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Access to community care for people with dementia and their informal carers : Case vignettes for a European comparison of structures and common pathways to formalcare [Zugang zu professioneller Unterstützung für Menschen mit Demenz und ihre Angehörigen: Fallvignetten für den europäischen Vergleich von Strukturen und Zugangswegen zu professioneller Pflege]

Bieber, A. (författare)
Medical Faculty, Institute for Health and Nursing Science, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany
Stephan, A. (författare)
Medical Faculty, Institute for Health and Nursing Science, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany
Verbeek, H. (författare)
School for Mental Health and Neuroscience, Alzheimer Center Limburg, Department of Psychiatry and Neuropsychology, Maastricht University Medical Center, Maastricht, The Netherlands
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Verhey, F. (författare)
School for Mental Health and Neuroscience, Alzheimer Center Limburg, Department of Psychiatry and Neuropsychology, Maastricht University Medical Center, Maastricht, The Netherlands
Kerpershoek, L. (författare)
School for Mental Health and Neuroscience, Alzheimer Center Limburg, Department of Psychiatry and Neuropsychology, Maastricht University Medical Center, Maastricht, The Netherlands
Wolfs, C. (författare)
School for Mental Health and Neuroscience, Alzheimer Center Limburg, Department of Psychiatry and Neuropsychology, Maastricht University Medical Center, Maastricht, The Netherlands
de Vugt, M. (författare)
School for Mental Health and Neuroscience, Alzheimer Center Limburg, Department of Psychiatry and Neuropsychology, Maastricht University Medical Center, Maastricht, The Netherlands
Woods, R. T. (författare)
Dementia Services Development CentreWales, Bangor University, Bangor, UK
Røsvik, J. (författare)
Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, and Department of GeriatricMedicine, Oslo University Hospital, Oslo, Norway
Selbaek, G. (författare)
Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, and Department of GeriatricMedicine, Oslo University Hospital, Oslo, Norway
Sjölund, Britt-Marie, 1958- (författare)
Högskolan i Gävle,Medicin- och vårdvetenskap,Department of Neurobiology, Care sciences and Society, Karolinska Institut, Stockholm, Sweden
Wimo, A. (författare)
Department of Neurobiology, Care sciences and Society, Karolinska Institut, Stockholm, Sweden
Hopper, L. (författare)
School of Nursing and Human Sciences, Dublin City University, Dublin, Ireland
Irving, K. (författare)
School of Nursing and Human Sciences, Dublin City University, Dublin, Ireland
Marques, M. J. (författare)
CEDOC, Chronic Diseases Research Centre, Nova Medical School/Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisbon, Portugal
Gonçalves-Pereira, M. (författare)
CEDOC, Chronic Diseases Research Centre, Nova Medical School/Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisbon, Portugal
Portolani, E. (författare)
Alzheimer’s Research Unit-Memory Clinic, Brescia, Italy
Zanetti, O. (författare)
Alzheimer’s Research Unit-Memory Clinic, Brescia, Italy
Meyer, G. (författare)
Medical Faculty, Institute for Health and Nursing Science, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany
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 (creator_code:org_t)
2017-06-14
2018
Engelska.
Ingår i: Zeitschrift für Gerontologie und Geriatrie (Print). - : Springer Science and Business Media LLC. - 0948-6704 .- 1435-1269. ; 51:5, s. 530-536
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • BackgroundPeople with dementia and their informal carers often do not receive appropriate professional support or it is not received at the right time.ObjectivesDescription and comparison of common pathways to formal community dementia care in eight European countries as a part of the transnational Actifcare project.Materials and methodsThe German team was responsible for creating an individual case scenario as a starting point. The research teams in Ireland, Italy, the Netherlands, Norway, Portugal, Sweden, and the United Kingdom were then asked to describe a common pathway to formal dementia care by writing their own vignette using the provided individual case scenario.ResultsA transnational qualitative content analysis was used to identify the following categories as being the most important: involved professionals, dementia-specific and team-based approaches, proactive roles, and financial aspects. General practitioners (GPs) are described as being the most important profession supporting the access to formal care in all the involved countries. In some countries other professionals take over responsibility for the access procedure. Dementia-specific approaches are rarely part of standard care; team-based approaches have differing significances in each of the countries. Informal carers are mainly proactive in seeking formal care. The Nordic countries demonstrate how financial support enhances access to the professional system.ConclusionEnhanced cooperation between GPs and other professions might optimize access to formal dementia care. Team-based approaches focusing on dementia care should be developed further. Informal carers should be supported and relieved in their role. Financial barriers remain which should be further investigated and reduced.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Annan medicin och hälsovetenskap -- Gerontologi, medicinsk/hälsovetenskaplig inriktning (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Other Medical and Health Sciences -- Gerontology, specialising in Medical and Health Sciences (hsv//eng)

Nyckelord

Dementia
Health services accessibility
Care
Comparative study
Europe
Health-Promoting Work
Hälsofrämjande arbete

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