Preparedness of the Brazilian health-care system to provide access to a disease-modifying Alzheimer's disease treatment.

ABSTRACT:

Background

While the majority of patients with Alzheimer's disease resides in low and middle-income countries, little is known of their preparedness for emerging disease-modifying treatments. We analyze the preparedness of Brazil, one of the most populous middle-income countries, from a capacity and institutional preparedness perspective.

Methods

Desk research and 12 interviews for background and capacity data. Markov model to estimate wait times for access to treatment.

Findings

Brazil has no national dementia strategy or established pathway for evaluation of cognitive concerns, and dementia is typically diagnosed late if at all. While members of private health plans have ready access to elective specialty care, wait times in the public sector are long. Assuming pote

SUBMITTER: Mattke S 

PROVIDER: S-EPMC10087834 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature