PMID- 30507578
OWN - NLM
STAT- MEDLINE
DCOM- 20191125
LR  - 20191125
IS  - 1875-8908 (Electronic)
IS  - 1387-2877 (Linking)
VI  - 66
IP  - 4
DP  - 2018
TI  - How Does Utilization of Health Care Services Change in People with Dementia 
      Served by Dementia Care Networks? Results of the Longitudinal, Observational 
      DemNet-D-Study.
PG  - 1609-1617
LID - 10.3233/JAD-180758 [doi]
AB  - 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.
FAU - Thyrian, Jochen Rene
AU  - Thyrian JR
AD  - German Center for Neurodegenerative Diseases (DZNE), Site Rostock/ Greifswald, 
      Greifswald, Germany.
FAU - Michalowsky, Bernhard
AU  - Michalowsky B
AD  - German Center for Neurodegenerative Diseases (DZNE), Site Rostock/ Greifswald, 
      Greifswald, Germany.
FAU - Hertel, Johannes
AU  - Hertel J
AD  - German Center for Neurodegenerative Diseases (DZNE), Site Rostock/ Greifswald, 
      Greifswald, Germany.
FAU - Wubbeler, Markus
AU  - Wubbeler M
AD  - German Center for Neurodegenerative Diseases (DZNE), Site Rostock/ Greifswald, 
      Greifswald, Germany.
FAU - Graske, Johannes
AU  - Graske J
AD  - Department of Health and Nursing, Campus Alt-Saarbrucken, University of Applied 
      Sciences, School of Social Sciences, Saarbrucken, Germany.
FAU - Holle, Bernhard
AU  - Holle B
AD  - German Center for Neurodegenerative Diseases (DZNE), Site Witten, Witten, 
      Germany.
FAU - Schafer-Walkmann, Susanne
AU  - Schafer-Walkmann S
AD  - Institute for Applied Social Sciences (IfaS), Baden-Wuerttemberg Cooperative 
      State University Stuttgart, Fakultat Sozialwesen, Stuttgart, Germany.
FAU - Wolf-Ostermann, Karin
AU  - Wolf-Ostermann K
AD  - Institute for Public Health and Nursing Research (IPP), University of Bremen, 
      Bremen, Germany.
FAU - Hoffmann, Wolfgang
AU  - Hoffmann W
AD  - German Center for Neurodegenerative Diseases (DZNE), Site Rostock/ Greifswald, 
      Greifswald, Germany.
AD  - Institute for Community Medicine (ICM), University Medicine Greifswald, 
      Greifswald, Germany.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - Netherlands
TA  - J Alzheimers Dis
JT  - Journal of Alzheimer's disease : JAD
JID - 9814863
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Caregivers
MH  - *Delivery of Health Care
MH  - Dementia/*therapy
MH  - Female
MH  - Germany
MH  - *Health Services
MH  - Humans
MH  - Longitudinal Studies
MH  - Male
MH  - *Patient Acceptance of Health Care
MH  - Quality of Life
OTO - NOTNLM
OT  - Care network
OT  - Germany
OT  - dementia
OT  - health services
EDAT- 2018/12/07 06:00
MHDA- 2019/11/26 06:00
CRDT- 2018/12/04 06:00
PHST- 2018/12/07 06:00 [pubmed]
PHST- 2019/11/26 06:00 [medline]
PHST- 2018/12/04 06:00 [entrez]
AID - JAD180758 [pii]
AID - 10.3233/JAD-180758 [doi]
PST - ppublish
SO  - J Alzheimers Dis. 2018;66(4):1609-1617. doi: 10.3233/JAD-180758.