Effects of Nursing Home Residency on Diabetes Care in Individuals with Dementia: An Explorative Analysis Based on German Claims Data

Aims: This claims data-based study compares the intensity of diabetes care in community dwellers and nursing home residents with dementia. Methods: Delivery of diabetes-related medical examinations (DRMEs) was compared via logistic regression in 1,604 community dwellers and 1,010 nursing home reside...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Larissa Schwarzkopf [verfasserIn] Rolf Holle [verfasserIn] Michaela Schunk [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2017

Schlagwörter:	Care processes Cost of illness Institutional care Home care Administrative data Germany

Übergeordnetes Werk:	In: Dementia and Geriatric Cognitive Disorders Extra - Karger Publishers, 2013, 7(2017), 1, Seite 41-51
Übergeordnetes Werk:	volume:7 ; year:2017 ; number:1 ; pages:41-51

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1159/000455071

Katalog-ID:	DOAJ068782160

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allfieldsGer	10.1159/000455071 doi (DE-627)DOAJ068782160 (DE-599)DOAJ2eefc83a4cd8442c8129ac3f2adfc926 DE-627 ger DE-627 rakwb eng RC346-429 RC952-954.6 Larissa Schwarzkopf verfasserin aut Effects of Nursing Home Residency on Diabetes Care in Individuals with Dementia: An Explorative Analysis Based on German Claims Data 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Aims: This claims data-based study compares the intensity of diabetes care in community dwellers and nursing home residents with dementia. Methods: Delivery of diabetes-related medical examinations (DRMEs) was compared via logistic regression in 1,604 community dwellers and 1,010 nursing home residents with dementia. The intra-individual effect of nursing home transfer was evaluated within mixed models. Results: Delivery of DRMEs decreases with increasing care dependency, with more community-living individuals receiving DRMEs. Moreover, DRME provision decreases after nursing home transfer. Conclusion: Dementia patients receive fewer DRMEs than recommended, especially in cases of higher care dependency and particularly in nursing homes. This suggests lacking awareness regarding the specific challenges of combined diabetes and dementia care. Care processes Cost of illness Institutional care Home care Administrative data Germany  Neurology. Diseases of the nervous system Geriatrics Rolf Holle verfasserin aut Michaela Schunk verfasserin aut In Dementia and Geriatric Cognitive Disorders Extra Karger Publishers, 2013 7(2017), 1, Seite 41-51 (DE-627)665673434 (DE-600)2621464-7 16645464 nnns volume:7 year:2017 number:1 pages:41-51 https://doi.org/10.1159/000455071 kostenfrei https://doaj.org/article/2eefc83a4cd8442c8129ac3f2adfc926 kostenfrei http://www.karger.com/Article/FullText/455071 kostenfrei https://doaj.org/toc/1664-5464 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2018 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2017 1 41-51
allfieldsSound	10.1159/000455071 doi (DE-627)DOAJ068782160 (DE-599)DOAJ2eefc83a4cd8442c8129ac3f2adfc926 DE-627 ger DE-627 rakwb eng RC346-429 RC952-954.6 Larissa Schwarzkopf verfasserin aut Effects of Nursing Home Residency on Diabetes Care in Individuals with Dementia: An Explorative Analysis Based on German Claims Data 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Aims: This claims data-based study compares the intensity of diabetes care in community dwellers and nursing home residents with dementia. Methods: Delivery of diabetes-related medical examinations (DRMEs) was compared via logistic regression in 1,604 community dwellers and 1,010 nursing home residents with dementia. The intra-individual effect of nursing home transfer was evaluated within mixed models. Results: Delivery of DRMEs decreases with increasing care dependency, with more community-living individuals receiving DRMEs. Moreover, DRME provision decreases after nursing home transfer. Conclusion: Dementia patients receive fewer DRMEs than recommended, especially in cases of higher care dependency and particularly in nursing homes. This suggests lacking awareness regarding the specific challenges of combined diabetes and dementia care. Care processes Cost of illness Institutional care Home care Administrative data Germany  Neurology. Diseases of the nervous system Geriatrics Rolf Holle verfasserin aut Michaela Schunk verfasserin aut In Dementia and Geriatric Cognitive Disorders Extra Karger Publishers, 2013 7(2017), 1, Seite 41-51 (DE-627)665673434 (DE-600)2621464-7 16645464 nnns volume:7 year:2017 number:1 pages:41-51 https://doi.org/10.1159/000455071 kostenfrei https://doaj.org/article/2eefc83a4cd8442c8129ac3f2adfc926 kostenfrei http://www.karger.com/Article/FullText/455071 kostenfrei https://doaj.org/toc/1664-5464 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2018 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2017 1 41-51
