A Dementia Registry Must Capture Behavioral Symptoms, Psychotropic Safety, and Caregiver Burden: A Psychiatric‐Care Perspective From Taiwan
Jo Yen Man, Lien‐Chung WeiABSTRACT
Fitri's framework for an Indonesian dementia registry already addresses caregiver burden, treatment, and continuity of care. This commentary develops their operational use through a proposed safety workflow linking a brief core record to event‐triggered assessment, an assigned response, and documented follow‐up. Taiwanese patient‐caregiver research provides a regional point of comparison, not evidence that the workflow is effective in Indonesia. Behavioral change should prompt investigation of contributors rather than constitute an additional diagnosis. Caregiver burden describes perceived strain, whereas caregiver capacity concerns the practical ability to sustain care; both warrant attention. Medication monitoring should connect indication, benefit, harm, and review rather than reward lower prescribing rates alone. We specify data sources and responsibilities, propose measurable completion indicators, and phase linkage according to local capacity. The approach is relevant beyond Indonesia, including settings where registries already collect neuropsychiatric and medication data but their connection to care requires examination. Pilot evaluation must establish feasibility, equity, and clinical value before wider implementation.