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Dementia Reconsidered: the Person Comes First

BMJ 1999; 318 doi: https://doi.org/10.1136/bmj.318.7187.880a (Published 27 March 1999) Cite this as: BMJ 1999;318:880
  1. Leon Flicker, professor of geriatric medicine
  1. University Department of Medicine, University of Western Australia, Perth, Australia

    Tom Kitwood

    Open University Press, £14.95, pp 176

    ISBN 0335198554


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    The burden of dementia is borne not only by people with dementia, but by their carers, both informal and professional. The major direct financial costs are managed by the welfare sector, through the provision of community services and residential care, whereas indirect costs are largely attributed to informal carers. Advances in care practices would be of considerable benefit. The health sector has had its main impact in the area of dementia by providing skills and expertise necessary for comprehensive, holistic assessments. Kitwood challenges this medical model, which he labels as …

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