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callnumber-first	R - Medicine
author	Larissa Schwarzkopf
spellingShingle	Larissa Schwarzkopf misc RC346-429 misc RC952-954.6 misc Care processes misc Cost of illness misc Institutional care misc Home care misc Administrative data misc Germany  misc Neurology. Diseases of the nervous system misc Geriatrics Effects of Nursing Home Residency on Diabetes Care in Individuals with Dementia: An Explorative Analysis Based on German Claims Data
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topic_title	RC346-429 RC952-954.6 Effects of Nursing Home Residency on Diabetes Care in Individuals with Dementia: An Explorative Analysis Based on German Claims Data Care processes Cost of illness Institutional care Home care Administrative data Germany
topic	misc RC346-429 misc RC952-954.6 misc Care processes misc Cost of illness misc Institutional care misc Home care misc Administrative data misc Germany  misc Neurology. Diseases of the nervous system misc Geriatrics
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title	Effects of Nursing Home Residency on Diabetes Care in Individuals with Dementia: An Explorative Analysis Based on German Claims Data
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title_full	Effects of Nursing Home Residency on Diabetes Care in Individuals with Dementia: An Explorative Analysis Based on German Claims Data
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title_sort	effects of nursing home residency on diabetes care in individuals with dementia: an explorative analysis based on german claims data
callnumber	RC346-429
title_auth	Effects of Nursing Home Residency on Diabetes Care in Individuals with Dementia: An Explorative Analysis Based on German Claims Data
abstract	Aims: This claims data-based study compares the intensity of diabetes care in community dwellers and nursing home residents with dementia. Methods: Delivery of diabetes-related medical examinations (DRMEs) was compared via logistic regression in 1,604 community dwellers and 1,010 nursing home residents with dementia. The intra-individual effect of nursing home transfer was evaluated within mixed models. Results: Delivery of DRMEs decreases with increasing care dependency, with more community-living individuals receiving DRMEs. Moreover, DRME provision decreases after nursing home transfer. Conclusion: Dementia patients receive fewer DRMEs than recommended, especially in cases of higher care dependency and particularly in nursing homes. This suggests lacking awareness regarding the specific challenges of combined diabetes and dementia care.
abstractGer	Aims: This claims data-based study compares the intensity of diabetes care in community dwellers and nursing home residents with dementia. Methods: Delivery of diabetes-related medical examinations (DRMEs) was compared via logistic regression in 1,604 community dwellers and 1,010 nursing home residents with dementia. The intra-individual effect of nursing home transfer was evaluated within mixed models. Results: Delivery of DRMEs decreases with increasing care dependency, with more community-living individuals receiving DRMEs. Moreover, DRME provision decreases after nursing home transfer. Conclusion: Dementia patients receive fewer DRMEs than recommended, especially in cases of higher care dependency and particularly in nursing homes. This suggests lacking awareness regarding the specific challenges of combined diabetes and dementia care.
abstract_unstemmed	Aims: This claims data-based study compares the intensity of diabetes care in community dwellers and nursing home residents with dementia. Methods: Delivery of diabetes-related medical examinations (DRMEs) was compared via logistic regression in 1,604 community dwellers and 1,010 nursing home residents with dementia. The intra-individual effect of nursing home transfer was evaluated within mixed models. Results: Delivery of DRMEs decreases with increasing care dependency, with more community-living individuals receiving DRMEs. Moreover, DRME provision decreases after nursing home transfer. Conclusion: Dementia patients receive fewer DRMEs than recommended, especially in cases of higher care dependency and particularly in nursing homes. This suggests lacking awareness regarding the specific challenges of combined diabetes and dementia care.
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title_short	Effects of Nursing Home Residency on Diabetes Care in Individuals with Dementia: An Explorative Analysis Based on German Claims Data
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