Abstract：
BACKGROUND:Patients with dementia (PD) are a special challenge for the healthcare system. They are responsible for 5% of the expenditure in the German healthcare service. The disease-related deficits and the associated need for care leads to the fact that patients are not able to live in their own residence and rely on the care of nursing homes (NH). OBJECTIVE:How is the overall care in PD assessed in house calls (HC)? Does the regional situation influence the living conditions of PD? MATERIAL AND METHODS:As part of the SESAM‑5 study 303 participating general practices in Saxony were asked to document their HC within a period of 1 year whereby 4286 HC were documented through questionnaires and analyzed for content and structural data. RESULTS:The prevalence of dementia in HC patients was 27.5% and 72.6% of PD lived in a NH or assisted living home. The medical staff assessed the overall care of PD in the NH to be significantly better than in their own residence. This discrepancy was greater in rural compared to urban regions although in urban regions significantly more patients live in NHs (27% vs. 51%). CONCLUSIONS:The overall care of PD in HC was assessed predominantly as good by medical personnel, whereby PD in NH were assessed comparatively better than those in their own residence. This could be explained by the high need of care in PD. The difference between rural and urban regions is explainable through differences in the infrastructure and also in the organization in rural areas, where relatives participate in care significantly more frequently. In the future more focus could be placed on alternative types of housing because in PD cognitive deficits are in the foreground.
journal_name
Z Gerontol Geriatrjournal_title
Zeitschrift fur Gerontologie und Geriatrieauthors
Lenz F,Schübel J,Neumann R,Bergmann A,Voigt Kdoi
10.1007/s00391-020-01715-4subject
Has Abstractpub_date
2020-03-18 00:00:00eissn
0948-6704issn
1435-1269pii
10.1007/s00391-020-01715-4pub_type
杂志文章abstract：:The proportion of older prisoners increases with demographic change. The situation in prison and the release from prison are related with particular risks especially for elderly people. Systematically evaluated experiences and findings of the specific needs and requirements of elderly prisoners are rare. The Institute...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
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abstract：:Chronic or repeated stress can induce a damage of neurons, especially in hippocampus, by which the degree of damage differs in various species. Sapolski has reported that there is a correlation between hippocampal degeneration, disturbed feedback reaction, and hypersecretion of glucocorticoids. The aim of this study w...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
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abstract：:Social inequality in Germany is discussed primarily with regard to educational or social welfare issues. There is a political consensus that more action should be taken to ensure equality of chances and fulfillment of basic needs for everyone. In long-term care these considerations have not yet taken place and there a...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
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更新日期：2009-12-01 00:00:00
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章,评审
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更新日期：1998-10-01 00:00:00
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章,评审
doi：10.1007/s003910170072
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abstract：BACKGROUND:The aim of palliative care is to help people with a progressive, probably fatal disease to achieve the highest possible quality of life. Any treatment is radically oriented towards the needs of the affected persons and their relatives. Although nursing institutions for seniors are the second most frequent pl...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章,评审
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
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更新日期：2020-12-01 00:00:00
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
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doi：10.1007/s00391-003-0136-7
更新日期：2003-04-01 00:00:00
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
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更新日期：1995-11-01 00:00:00
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章,评审
doi：
更新日期：1995-05-01 00:00:00
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
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pub_type： 杂志文章
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更新日期：2013-12-01 00:00:00
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
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更新日期：2020-07-31 00:00:00
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
doi：
更新日期：1995-09-01 00:00:00
