Volpe U, Amin H, Ayinde OO, et al. - Researchers investigated 548 consecutive clinical attendees with a standardized diagnosis of dementia, in 19 specialized public centers for dementia care in 15 countries, with the aim to define the clinical pathways followed by people with dementia (PwD) in different countries to reach specialized dementia care. They utilized the WHO “Encounter Form” to obtain data concerning basic socio-demographic, clinical and pathways for each participant. From the appearance of the first symptoms to the first contact with specialist dementia care, the median time interval of 56 weeks was reported. The general practitioners were identified to be the primary point of access to care (55.8%). The most important second point of access were psychiatrists, geriatricians, and neurologists. Psychotropic drugs (mostly antidepressants and tranquillizers) were prescribed in about a third of cases. In less than 3% of situations, provision for psychosocial interventions (such as psychological counseling, psychotherapy and practical advice) was reported. The ‘pathways diagram’ suggests complexity of the path of PwD to receiving care, its diversity across countries, and important barriers to clinical care. For the subsequent course and the outcome of dementia, they suggest studying pathways followed by PwD to reach specialized care as significant. The development of more tailored strategies for these patients, locally, nationally and internationally, requires understanding the local differences in the clinical presentations and the implementation of currently available dementia care.