Type

Journal Article

Authors

Anders Wimo
Frans R J Verhey
Marjolein E de Vugt
Claire A G Wolfs
Liselot Kerpershoek
Astrid Stephan
Anja Bieber
Gabriele Meyer
Louise Hopper
Kate Irving
and 13 others

Subjects

Medicine & Nursing

Topics
resource use quality of care community life eq 5d community care access to care people quality of life

Impact of Untimely Access to Formal Care on Costs and Quality of Life in Community Dwelling People with Dementia. (2018)

Abstract Access to formal care is not always timely and a better understanding on the impact of untimely access is needed. To examine, from a societal perspective, the impact of untimely access to formal care in terms of total costs and quality of life over one year in community dwelling people with dementia. Within the Actifcare study, needs, resource use, and quality of life were observed for one year in a cohort of 451 community dwelling people with dementia in 8 European countries. Untimely access to care was operationalized as having at least one unmet need for care identified by the Camberwell Assessment of Need for the Elderly (CANE) instrument. Two regression models were built for both total costs and quality of life measured by the EQ-5D-5L, one using sum of unmet needs and one using a predefined selection of need items. Unmet needs were not associated with higher total costs but they were associated with a lower quality of life of people with dementia. Of all CANE items, only an unmet need for "company" was significantly related to lower total costs. Total costs did not seem to differ between participants with unmet and met needs. Only few associations between specific unmet needs and costs and quality of life were found. Furthermore, quality of life of people with dementia decreases when multiple unmet needs are experienced, indicating that assessing and meeting needs is important to improve quality of life.
Collections Ireland -> Dublin City University -> PubMed

Full list of authors on original publication

Anders Wimo, Frans R J Verhey, Marjolein E de Vugt, Claire A G Wolfs, Liselot Kerpershoek, Astrid Stephan, Anja Bieber, Gabriele Meyer, Louise Hopper, Kate Irving and 13 others

Experts in our system

1
Anders Wimo
Dublin City University
Total Publications: 9
 
2
Frans Verhey
Dublin City University
Total Publications: 25
 
3
Marjolein de Vugt
Dublin City University
Total Publications: 15
 
4
Claire Wolfs
Dublin City University
Total Publications: 13
 
5
Liselot Kerpershoek
Dublin City University
Total Publications: 14
 
6
Astrid Stephan
Dublin City University
Total Publications: 16
 
7
Anja Bieber
Dublin City University
Total Publications: 17
 
8
Gabriele Meyer
Dublin City University
Total Publications: 12
 
9
Louise Hopper
Dublin City University
Total Publications: 34
 
10
Kate Irving
Dublin City University
Total Publications: 66