Artikel
Unmet care needs in the oldest old primary care patients with cognitive disorders: Results of the AgeCoDe & AgeQualiDe Study
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Autoren
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Janine Stein
- Universität Leipzig, Medizinische Fakultät, Leipzig, Germany
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Alexander Pabst
- Universität Leipzig, Medizinische Fakultät, Leipzig, Germany
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Tobias Luck
- Universität Leipzig, Medizinische Fakultät, Leipzig, Germany
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Dagmar Lühmann
- Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany
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Kathrin Heser
- Universitätsklinikum Bonn, Bonn, Germany
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Frank Jessen
- Universität zu Köln, Köln, Germany
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Horst Bickel
- Technische Universität München, München, Germany
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Edelgard Mösch
- Technische Universität München, München, Germany
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Michael Pentzek
- Universitätsklinikum Düsseldorf, Düsseldorf, Germany
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Angela Fuchs
- Universitätsklinikum Düsseldorf, Düsseldorf, Germany
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Birgitt Wiese
- Medizinische Hochschule Hannover, Hannover, Germany
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Silke Mamone
- Medizinische Hochschule Hannover, Hannover, Germany
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Hans-Helmut König
- Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany
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Christian Brettschneider
- Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany
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Jochen Werle
- Zentralinstitut für Seelische Gesundheit/Medizinische Fakultät Mannheim/Universität Heidelberg, Mannheim, Germany
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Martin Scherer
- Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany
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Wolfgang Maier
- Universitätsklinikum Bonn, Bonn, Germany
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Siegfried Weyerer
- Zentralinstitut für Seelische Gesundheit/Medizinische Fakultät Mannheim/Universität Heidelberg, Mannheim, Germany
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Steffi G. Riedel-Heller
- Universität Leipzig, Leipzig, Germany
| Veröffentlicht: | 26. September 2017 |
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Gliederung
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Background/Aims: The ongoing demographic changes will lead to a growing number of older individuals suffering from mild cognitive impairment (MCI) and dementia. In the future, there will be a substantial increase of treatment and health care needs in these patients. Reports on unmet care needs of the oldest old primary care patients with MCI and dementia are currently pending. The aim of the present study was to explore unmet needs in the oldest old primary care patients with MCI and dementia using the German-language version of the CANE. Furthermore, the association between socio-demographic 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”, a sample of 749 primary care patients (unimpaired, MCI and dementia) aged 85 years and older as well as their relatives (n = 421) and general practitioners (GPs, n = 607) were assessed. Statistical procedures comprised descriptive and inferential statistics as well as negative binomial regression analyses.
Results: The majority of unmet needs was observed in dementia patients in the CANE sections memory, looking after home and mobility while needs were clearly less frequently rated as unmet by dementia patients themselves, as compared to their relatives and GPs. Patterns of unmet need ratings were similar across the three perspectives with exceptions in the CANE section memory: unimpaired and MCI patients reported less unmet needs in this section than their relatives and GPs. Unmet needs were significantly associated with MCI and dementia; other risk factors identified were age, educational level and marital status.
Conclusions/Implications: To our knowledge, this is the first study providing primary data on unmet needs from patient, relatives and GP perceptions in the oldest old primary care patients with MCI and dementia in Germany. Comprehensive need assessment should be part of medical examination in order to ensure a high-quality health and social care in the elderly population.
