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Five-Year Community Management Rate for Dementia Patients: A Proposed Indicator for Dementia Policies

BACKGROUND AND PURPOSE: There is no specific indicator for monitoring dementia management. We propose an auxiliary indicator called the community management rate, defined as the proportion of dementia patients who receive informal care from close caregivers or themselves within their community popul...

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Autores principales: Kwon, Hyuk Sung, Suh, Jeewon, Kim, Mi-hee, Yoo, Boyoung, Han, Minkyung, Koh, Im-Seok, Choi, Hojin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Neurological Association 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8762494/
https://www.ncbi.nlm.nih.gov/pubmed/35021273
http://dx.doi.org/10.3988/jcn.2022.18.1.24
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author Kwon, Hyuk Sung
Suh, Jeewon
Kim, Mi-hee
Yoo, Boyoung
Han, Minkyung
Koh, Im-Seok
Choi, Hojin
author_facet Kwon, Hyuk Sung
Suh, Jeewon
Kim, Mi-hee
Yoo, Boyoung
Han, Minkyung
Koh, Im-Seok
Choi, Hojin
author_sort Kwon, Hyuk Sung
collection PubMed
description BACKGROUND AND PURPOSE: There is no specific indicator for monitoring dementia management. We propose an auxiliary indicator called the community management rate, defined as the proportion of dementia patients who receive informal care from close caregivers or themselves within their community population. The 5-year community management rate is the percentage of dementia patients who are receiving community management at 5 years after they were diagnosed. The aim of this study was to identify how the community management rate has changed over time and how the 5-year community management rate differs according to age, sex, income, residence area, and comorbidities. METHODS: We analyzed customized research database of the Korean National Health Insurance Services from 2003 to 2018. The 5-year community management rate was calculated annually with newly diagnosed dementia patients, and compared among subgroups according to age, sex, income, residence area, and comorbidities. RESULTS: This study analyzed 549,297 patients. Among those newly diagnosed with dementia in 2003, the mean duration of community management during the 15-year follow-up was 5.98 years. The community management rate decreased rapidly from 2003 to 2006, after which it increased. A low 5-year community management rate was associated with older age, higher comorbidity burden, nonmetropolitan residence, and low income. CONCLUSIONS: The community management rate seems to reflect diverse patient factors. Efforts are needed to reduce the comorbidity burden and differences in the 5-year community management rate according to residence area and income. This study indicates the need for further investigations into the use of this indicator to monitor the management of dementia patients.
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spelling pubmed-87624942022-01-26 Five-Year Community Management Rate for Dementia Patients: A Proposed Indicator for Dementia Policies Kwon, Hyuk Sung Suh, Jeewon Kim, Mi-hee Yoo, Boyoung Han, Minkyung Koh, Im-Seok Choi, Hojin J Clin Neurol Original Article BACKGROUND AND PURPOSE: There is no specific indicator for monitoring dementia management. We propose an auxiliary indicator called the community management rate, defined as the proportion of dementia patients who receive informal care from close caregivers or themselves within their community population. The 5-year community management rate is the percentage of dementia patients who are receiving community management at 5 years after they were diagnosed. The aim of this study was to identify how the community management rate has changed over time and how the 5-year community management rate differs according to age, sex, income, residence area, and comorbidities. METHODS: We analyzed customized research database of the Korean National Health Insurance Services from 2003 to 2018. The 5-year community management rate was calculated annually with newly diagnosed dementia patients, and compared among subgroups according to age, sex, income, residence area, and comorbidities. RESULTS: This study analyzed 549,297 patients. Among those newly diagnosed with dementia in 2003, the mean duration of community management during the 15-year follow-up was 5.98 years. The community management rate decreased rapidly from 2003 to 2006, after which it increased. A low 5-year community management rate was associated with older age, higher comorbidity burden, nonmetropolitan residence, and low income. CONCLUSIONS: The community management rate seems to reflect diverse patient factors. Efforts are needed to reduce the comorbidity burden and differences in the 5-year community management rate according to residence area and income. This study indicates the need for further investigations into the use of this indicator to monitor the management of dementia patients. Korean Neurological Association 2022-01 2021-12-30 /pmc/articles/PMC8762494/ /pubmed/35021273 http://dx.doi.org/10.3988/jcn.2022.18.1.24 Text en Copyright © 2022 Korean Neurological Association https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Kwon, Hyuk Sung
Suh, Jeewon
Kim, Mi-hee
Yoo, Boyoung
Han, Minkyung
Koh, Im-Seok
Choi, Hojin
Five-Year Community Management Rate for Dementia Patients: A Proposed Indicator for Dementia Policies
title Five-Year Community Management Rate for Dementia Patients: A Proposed Indicator for Dementia Policies
title_full Five-Year Community Management Rate for Dementia Patients: A Proposed Indicator for Dementia Policies
title_fullStr Five-Year Community Management Rate for Dementia Patients: A Proposed Indicator for Dementia Policies
title_full_unstemmed Five-Year Community Management Rate for Dementia Patients: A Proposed Indicator for Dementia Policies
title_short Five-Year Community Management Rate for Dementia Patients: A Proposed Indicator for Dementia Policies
title_sort five-year community management rate for dementia patients: a proposed indicator for dementia policies
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8762494/
https://www.ncbi.nlm.nih.gov/pubmed/35021273
http://dx.doi.org/10.3988/jcn.2022.18.1.24
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