1. Unmet Care Needs in the Oldest Old Primary Care Patients with Cognitive Disorders: Results of the AgeCoDe and AgeQualiDe Study
- Author
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Dagmar Lühmann, Wolfgang Maier, Kathrin Heser, Angela Fuchs, Jochen Werle, Janine Stein, Hans-Helmut König, Steffi G. Riedel-Heller, AgeCoDe, Silke Mamone, Tobias Luck, Alexander Pabst, Edelgard Mösch, Horst Bickel, Birgitt Wiese, Siegfried Weyerer, Christian Brettschneider, Frank Jessen, Michael Pentzek, and Martin Scherer
- Subjects
Gerontology ,Male ,standards [Primary Health Care] ,Quality management ,psychology [Dementia] ,Cognitive Neuroscience ,psychology [Cognition Disorders] ,therapy [Dementia] ,03 medical and health sciences ,Social support ,0302 clinical medicine ,Quality of life (healthcare) ,psychology [Family] ,General Practitioners ,Risk Factors ,Germany ,mental disorders ,Health care ,medicine ,Dementia ,Humans ,Family ,ddc:610 ,Demography ,Aged, 80 and over ,psychology [General Practitioners] ,Primary Health Care ,030214 geriatrics ,methods [Primary Health Care] ,business.industry ,Health services research ,Social Support ,Cognition ,medicine.disease ,Quality Improvement ,Psychiatry and Mental health ,Attitude ,Socioeconomic Factors ,therapy [Cognition Disorders] ,Needs assessment ,Quality of Life ,Female ,Geriatrics and Gerontology ,Cognition Disorders ,business ,030217 neurology & neurosurgery ,Needs Assessment - Abstract
Background: In the future, an increase in health care needs in the elderly is expected. Reports on unmet care needs of the oldest old with cognitive disorders are pending. This study aims at exploring unmet needs in the oldest old primary care patients with mild cognitive impairment (MCI) and dementia. Furthermore, the association between sociodemographic and clinical factors and unmet needs ought to be analyzed. Methods: Based on the study “Needs, Health Service Use, Costs and Health-Related Quality of Life in a Large Sample of Oldest-Old Primary Care Patients (85+)” (AgeQualiDe), 749 patients (unimpaired, MCI, and dementia) aged 85 years and older, their relatives (n = 421), and general practitioners (GPs) (n = 607) were assessed. Descriptive, inferential, and regression analyses were run. Results: Most unmet needs were observed in dementia patients, although needs were less frequently rated as unmet by dementia patients themselves as compared to relatives and GPs. Unmet needs were associated with MCI and dementia; other risk factors were age, education, and marital status. Conclusion: This study provides first data on unmet needs according to different perceptions in the elderly with MCI and dementia in Germany. Need assessments should be part of medical examinations to ensure a high-quality health care in the elderly.
- Published
- 2017
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