Quality of life and quality of care for people with dementia receiving long term institutional care or professional home care: the European RightTimePlaceCare study

Autor: Beerens, H.C., Sutcliffe, C., Renom-Guiteras, A., Soto, M.E., Suhonen, R., Zabalegui, A., Bökberg, C., Saks, K., Hamers, J.P.H., RightTimePlaceCare Consortium, the
Přispěvatelé: Health Services Research, RS: CAPHRI School for Public Health and Primary Care, RS: CAPHRI - Innovations in Health Care for the Elderly, RS: CAPHRI - Redesigning Health Care, RS: Academische Werkplaats Ouderenzorg
Rok vydání: 2013
Předmět:
Gerontology
Male
IMPACT
Disease
Residential Facilities
Quality of life
quality of care
Surveys and Questionnaires
Medicine
Prospective Studies
General Nursing
ta316
media_common
Aged
80 and over
Pressure Ulcer
OUTCOMES
Depression
Health Policy
General Medicine
Home Care Services
humanities
3. Good health
ALZHEIMERS-DISEASE
Europe
Scale (social sciences)
RELIABILITY
Female
HEALTH
RESIDENTS
Restraint
Physical
media_common.quotation_subject
Pain
MINI-MENTAL-STATE
NURSING-HOMES
Weight Loss
Dementia
Humans
Quality (business)
Quality of care
Quality of Health Care
National health
Psychotropic Drugs
business.industry
medicine.disease
Drug Utilization
Proxy
Long-term care
Cross-Sectional Studies
Quality of Life
Accidental Falls
Self Report
international comparisons
Geriatrics and Gerontology
business
Zdroj: Journal of the American Medical Directors Association
Journal of the American Medical Directors Association; Vol 15
Journal of the American Medical Directors Association, 15(1), 54-61. Elsevier Science
ISSN: 1538-9375
1525-8610
Popis: Objectives: To explore how quality of life (QoL) and quality of care (QoC) for people with dementia (PwD) vary across 8 European countries; to explore how QoL and QoC for PwD vary across living arrangements; and to assess the association between QoL and QoC. Design: Cross-sectional survey. Setting: Institutional long term care and home care in 8 European countries (England, Estonia, Finland, France, Germany, the Netherlands, Spain, and Sweden). Participants: PwD receiving formal home care but at risk for admission to an institutional setting, and PwD who were recently admitted. Measurements: QoL was assessed by the PwD and by their best informed proxies using the Quality of Life-Alzheimer's Disease scale (QoL-AD) (range 13-52). QoC was measured using quality of care indicators (eg, the presence of depressive symptoms, the presence of pressure ulcers). Results: A total of 1123 PwD living at home (mean age 82.2, 63%women) and 791 PwD living in institutional care (mean age 84.1, 74% women) participated. QoL of PwD was most often rated highest in Sweden and England and lowest in Estonia and Spain. No differences in QoL were detected among the settings. For the QoC indicators, no consistent patterns were visible in such away that certain countries or settings scored "higher" or "lower." The presence of depressive symptoms was most consistently associated with lower QoL (P
Databáze: OpenAIRE
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