{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T05:56:11Z","timestamp":1790056571905,"version":"4.0.1"},"reference-count":100,"publisher":"BMJ","issue":"2","license":[{"start":{"date-parts":[[2025,8,16]],"date-time":"2025-08-16T00:00:00Z","timestamp":1755302400000},"content-version":"unspecified","delay-in-days":46,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003196","name":"Ministero della Salute","doi-asserted-by":"publisher","award":["Chapter EC12"],"award-info":[{"award-number":["Chapter EC12"]}],"id":[{"id":"10.13039\/501100003196","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["bmjph"],"accepted":{"date-parts":[[2025,7,7]]},"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Dementia is a growing global public health priority, with the WHO Global Action Plan (GAP) calling for coordinated efforts worldwide. Italy, one of the oldest nations globally, faces a significant challenge with approximately 2 million individuals living with dementia or mild cognitive impairment. In response, the Italian Fund for Alzheimer\u2019s and other Dementias (IFAD) was established in 2020 to align national efforts with the WHO GAP\u2019s objectives. This study analyses IFAD activities from 2021 to 2023, offering insights into Italy\u2019s public health response to dementia and its relevance to global strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a structured, iterative review of all activities coordinated by the Italian Dementia Observatory (OssDem-Istituto Superiore di Sanit\u00e0 (ISS)) within IFAD 2021\u20132023. Global, regional and national documents on dementia prevention, care and support were retrieved from official websites, institutional repositories and targeted web searches using the keywords \u2018dementia\u2019, \u2018brain health\u2019 and \u2018ageing\u2019. Two reviewers independently screened and extracted data with a predefined matrix mapped to the seven WHO GAP Action Areas. Human-subject studies cited had independent ethics approval and informed consent; no new data were collected for this review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>IFAD activities led to substantial progress in dementia care services, with memory clinics, residential care facilities and daycare centres mapped, revealing regional disparities in service provision. Modifiable risk factors accounted for 39.5% of dementia cases in Italy, with an estimated 67\u2009000 cases preventable through risk reduction. National guidelines were developed to standardise dementia care pathways, and training programmes addressed gaps in HP and caregiver preparedness, particularly highlighted by the COVID-19 pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Italy\u2019s experience provides valuable lessons for countries facing similar demographic challenges. The IFAD extension to 2024\u20132026 aims to address persistent regional disparities and further implement national guidelines and prevention strategies. By integrating Italy\u2019s progress with broader international frameworks, the Italian model can inform global efforts to enhance dementia care, highlighting the importance of scalable, regionally adapted strategies for addressing the growing global burden of dementia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjph-2024-002250","type":"journal-article","created":{"date-parts":[[2025,8,17]],"date-time":"2025-08-17T22:20:30Z","timestamp":1755469230000},"page":"e002250","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Advancing dementia care: a review of Italy\u2019s public health response within the WHO Global Action Plan and European strategies"],"prefix":"10.1136","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3949-3127","authenticated-orcid":false,"given":"Antonio","family":"Ancidoni","sequence":"first","affiliation":[{"name":"National Centre for Disease Prevention and Health 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Medical Sciences and Public Health, University of Cagliari, Cagliari, Sardegna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicoletta","family":"Locuratolo","sequence":"additional","affiliation":[{"name":"National Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanita, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleonora","family":"Lacorte","sequence":"additional","affiliation":[{"name":"National Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanita, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Flavia Lucia","family":"Lombardo","sequence":"additional","affiliation":[{"name":"National Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanita, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilaria","family":"Bacigalupo","sequence":"additional","affiliation":[{"name":"National Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanita, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5888-6885","authenticated-orcid":false,"given":"Elisa","family":"Fabrizi","sequence":"additional","affiliation":[{"name":"National Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanita, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Canevelli","sequence":"additional","affiliation":[{"name":"National Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanita, Rome, Italy"},{"name":"Department of Human Neuroscience, Universit\u00e0 degli Studi di Roma La Sapienza, Rome, Lazio, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Sciancalepore","sequence":"additional","affiliation":[{"name":"National Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanita, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrizia","family":"Lorenzini","sequence":"additional","affiliation":[{"name":"National Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanita, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilaria","family":"Palazzesi","sequence":"additional","affiliation":[{"name":"National Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanita, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice","family":"Paggetti","sequence":"additional","affiliation":[{"name":"National Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanita, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Della Gatta","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Mental Health and Sense Organs (NESMOS), Faculty of Medicine and Psychology, Universit\u00e0 degli Studi di Roma La Sapienza, Rome, Lazio, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paola","family":"Piscopo","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Istituto Superiore di Sanita, Roma, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emanuela","family":"Salvi","sequence":"additional","affiliation":[{"name":"National Centre for Drug Research and Evaluation, Istituto Superiore di Sanita, Roma, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Zambri","sequence":"additional","affiliation":[{"name":"National Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanita, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annachiara","family":"Di Nolfi","sequence":"additional","affiliation":[{"name":"Department of Biomedicine and Prevention, University of Rome Tor Vergata, Roma, Lazio, 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