of many rural communities to provide specialized dementia care. This paper describes the development, operation and evaluation of an interdisciplinary memory clinic designed to improve access to diagnosis and management of early stage dementia for older persons living in rural and remote areas in the Canadian province of Saskatchewan. We describe the clinic structure, processes and clinical assessment, as well as the evaluation research design and instruments. Finally, we report the demographic characteristics and geographic distribution of individuals referred during the first three years.
Key findings
- The availability, accessibility and acceptability of services are critical factors in rural health service delivery.
- In Canada, the aging population and the consequent increase in prevalence of dementia challenge the ability of many rural communities to provide specialized dementia care.
- This paper describes the development, operation and evaluation of an interdisciplinary memory clinic designed to improve access to diagnosis and management of early stage dementia for older persons living in rural and remote areas in the Canadian province of Saskatchewan.
- We describe the clinic structure, processes and clinical assessment, as well as the evaluation research design and instruments.
- Finally, we report the demographic characteristics and geographic distribution of individuals referred during the first three years.
Why it matters
This paper describes the development and evaluation of an interdisciplinary memory clinic intended to improve access to diagnosis and management of early stage dementia for older people in rural and remote Saskatchewan. It reports on service delivery and referral patterns, not on treating, curing, or preventing Alzheimer's disease.
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Study details
- Evidence strengthLow
How this study scored 41/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, effect reported, studied in people and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Aging & mental health) |
| Journal's citation record | 2 / 4 | Aging & Mental Health: journal h-index 153 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 1 / 5 | 2009 — within 20 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 5 / 7 | Cited 141 times (OpenAlex, 2026-10-10) |
| Citations per year | 2 / 5 | 7.4 citations a year over 19 year(s) since 2009 |
| Impact for its field and year | 3 / 6 | Cited 3.5× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 2 / 6 | Cited by 4 other studies in this library |
| Still being cited | 2 / 4 | Cited 18 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 1 / 4 | Last-listed author Lesley McBain: h-index 7 (OpenAlex, whole career) |
| Institution's track record | 1 / 3 | Western University: institution h-index 899 (OpenAlex) |
| Multi-centre collaboration | 2 / 3 | OpenAlex lists 6 institution(s) in 2 countries |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 19197686) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Total | 41 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record's author list ends in “et al.”, so not every author is named. Check the citation against the original before you use it.
APA 7th
Morgan, D. G., Crossley, M., Kirk, A., D'Arcy, C., Stewart, N., Biem, J., et al. (2009). Improving access to dementia care: development and evaluation of a rural and remote memory clinic. Aging & mental health. https://doi.org/10.1080/13607860802154432
Vancouver
Morgan DG, Crossley M, Kirk A, D'Arcy C, Stewart N, Biem J, et al. Improving access to dementia care: development and evaluation of a rural and remote memory clinic. Aging & mental health. 2009. doi:10.1080/13607860802154432. PMID: 19197686.
BibTeX
@article{morgan2009-19197686,
author = {Morgan, D. G. and Crossley, M. and Kirk, A. and D'Arcy, C. and Stewart, N. and Biem, J. and Forbes, D. and Harder, S. and others},
title = {{Improving access to dementia care: development and evaluation of a rural and remote memory clinic}},
journal = {Aging \& mental health},
year = {2009},
doi = {10.1080/13607860802154432},
pmid = {19197686},
url = {https://doi.org/10.1080/13607860802154432}
}
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