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What Makes Institut...
What Makes Institutional Long-Term Care the Most Appropriate Setting for People With Dementia? Exploring the Influence of Client Characteristics, Decision-Maker Attributes, and Country in 8 European Nations
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- Tucker, Sue (author)
- Personal Social Services Research Unit, University of Manchester, Manchester, United Kingdom
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- Brand, Christian (author)
- Personal Social Services Research Unit, University of Manchester, Manchester, United Kingdom
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- Sutcliffe, Caroline (author)
- Personal Social Services Research Unit, University of Manchester, Manchester, United Kingdom
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- Challis, David (author)
- Personal Social Services Research Unit, University of Manchester, Manchester, United Kingdom
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- Saks, Kai (author)
- Department of Internal Medicine, University of Tartu, Tartu, Estonia
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- Verbeek, Hilde (author)
- Department of Health Services Research, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands
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- Cabrera, Esther (author)
- School of Health Sciences TecnoCampus, University Pompeu Fabra, Barcelona, Spain & Fundació Privada Clínic per la Recerca Biomédica, Hospital Clínic of Barcelona, Spain
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- Karlsson, Staffan (author)
- Lund University,Lunds universitet,Äldres hälsa och personcentrerad vård,Forskargrupper vid Lunds universitet,Older people's health and Person-Centred care,Lund University Research Groups,Department of Health Sciences, Lund University, Lund, Sweden
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- Leino-Kilpi, Helena (author)
- Department of Nursing Science, University of Turku and Turku University Hospital, Turku, Finland
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- Stephan, Astrid (author)
- Faculty of Health, School of Nursing Science, University of Witten/Herdecke, Witten, Germany
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- Soto, Maria E. (author)
- Geriatrics Department, Gerontôpole, Toulouse University Hospital, Toulouse, France
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- Hallberg, Ingalill Rahm (creator_code:cre_t)
- Lund University,Lunds universitet,Äldres hälsa och personcentrerad vård,Forskargrupper vid Lunds universitet,Older people's health and Person-Centred care,Lund University Research Groups
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- Emilsson, Ulla Melin (creator_code:cre_t)
- Lund University,Lunds universitet,Socialhögskolan,Samhällsvetenskapliga institutioner och centrumbildningar,Samhällsvetenskapliga fakulteten,School of Social Work,Departments of Administrative, Economic and Social Sciences,Faculty of Social Sciences
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- Lethin, Connie (creator_code:cre_t)
- Lund University,Lunds universitet,Äldres hälsa och personcentrerad vård,Forskargrupper vid Lunds universitet,Older people's health and Person-Centred care,Lund University Research Groups
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(creator_code:org_t)
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- Philadelphia : Elsevier BV, 2016
- 2016
- English.
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In: Journal of the American Medical Directors Association. - Philadelphia : Elsevier BV. - 1525-8610 .- 1538-9375. ; 17:5, s. 9-465
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Abstract
Subject headings
Close
- To explore the extent to which client characteristics, decision-maker attributes, and country influence judgments of institutional long-term care (ILTC) appropriateness for people with dementia. Design, setting, and participants: A total of 161 experts in dementia care from 8 European countries reviewed a series of 14 vignettes representing people with dementia on the cusp of ILTC admission and indicated the most appropriate setting in which to support each case in a simple discrete choice exercise: own home, very sheltered housing, residential home, or nursing home. At least 16 experts participated in each country (Estonia, Finland, France, Germany, the Netherlands, Spain, Sweden, and the United Kingdom). Measurements: Descriptive statistics were used to characterize the experts and their placement preferences. Logistic regression modeling was used to explore the extent to which the sociodemographic and clinical characteristics of people with dementia, and the profession, workplace, and country of decision-makers were associated with ILTC recommendation. Results: Client characteristics, decision-maker attributes, and country all seemed to play a part in influencing professionals' perceptions of the appropriateness of ILTC for people with dementia. Expert decision-makers were more likely to recommend ILTC for individuals who required help with mobility or had multiple care needs, and appeared to give more weight to carers' than clients' wishes. Community-based social workers were less likely than other professional groups to favor ILTC placement. Experts in Finland, Germany, and the United Kingdom were less likely to recommend ILTC than experts in France, the Netherlands, and Estonia; experts in Sweden and Spain took an intermediate position. Conclusion: This study provides new understanding of the factors that shape professionals' perceptions of ILTC appropriateness and highlights the need to construct multifaceted models of institutionalization when planning services for people with dementia. It also has several important clinical implications (including flagging interventions that could decrease the need for ILTC), and provides a basis for enhancing professionals' decision-making capabilities (including the greater involvement of clients themselves).
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Annan hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Other Health Sciences (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Geriatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Geriatrics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Keyword
- Care home placement
- Decision-making
- Dementia
- Institutionalization
- Long-term care
- Dementia
Publication and Content Type
- art (subject category)
- ref (subject category)
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To the university's database
- By the author/editor
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Tucker, Sue
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Brand, Christian
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Sutcliffe, Carol ...
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Challis, David
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Saks, Kai
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Verbeek, Hilde
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show more...
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Cabrera, Esther
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Karlsson, Staffa ...
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Leino-Kilpi, Hel ...
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Stephan, Astrid
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Soto, Maria E.
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Hallberg, Ingali ...
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Emilsson, Ulla M ...
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Lethin, Connie
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Other Health Sci ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Geriatrics
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Nursing
- Articles in the publication
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Journal of the A ...
- By the university
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Lund University
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Halmstad University