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Beurteilung der Betreuung dementer Patienten im allgemeinärztlichen Hausbesuch
BACKGROUND: Patients with dementia (PD) are a special challenge for the healthcare system. They are responsible for 5% of the expenditure in the German healthcare service. The disease-related deficits and the associated need for care leads to the fact that patients are not able to live in their own...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Springer Medizin
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8096732/ https://www.ncbi.nlm.nih.gov/pubmed/32189060 http://dx.doi.org/10.1007/s00391-020-01715-4 |
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author | Lenz, Fabian Schübel, Jeannine Neumann, Robert Bergmann, Antje Voigt, Karen |
author_facet | Lenz, Fabian Schübel, Jeannine Neumann, Robert Bergmann, Antje Voigt, Karen |
author_sort | Lenz, Fabian |
collection | PubMed |
description | BACKGROUND: Patients with dementia (PD) are a special challenge for the healthcare system. They are responsible for 5% of the expenditure in the German healthcare service. The disease-related deficits and the associated need for care leads to the fact that patients are not able to live in their own residence and rely on the care of nursing homes (NH). OBJECTIVE: How is the overall care in PD assessed in house calls (HC)? Does the regional situation influence the living conditions of PD? MATERIAL AND METHODS: As part of the SESAM‑5 study 303 participating general practices in Saxony were asked to document their HC within a period of 1 year whereby 4286 HC were documented through questionnaires and analyzed for content and structural data. RESULTS: The prevalence of dementia in HC patients was 27.5% and 72.6% of PD lived in a NH or assisted living home. The medical staff assessed the overall care of PD in the NH to be significantly better than in their own residence. This discrepancy was greater in rural compared to urban regions although in urban regions significantly more patients live in NHs (27% vs. 51%). CONCLUSIONS: The overall care of PD in HC was assessed predominantly as good by medical personnel, whereby PD in NH were assessed comparatively better than those in their own residence. This could be explained by the high need of care in PD. The difference between rural and urban regions is explainable through differences in the infrastructure and also in the organization in rural areas, where relatives participate in care significantly more frequently. In the future more focus could be placed on alternative types of housing because in PD cognitive deficits are in the foreground. |
format | Online Article Text |
id | pubmed-8096732 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer Medizin |
record_format | MEDLINE/PubMed |
spelling | pubmed-80967322021-05-05 Beurteilung der Betreuung dementer Patienten im allgemeinärztlichen Hausbesuch Lenz, Fabian Schübel, Jeannine Neumann, Robert Bergmann, Antje Voigt, Karen Z Gerontol Geriatr Originalien BACKGROUND: Patients with dementia (PD) are a special challenge for the healthcare system. They are responsible for 5% of the expenditure in the German healthcare service. The disease-related deficits and the associated need for care leads to the fact that patients are not able to live in their own residence and rely on the care of nursing homes (NH). OBJECTIVE: How is the overall care in PD assessed in house calls (HC)? Does the regional situation influence the living conditions of PD? MATERIAL AND METHODS: As part of the SESAM‑5 study 303 participating general practices in Saxony were asked to document their HC within a period of 1 year whereby 4286 HC were documented through questionnaires and analyzed for content and structural data. RESULTS: The prevalence of dementia in HC patients was 27.5% and 72.6% of PD lived in a NH or assisted living home. The medical staff assessed the overall care of PD in the NH to be significantly better than in their own residence. This discrepancy was greater in rural compared to urban regions although in urban regions significantly more patients live in NHs (27% vs. 51%). CONCLUSIONS: The overall care of PD in HC was assessed predominantly as good by medical personnel, whereby PD in NH were assessed comparatively better than those in their own residence. This could be explained by the high need of care in PD. The difference between rural and urban regions is explainable through differences in the infrastructure and also in the organization in rural areas, where relatives participate in care significantly more frequently. In the future more focus could be placed on alternative types of housing because in PD cognitive deficits are in the foreground. Springer Medizin 2020-03-18 2021 /pmc/articles/PMC8096732/ /pubmed/32189060 http://dx.doi.org/10.1007/s00391-020-01715-4 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by/4.0/Open Access. Dieser Artikel wird unter der Creative Commons Namensnennung 4.0 International Lizenz veröffentlicht, welche die Nutzung, Vervielfältigung, Bearbeitung, Verbreitung und Wiedergabe in jeglichem Medium und Format erlaubt, sofern Sie den/die ursprünglichen Autor(en) und die Quelle ordnungsgemäß nennen, einen Link zur Creative Commons Lizenz beifügen und angeben, ob Änderungen vorgenommen wurden. Die in diesem Artikel enthaltenen Bilder und sonstiges Drittmaterial unterliegen ebenfalls der genannten Creative Commons Lizenz, sofern sich aus der Abbildungslegende nichts anderes ergibt. Sofern das betreffende Material nicht unter der genannten Creative Commons Lizenz steht und die betreffende Handlung nicht nach gesetzlichen Vorschriften erlaubt ist, ist für die oben aufgeführten Weiterverwendungen des Materials die Einwilligung des jeweiligen Rechteinhabers einzuholen. Weitere Details zur Lizenz entnehmen Sie bitte der Lizenzinformation auf http://creativecommons.org/licenses/by/4.0/deed.de (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Originalien Lenz, Fabian Schübel, Jeannine Neumann, Robert Bergmann, Antje Voigt, Karen Beurteilung der Betreuung dementer Patienten im allgemeinärztlichen Hausbesuch |
title | Beurteilung der Betreuung dementer Patienten im allgemeinärztlichen Hausbesuch |
title_full | Beurteilung der Betreuung dementer Patienten im allgemeinärztlichen Hausbesuch |
title_fullStr | Beurteilung der Betreuung dementer Patienten im allgemeinärztlichen Hausbesuch |
title_full_unstemmed | Beurteilung der Betreuung dementer Patienten im allgemeinärztlichen Hausbesuch |
title_short | Beurteilung der Betreuung dementer Patienten im allgemeinärztlichen Hausbesuch |
title_sort | beurteilung der betreuung dementer patienten im allgemeinärztlichen hausbesuch |
topic | Originalien |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8096732/ https://www.ncbi.nlm.nih.gov/pubmed/32189060 http://dx.doi.org/10.1007/s00391-020-01715-4 |
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