Searching for just a few words should be enough to get started. If you need to make more complex queries, use the tips below to guide you.
Article type: Research Article
Authors: Thyrian, Jochen Renéa; * | Michalowsky, Bernharda | Hertel, Johannesa | Wübbeler, Markusa | Gräske, Johannesb | Holle, Bernhardc | Schäfer-Walkmann, Susanned | Wolf-Ostermann, Karine | Hoffmann, Wolfganga; f
Affiliations: [a] German Center for Neurodegenerative Diseases (DZNE), Site Rostock/ Greifswald, Greifswald, Germany | [b] Department of Health and Nursing, Campus Alt-Saarbrücken, University of Applied Sciences, School of Social Sciences, Saarbrücken, Germany | [c] German Center for Neurodegenerative Diseases (DZNE), Site Witten, Witten, Germany | [d] Institute for Applied Social Sciences (IfaS), Baden-Wuerttemberg Cooperative State University Stuttgart, Fakultät Sozialwesen, Stuttgart, Germany | [e] Institute for Public Health and Nursing Research (IPP), University of Bremen, Bremen, Germany | [f] Institute for Community Medicine (ICM), University Medicine Greifswald, Greifswald, Germany
Correspondence: [*] Correspondence to: Jochen René Thyrian, German Center for Neurodegenerative Diseases (DZNE), Site Rostock/ Greifswald, Ellernholzstr. 1-2, 17489 Greifswald, Germany. Tel.: +49 3834 86 75 92; Fax: +49 3834 86 19551; E-mail: [email protected].
Abstract: Background:There is no common definition for the Dementia Care Network (DCN). They are heterogeneous and there is no general, longitudinal evidence for the effects of DCN. Objective:We describe changes in utilization of health services by people served by dementia care networks in Germany and factors associated with those changes over time. Methods:Primary data was assessed in 560 people with dementia (PwD) and their caregivers supported by DCN in Germany; sociodemographic and clinical variables, utilization of services; DCN were characterized according to governance. The design: observational study with face-to-face interviews at two time points over a period of one year. Data was assessed via semi-structured interviews at the participants’ homes. Results:Utilization of health services in this study is consistently higher than reported for the general population and does not significantly change over time. The strongest predictor of utilization of any service after one year was the use of this service at baseline (OR from 3.23 to 44.16). Higher activities of daily functioning increased the chances to utilize specialist physicians (OR = 1.32; 95% -CI: 1.08–1.63) or occupational therapy (OR = 1.24; 95% -CI: 1.02–1.50) significantly. Being a female decreased chances to utilize specialist physicians (OR = 0.57; 95% -CI: 0.37–0.87) and increased the chances to utilize no services (OR = 2.08; 95% -CI: 1.29–3.33). Conclusion:While health care acknowledges the importance and benefits of dementia care networks (i.e., in Germany, the results were considered in new German legislation (SGB XI)), further research is needed to define this kind of service delivery to facilitate comparison as well as promote evidence-based implementation.
Keywords: Care network, dementia, Germany, health services
DOI: 10.3233/JAD-180758
Journal: Journal of Alzheimer's Disease, vol. 66, no. 4, pp. 1609-1617, 2018
IOS Press, Inc.
6751 Tepper Drive
Clifton, VA 20124
USA
Tel: +1 703 830 6300
Fax: +1 703 830 2300
[email protected]
For editorial issues, like the status of your submitted paper or proposals, write to [email protected]
IOS Press
Nieuwe Hemweg 6B
1013 BG Amsterdam
The Netherlands
Tel: +31 20 688 3355
Fax: +31 20 687 0091
[email protected]
For editorial issues, permissions, book requests, submissions and proceedings, contact the Amsterdam office [email protected]
Inspirees International (China Office)
Ciyunsi Beili 207(CapitaLand), Bld 1, 7-901
100025, Beijing
China
Free service line: 400 661 8717
Fax: +86 10 8446 7947
[email protected]
For editorial issues, like the status of your submitted paper or proposals, write to [email protected]
如果您在出版方面需要帮助或有任何建, 件至: [email protected]