International Psychogeriatrics

The impact of location on satisfaction with dementia services amongst people with dementia and their informal carers: a comparative evaluation of a community-based and a clinic-based memory service

Grant Gibson a1c1, Alison Timlin a2, Stephen Curran a2 and John Wattis a2
a1 Division of Primary Care, University of Liverpool, United Kingdom
a2 School of Human and Health Sciences, University of Huddersfield, United Kingdom

Article author query
gibson g   [PubMed][Google Scholar] 
timlin a   [PubMed][Google Scholar] 
curran s   [PubMed][Google Scholar] 
wattis j   [PubMed][Google Scholar] 


Background: The development of effective medication for the treatment of Alzheimer's disease led to an expansion in the use of memory clinics ther clinic-based services for the delivery and monitoring of the drugs. In contrast, there is an increased emphasis on providing home and community based service delivery for a range of illnesses including dementia.

Methods: This paper reports the findings of an evaluation study comparing a clinic-based and a community service. A convenience sample of 10 service users and carer dyads took part in in-depth qualitative interviews. Service users were diagnosed with mild to moderate dementia of Alzheimer's type. Interviews were recorded, transcribed and subsequently analyzed using template analysis.

Results: Service users and carers were satisfied with both services, with determinants of satisfaction differing between the two services. Issues relating to the location and spatial design of services, comfort, familiarity, communication with staff, and ease of use are highlighted as important determinants of satisfaction amongst service users and their carers.

Conclusion: This study has implications for person-centred care practices in service delivery and for the future design of mental health services for people with dementia.

(Received March 7 2006)
(revision requested May 4 2006)
(revised version received July 7 2006)
(Accepted July 13 2006)
(Published Online September 14 2006)

Key Words: Alzheimer's disease; dementia; memory clinic; location; service design.

c1 Correspondence should be addressed to: Mr Grant Gibson, Division of Primary Care, University of Liverpool, Whelan Building, Brownlow Hill, Liverpool, L69 3GB, United Kingdom. Phone: +44 (0)151 794 5611; Fax: +44 (0)151 794 5604. Email: