Stein, Janine, Pabst, Alexander, Luck, Tobias ORCID: 0000-0001-7551-4397, Luehmann, Dagmar, Heser, Kathrin, Jessen, Frank, Bickel, Horst, Moesch, Edelgard, Pentzek, Michael, Fuchs, Angela, Wiese, Birgitt, Mamone, Silke, Koenig, Hans-Helmut, Brettschneider, Christian ORCID: 0000-0002-5280-1075, Werle, Jochen, Scherer, Martin, Maier, Wolfgang, Weyerer, Siegfried and Riedel-Heller, Steffi G. (2017). Unmet Care Needs in the Oldest Old Primary Care Patients with Cognitive Disorders: Results of the AgeCoDe and AgeQualiDe Study. Dement. Geriatr. Cogn. Disord., 44 (1-2). S. 71 - 84. BASEL: KARGER. ISSN 1421-9824

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Abstract

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. (C) 2017 S. Karger AG, Basel.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Stein, JanineUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pabst, AlexanderUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Luck, TobiasUNSPECIFIEDorcid.org/0000-0001-7551-4397UNSPECIFIED
Luehmann, DagmarUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Heser, KathrinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jessen, FrankUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bickel, HorstUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Moesch, EdelgardUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pentzek, MichaelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Fuchs, AngelaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wiese, BirgittUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mamone, SilkeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Koenig, Hans-HelmutUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Brettschneider, ChristianUNSPECIFIEDorcid.org/0000-0002-5280-1075UNSPECIFIED
Werle, JochenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Scherer, MartinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Maier, WolfgangUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Weyerer, SiegfriedUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Riedel-Heller, Steffi G.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-243217
DOI: 10.1159/000478850
Journal or Publication Title: Dement. Geriatr. Cogn. Disord.
Volume: 44
Number: 1-2
Page Range: S. 71 - 84
Date: 2017
Publisher: KARGER
Place of Publication: BASEL
ISSN: 1421-9824
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
CAMBERWELL ASSESSMENT; ELDERLY CANE; ALZHEIMERS-DISEASE; GERMAN VERSION; HEALTH NEEDS; DEMENTIA; PEOPLE; IMPAIRMENT; PERSPECTIVES; RELIABILITYMultiple languages
Geriatrics & Gerontology; Clinical Neurology; PsychiatryMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/24321

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