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We developed a patient journey map using thematic analysis and participant validation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Three journey stages emerged. Pre\u2010diagnosis: Families seek care across different sub\u2010health systems and facilities 2\u20134 years after symptom onset. Diagnosis: Specialist consultation is sought in major cities and diagnosis occurs in hospitals based on clinical presentation. Continuity of care: Care focuses on controlling behavioral and psychological symptoms, with limited access to dementia\u2010specific drugs and non\u2010pharmacological interventions, and heavy reliance on carers\u2019 resources. Community mental health centers (CMHCs) are preferred facilities due to geographical and specialist accessibility and perceived care quality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION<\/jats:title>\n                    <jats:p>Without a formal entry point to dementia care, families navigate fragmented pathways, whereas CMHCs emerge as facilities with adequate care procedures for PwD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/alz.71581","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T06:52:24Z","timestamp":1783666344000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The patient journey for people with dementia and their carers in Peru: From first symptoms to diagnosis and treatment"],"prefix":"10.1002","volume":"22","author":[{"given":"Daniela","family":"Rossini\u2010Vilchez","sequence":"first","affiliation":[{"name":"CRONICAS Center of Excellence in Chronic Diseases Universidad Peruana Cayetano Heredia  Lima Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco Jose","family":"Tateishi\u2010Serruto","sequence":"additional","affiliation":[{"name":"CRONICAS Center of Excellence in Chronic Diseases Universidad Peruana Cayetano Heredia  Lima Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Butler","sequence":"additional","affiliation":[{"name":"Department of Brain Sciences Imperial College London  London UK"},{"name":"The George Institute for Global Health UK  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda Sof\u00eda","family":"Cuba\u2010Fuentes","sequence":"additional","affiliation":[{"name":"Center for Research in Primary Health Care Universidad Peruana Cayetano Heredia  Lima Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvana","family":"Perez\u2010Leon","sequence":"additional","affiliation":[{"name":"CRONICAS Center of Excellence in Chronic Diseases Universidad Peruana Cayetano Heredia  Lima Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miriam","family":"L\u00facar\u2010Flores","sequence":"additional","affiliation":[{"name":"Health Economics Research Centre University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guillermo","family":"Almeida\u2010Huanca","sequence":"additional","affiliation":[{"name":"CRONICAS Center of Excellence in Chronic Diseases Universidad Peruana Cayetano Heredia  Lima Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L. 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Jaime","family":"Miranda","sequence":"additional","affiliation":[{"name":"CRONICAS Center of Excellence in Chronic Diseases Universidad Peruana Cayetano Heredia  Lima Peru"},{"name":"Sydney School of Public Health Faculty of Medicine and Health The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Kathia","family":"Cardenas","sequence":"additional","affiliation":[{"name":"CRONICAS Center of Excellence in Chronic Diseases Universidad Peruana Cayetano Heredia  Lima Peru"},{"name":"Health Economics Research Centre University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose Carlos Vera","family":"Tudela","sequence":"additional","affiliation":[{"name":"CRONICAS Center of Excellence in Chronic Diseases Universidad Peruana Cayetano Heredia  Lima Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Bernabe\u2010Ortiz","sequence":"additional","affiliation":[{"name":"CRONICAS Center of Excellence in Chronic Diseases Universidad Peruana Cayetano Heredia  Lima Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafael A.","family":"Calvo","sequence":"additional","affiliation":[{"name":"Dyson School of Design Engineering Imperial College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco","family":"Diez\u2010Canseco","sequence":"additional","affiliation":[{"name":"CRONICAS Center of Excellence in Chronic Diseases Universidad Peruana Cayetano Heredia  Lima Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Filipa Trigo","family":"Landeiro","sequence":"additional","affiliation":[{"name":"Health Economics Research Centre University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graham","family":"Moore","sequence":"additional","affiliation":[{"name":"Centre for Development Evaluation Complexity and Implementation in Public Health Improvement (DECIPHer) School of Social Sciences Cardiff University  Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lee","family":"White","sequence":"additional","affiliation":[{"name":"Department of Brain Sciences Imperial College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Whiteley","sequence":"additional","affiliation":[{"name":"Centre for Clinical Brain Sciences University of Edinburgh  Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0062-5476","authenticated-orcid":false,"given":"Mar\u00eda","family":"Lazo\u2010Porras","sequence":"additional","affiliation":[{"name":"CRONICAS Center of Excellence in Chronic Diseases Universidad Peruana Cayetano Heredia  Lima Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jemma","family":"Hawkins","sequence":"additional","affiliation":[{"name":"Centre for Development Evaluation Complexity and Implementation in Public Health Improvement (DECIPHer) School of Social Sciences Cardiff University  Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the IMPACT Salud Research Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,9]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Organizaci\u00f3n Panamericana de la Salud.Demencia [Internet].2024. 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