[Strategies and reflections on the construction of a comprehensive management system for dementia in the elderly: based on the practice of cognitive disorder specialty capacity building].

With the acceleration of population aging, the number of elderly individuals suffering from dementia continues to rise sharply, becoming a significant social issue that affects public health and urgently requires a comprehensive management model throughout the disease course to address it. However, China still faces numerous challenges in the diagnosis and treatment of senile dementia, including insufficient public awareness, limited screening capabilities at the grassroots level, a shortage of specialist physicians, a lack of continuity in management systems, and inadequate rehabilitation and care services. Drawing on the Cognitive Disorder Specialty Capacity Building Project and the establishment of a cognitive disorder diagnosis and treatment center system across various levels of medical and health institutions,the authors conduct a strategic analysis on three key aspects of dementia in the elderly: early screening and intervention, standardized diagnosis and treatment, and rehabilitation and care. It proposes specific measures such as integrating existing resources, conducting screening and early intervention according to local conditions, optimizing referral channels, improving multidisciplinary collaborative diagnosis and treatment models, and promoting the connection between home and community care services. Through these measures, the paper explores a management model and path for the entire course of dementia in the elderly that is suitable for national conditions, providing a reference for the prevention and control of dementia in the elderly in China.