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Care services for dementia patients: predictors for service utilization
Author(s)Froukje Boersma, Jan A Eefsting, Wim van den Brink
Journal titleInternational Journal of Geriatric Psychiatry, vol 12, no 11, November 1997
Pagespp 1119-1126
KeywordsDementia ; Services ; Care homes ; Nursing homes ; Usage [services] ; Social surveys ; Netherlands.
AnnotationThe objective of this two-stage cross-sectional study of 102 demented Dutch older people was to examine the extent of their use of services, and whether socio-demographic and health-related variables are associated with care utilisation. Four levels of care intensity were used: level 1, no use of professional care; level 2, use of one or more types of professional care by community-dwelling subjects; level 3, living in residential homes; and level 4, long-term care in specialised nursing homes. Socio-demographic variables and variables related to mental and physical health, functional dependency and severity of dementia were studied as determinants of levels of care. 82% of the study subjects used one or more types of formal care, and 55% were institutionalised. Multivariate analysis yielded age, severity of dementia, somatic disorders, dependency in terms of activities of daily living (ADL), and marital status as predictors of higher levels of care. Sets of predictors differed across different care levels. The findings point to the importance of the social network and the relevance of general medical treatment and an active approach to decreasing the impact of ADL dependency in demented subjects. (RH).
Accession NumberCPA-981001219 A
ClassmarkEA: I: KW: LHB: QLD: 3F: 76H

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