Sufficient Medical and Nursing Services for Community Dwelling People with Dementia?

DOI: 10.3238/zfa.2012.0513-0519

Eine empirische Untersuchung der Sichtweise von Pflegediensten und Hausärzten

german translation / full article

Hendrik van den Bussche, Martin Scherer, Hanna Kaduszkiewicz, Änne-Dörte Jahncke-Latteck, Britta Tetzlaff, Annette Ernst, Birgitt Wiese, Uta Schramm

Keywords: Dementia Nursing care Ambulatory Medical Care Nursing Insurance

An Empirical Study of the Views of Nurses and FPs

Background: Sufficiency of medical and nursing services in the care of people with dementia living at home in Germany has not been adequately been assessed.

Methods: Survey among family practitioners (FPs) and nurses caring for dementia patients in the community in Hamburg.

Results: FPs and nurses generally consider their services in the ambulatory care of patients with dementia as sufficient. Nurses saw deficits in basic care and social support in some half of the cases, FPs found consultation frequency to be insufficient in one third and home visit frequency to be insufficient in one fourth of cases. Nurses saw problems of medical care in 14% of cases, FPs almost in none. Risk factors for caring problems were male sex, severe dementia, insufficiencies in the nonprofessional network and insufficient communication among professionals and between professionals and carers.

Consequences: The deficiencies described in this study should be compensated by reforms of the laws on ambulatory medical care and nursing care.

(State: 13.12.2012)

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