Entwicklung und Bewertung von Qualitätsindikatoren aus den Leitlinien Halsschmerzen, Nackenschmerzen und Demenz der Deutschen Gesellschaft für Allgemeinmedizin und Familienmedizin (DEGAM)

Scherer, Martin; Wollny, Anja; Vollmar, Horst Christian; Chenot, Jean‐François; Baum, Erika; Barzel, Anne; Beyer, Martin; Egidi, Günther; Kaufmann‐Kolle, Petra; Mainz, Armin; Popert, Uwe; Schmiemann, Guido; Voigt, Karen; Wagner, Hans-Otto; Szécsényi, Joachim

doi:10.1016/j.zefq.2012.11.016

Cited by 3 publications

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“…Regular drug reviews with the participation of the (in-)formal caregivers and the persons with dementia might be even more necessary for people with dementia than for the general population. This is also demanded by existing guidelines [ 26 ] and viewed as an indicator of the quality of care [ 27 ]. The interviewed (in-)formal caregiver took over responsibility for the health and medical care of people with dementia.…”

Section: Discussionmentioning

confidence: 99%

(In-)formal caregivers’ and general practitioners’ views on hospitalizations of people with dementia - an exploratory qualitative interview study

Pohontsch

Scherer

Eisele

2017

BMC Health Serv Res

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BackgroundDementia is an irreversible chronic disease with wide-ranging effects on patients’, caregivers’ and families’ lives. Hospitalizations are significant events for people with dementia. They tend to have poorer outcomes compared to those without dementia. Most of the previous studies focused on diagnoses leading to hospitalizations using claims data. Further factors (e.g. context factors) for hospitalizations are not reproduced in this data. Therefore, we investigated the factors leading to hospitalization with an explorative, qualitative study design.MethodsWe interviewed informal caregivers (N = 12), general practitioners (GPs, N = 12) and formal caregivers (N = 5) of 12 persons with dementia using a semi-structured interview guideline. The persons with dementia were sampled using criteria regarding their living situation (home care vs. nursing home care) and gender. The transcripts were analyzed using the method of structuring content analysis.ResultsAlmost none of the hospitalizations, discussed with the (in-)formal caregivers and GPs, seemed to have been preventable or seemed unjustifiable from the interviewees’ points of view. We identified several dementia-specific factors promoting hospitalizations (e.g. the neglect of constricted mobility, the declining ability to communicate about symptoms/accidents and the shift of responsibility from person with dementia to informal or formal caregivers) and context-specific factors promoting hospitalizations (e.g. qualification of nursing home personal, the non-availability of the GP and hospitalizations for examinations/treatments also available in ambulatory settings). Hospitalizations were always the result of the interrelation of two factors: illnesses/accidents and context factors. The impact of both seems to be stronger in presence of dementia.ConclusionsPoints for action in terms of reducing hospitalization rates were: better qualified nurses, a 24-h-GP-emergency service and better compensation for ambulatory monitoring/treatments and house calls. Many hospitalizations of people with dementia cannot be prevented. Therefore, hospital staffs need to be better prepared to handle patients with dementia in order to reduce the negative effects of hospitalizations.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-017-2484-9) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%