{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T10:57:10Z","timestamp":1791111430580,"version":"4.1.0"},"reference-count":31,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T00:00:00Z","timestamp":1764115200000},"content-version":"vor","delay-in-days":25,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["alz-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Alzheimer's &amp;amp; Dementia"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION<\/jats:title>\n                    <jats:p>Collaborative care models with care navigation bridge medical and social needs in dementia care. These models, including the Care Ecosystem (CE), are being implemented at health systems and community\u2010based programs across the United States.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>Interdisciplinary team members from six early adopter CE programs were interviewed about the facilitators and challenges they faced implementing the CE. Interviews were analyzed thematically.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Implementation facilitators included the presence of a champion or visionary, a clinical team with expertise in dementia, easy access to CE care protocols and consultative support, and flexibility in being able to modify the program to meet site\u2010specific needs. Challenges centered on program launch, personnel turnover, reaching people from\u00a0historically marginalized communities or those facing structural barriers to care, and program sustainability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION<\/jats:title>\n                    <jats:p>This study provides practical information to guide successful implementation of effective dementia care from research to practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>Collaborative care models with care navigation bridge medical and social needs in dementia care.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Implementation facilitators included a champion, an expert clinical team, and flexibility.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Challenges included program launch, personnel turnover, and program sustainability.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Findings can guide implementation of effective dementia care from research to practice.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/alz.70917","type":"journal-article","created":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T08:46:20Z","timestamp":1764146780000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Facilitators and challenges in the implementation of the Care Ecosystem at six clinical sites in the United States: A qualitative study"],"prefix":"10.1002","volume":"21","author":[{"given":"Alissa B.","family":"Sideman","sequence":"first","affiliation":[{"name":"Philip R. Lee Institute for Health Policy Studies University of California, San Francisco  San Francisco California USA"},{"name":"Department of Humanities &amp; Social Sciences University of California, San Francisco  San Francisco California USA"},{"name":"Department of Neurology University of California, San Francisco  San Francisco California USA"},{"name":"Global Brain Health Institute University of California, San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Merrilees","sequence":"additional","affiliation":[{"name":"Department of Neurology University of California, San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Dulaney","sequence":"additional","affiliation":[{"name":"Department of Neurology University of California, San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahnoor","family":"Allawala","sequence":"additional","affiliation":[{"name":"Global Brain Health Institute University of California, San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Barclay","sequence":"additional","affiliation":[{"name":"Department of Neurology University of California, San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Rosenbloom","sequence":"additional","affiliation":[{"name":"Memory and Brain Wellness Center University of Washington  Seattle Washington USA"},{"name":"Department of Neurology University of Washington  Seattle Washington USA"},{"name":"University of Washington Alzheimer's Disease Research Center  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leah R.","family":"Hanson","sequence":"additional","affiliation":[{"name":"HealthPartners Center for Memory and Aging HealthPartners Institute  St. Paul Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine T.","family":"Ward","sequence":"additional","affiliation":[{"name":"Department of Medicine Stanford School of Medicine  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mailee","family":"Hess","sequence":"additional","affiliation":[{"name":"Division of Geriatrics and Internal Medicine Department of Medicine Harbor UCLA Medical Center  Torrance California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas T.","family":"Olney","sequence":"additional","affiliation":[{"name":"Providence Brain and Spine Institute Providence Portland Medical Center  Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hillary D.","family":"Lum","sequence":"additional","affiliation":[{"name":"Division of Geriatrics Department of Medicine University of Colorado School of Medicine  Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. 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