Care services for dementia patients: Predictors for service utilization
F. Boersma
Bok Engelsk 1997
| Utgitt | 1997
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| Omfang | Side 1119- 1126
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| Opplysninger | Aim. The objective of this study was to examine service utilizationfigures among a representative sample of demented patients and todetermine whether sociodemographic and health-related variables areassociated with care utilizationMethod. The study population was derived from a population-based, two-stage cross-sectional study in The Netherlands and consisted of 102demented subjects. Four levels of care intensity were used: level I,no use of professional care; level 2, use of one or more types ofprofessional care by community-dwelling subjects; level 3,residential living in homes for the aged; level 4, long-term care inspecialized nursing homes. Sociodemographic variables and variablesrelated to mental and physical health, functional dependency andseverity of dementia were studied as determinants of levels of care.Results. Eighty-two per cent of the study subjects used one or moretypes of formal care and 55% were institutionalized. Multivariateanalysis yielded age, severity of dementia, somatic disorders,dependency in terms of ADL and martial status as predictors of higherlevels of care. Sets of predictors differed across different carelevels.Conclusions. The findings point to the importance of the socialnetwork and the relevance of general medical treatment and an activeapproach towards decreasing the impact of ADL dependency in dementedsubjects. (C) 1997 John Wiley & Sons, Ltd.
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