A scoping review of national policies for dementia prevention and control in mainland China.

IF 3.2 2区 医学 Q1 HEALTH POLICY & SERVICES Health Research Policy and Systems Pub Date : 2025-04-03 DOI:10.1186/s12961-025-01314-y
Jingbin Zhang, Xiaowan Wang, Shasha Yuan
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Abstract

Introduction: Limited knowledge has been found on the policies of dementia prevention and control from low- and middle-income (LMIC) countries. This study aims to provide comprehensive evidence of policy progress regarding dementia prevention and control in mainland China by scoping review on the basis of seven priority areas proposed in The Global Action Plan on the Public Health Response to Dementia 2017-2025.

Methods: We searched the websites of China State Council, National Health Commission, Ministry of Civil Affairs, National Development and Reform Commission, National Healthcare Security Administration and National Administration of Traditional Chinese Medicine for all policies regarding dementia. The keywords included Chi Dai (dementia), A Er Ci Hai Mo (Alzheimer's), Ren Zhi Zhang Ai (cognitive impairment) and Shi Zhi (dementia), and the search covered materials published by 15 April 2023. Policy diffusion analysis, policy reference network analysis and thematic framework analysis were used to analyse the policy contents.

Results: The number of national policies for dementia prevention and control in mainland China increased significantly during 2015-2022. The National Health Commission was responsible for the most policies, while the State Council was responsible for the most important ones. A total of 50 departments were involved in the development of policies for dementia prevention and control, but the stable collaborative relationship among them needs further strengthened. In terms of WHO dementia global action plan, the topic of "dementia as a public health priority" was strongly emphasized, while the areas of "dementia research and innovation" and "information systems for dementia" were less focussed on.

Conclusions: Some policy gaps, including priority arrangement, multisectoral cooperation and policy implementation, must still be addressed in the future to support the interests of people with dementia and their caregivers more effectively.

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中国大陆国家痴呆症防控政策范围综述。
导言:低收入和中等收入国家对痴呆症预防和控制政策的了解有限。本研究旨在根据《2017-2025年公共卫生应对痴呆症全球行动计划》提出的七个优先领域进行范围审查,为中国大陆在痴呆症预防和控制方面的政策进展提供全面证据。方法:我们检索中国国务院、国家卫生健康委员会、民政部、国家发展和改革委员会、国家医疗保障局和国家中医药管理局的网站,检索有关痴呆的所有政策。检索的关键词包括迟岱(痴呆症)、阿尔茨海默(阿尔茨海默氏症)、任志章爱(认知障碍)和时智(痴呆症),检索的资料截止日期为2023年4月15日。采用政策扩散分析、政策参考网络分析和专题框架分析对政策内容进行分析。结果:2015-2022年,中国大陆地区痴呆防控国家政策数量显著增加。国家卫生健康委员会负责大多数政策,而国务院负责最重要的政策。参与痴呆防治政策制定的部门共有50个,但各部门之间稳定的协作关系有待进一步加强。在世卫组织痴呆症全球行动计划中,重点强调了“作为公共卫生重点的痴呆症”这一主题,而对“痴呆症研究与创新”和“痴呆症信息系统”等领域的关注较少。结论:未来仍需解决一些政策空白,包括优先事项安排、多部门合作和政策实施,以更有效地支持痴呆症患者及其照顾者的利益。
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来源期刊
Health Research Policy and Systems
Health Research Policy and Systems HEALTH POLICY & SERVICES-
CiteScore
7.50
自引率
7.50%
发文量
124
审稿时长
27 weeks
期刊介绍: Health Research Policy and Systems is an Open Access, peer-reviewed, online journal that aims to provide a platform for the global research community to share their views, findings, insights and successes. Health Research Policy and Systems considers manuscripts that investigate the role of evidence-based health policy and health research systems in ensuring the efficient utilization and application of knowledge to improve health and health equity, especially in developing countries. Research is the foundation for improvements in public health. The problem is that people involved in different areas of research, together with managers and administrators in charge of research entities, do not communicate sufficiently with each other.
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