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Unmet care needs in the oldest old primary care patients with cognitive disorders: results of the AgeCoDe and AgeQualiDe Study

Background: In the future, an increase in health care needs in the elderly is expected. Reports on unmet care needs of the oldest old with cognitive disorders are pending. This study aims at exploring unmet needs in the oldest old primary care patients with mild cognitive impairment (MCI) and dement...

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Hauptverfasser: Stein, Janine (VerfasserIn) , Weyerer, Siegfried (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: August 2017
In: Dementia and geriatric cognitive disorders
Year: 2017, Jahrgang: 44, Heft: 1/2, Pages: 71-83
ISSN:1421-9824
DOI:10.1159/000478850
Online-Zugang:Verlag, Volltext: http://dx.doi.org/10.1159/000478850
Verlag, Volltext: https://www.karger.com/Article/FullText/478850
Volltext
Verfasserangaben:Janine Stein, Alexander Pabst, Tobias Luck, Dagmar Lühmann, Kathrin Heser, Frank Jessen, Horst Bickel, Edelgard Mösch, Michael Pentzek, Angela Fuchs, Birgitt Wiese, Silke Mamone, Hans-Helmut König, Christian Brettschneider, Jochen Werle, Martin Scherer, Wolfgang Maier, Siegfried Weyerer, Steffi G. Riedel-Heller, for the AgeCoDe and AgeQualiDe Study Group
Beschreibung
Zusammenfassung:Background: In the future, an increase in health care needs in the elderly is expected. Reports on unmet care needs of the oldest old with cognitive disorders are pending. This study aims at exploring unmet needs in the oldest old primary care patients with mild cognitive impairment (MCI) and dementia. Furthermore, the association between sociodemographic and clinical factors and unmet needs ought to be analyzed. Methods: Based on the study “Needs, Health Service Use, Costs and Health-Related Quality of Life in a Large Sample of Oldest-Old Primary Care Patients (85+)” (AgeQualiDe), 749 patients (unimpaired, MCI, and dementia) aged 85 years and older, their relatives (n = 421), and general practitioners (GPs) (n = 607) were assessed. Descriptive, inferential, and regression analyses were run. Results: Most unmet needs were observed in dementia patients, although needs were less frequently rated as unmet by dementia patients themselves as compared to relatives and GPs. Unmet needs were associated with MCI and dementia; other risk factors were age, education, and marital status. Conclusion: This study provides first data on unmet needs according to different perceptions in the elderly with MCI and dementia in Germany. Need assessments should be part of medical examinations to ensure a high-quality health care in the elderly.
Beschreibung:Gesehen am 08.05.2018
Beschreibung:Online Resource
ISSN:1421-9824
DOI:10.1159/000478850

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