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Demenznetzwerke in Deutschland : integrierte medizinische, pharmazeutische und nicht-pharmakologische Therapien in Netzwerkstrukturen / von Markus Wübbeler

Outpatient dementia health care is fragmented, and dementia networks (DNs) represent a care concept to overcome this problem. Little is known about the users of these networks in regard to utilization of physicians, antidementia drug treatment, non-pharmacological therapies, aids and associated fact... Full description

PPN (Catalogue-ID): 831941448
Personen: Wübbeler, Markus [VerfasserIn]
Format: eBook eBook
Language: German
Published: Greifswald, Universitätsbibliothek,
Hochschule: @Greifswald, Univ., Diss., 2015
Basisklassifikation: 44.10 Gesundheitswesen: Allgemeines
44.07 Medizinische Psychologie
Subjects:

Demenz

Netzwerk

Versorgung

Managed Care

Demenz / Netzwerk / Versorgung / Managed Care

Formangabe: Hochschulschrift
Physical Description: Online-Ressource (PDF-Datei: 98 S., 706 KB), graph. Darst.

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520 |a Outpatient dementia health care is fragmented, and dementia networks (DNs) represent a care concept to overcome this problem. Little is known about the users of these networks in regard to utilization of physicians, antidementia drug treatment, non-pharmacological therapies, aids and associated factors. We interviewed 560 caregivers of people with dementia in 13 DNs in Germany and analyzed socio-demographics, clinical data, and utilization of physicians, antidementia drug treatment, non-pharmacological therapies and aids. Multiple logistic regression models were performed to evaluate the clinical and socio-demographic factors associated with the utilization. Overall, users of DNs in Germany received high rates of physician care (93% principal care physician, 74% neurology/ psychiatry physician), antidementia drug treatment (52%), non-pharmacological therapies (24% physiotherapy, 16% occupational therapy) and aids (sensory aids 91.1%, personal hygiene aids 77.2%, mobility aids 58.6%, medical aids 57.7%). Logistic regressions analysis showed females associated with lower odds for physician specialist consultations (OR=0.62). Formal diagnosis and medical affiliation of DN were associated factors with higher rates for antidementia treatment (formal diagnosis OR=16.81, medical affiliation OR=3.69). Physiotherapy and medical aids were associated with comorbidities (physiotherapy OR 1.17, medical aids OR 1.27). The results indicate that community-dwelling people served by DN receive ... 
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