Evidence map›Paper›PMID 41602220›Full record

ArticleFrontiers in dementia2025

Transforming dementia care pathway: why shifting to a universal, comprehensive, proactive, local, and integrated model is imperative to improve outcomes.

Pallavi Nair, Cornelia Junghans, Michelle Kay, Matthew Harris, Azeem Majeed, Benedict Hayhoe

Abstract read
In one paragraph

Article in Frontiers in dementia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Pallavi NairDepartment of Primary Care and Public Health, School of Public Health, Imperial College London, London, United Kingdom.
Cornelia JunghansDepartment of Primary Care and Public Health, School of Public Health, Imperial College London, London, United Kingdom.
Michelle KayDepartment of Primary Care and Public Health, School of Public Health, Imperial College London, London, United Kingdom.
Matthew HarrisDepartment of Primary Care and Public Health, School of Public Health, Imperial College London, London, United Kingdom.
Azeem MajeedDepartment of Primary Care and Public Health, School of Public Health, Imperial College London, London, United Kingdom.
Benedict HayhoeDepartment of Primary Care and Public Health, School of Public Health, Imperial College London, London, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dementia care in the United Kingdom (UK) faces vast and complex systemic challenges, impacting not only individuals with dementia but also their families, communities, and the broader healthcare system. We outline these challenges and advocate for a transformative shift towards proactive and integrated community-anchored models of care. We highlight the UK-based Community Health and Wellbeing Workers (CHWW) model, which already delivers universal, holistic household-level support and is uniquely positioned within the communities to address dementia care gaps. Building on this foundation, we introduce ComPROACT, a CHWW-led outreach approach targeting cognitive decline and dementia across the care continuum. This initiative integrates both pre- and post-diagnostic dementia care support, particularly in underserved communities, not by creating new parallel services but by reimagining existing neighbourhood-based roles. Empowering CHWWs to be dementia-capable offers a sustainable pathway to better bridge the systemic gap between primary care, community, and dementia services.

Indexed as

community-based carecommunity health and wellbeing workersComPROACTdementiahealth system transformationmild cognitive impairmentprimary careunderserved communities

Identifiers

PMID41602220
PMCPMC12832384

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.