Comparing Different Implementation Strategies for Collaborative Dementia Care Management in Terms of Patients’ Characteristics, Unmet Needs, and the Impact on Quality of Life and Costs in Germany

PharmacoEconomics - Open, Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 14, 2024

To compare the implementation of collaborative dementia care management (cDCM) across two settings regarding patients' characteristics, unmet needs, and impact on health-related quality life (HRQoL) costs. This analysis was based data from DCM:IMPact study, implementing cDCM in a physician network (n = 22 practices) day centers (DCC) for community-dwelling persons with over 6 months Germany. Participants completed comprehensive assessments at baseline after, soliciting sociodemographic clinical HRQoL healthcare resource utilization. Patient characteristics needs were analyzed descriptively, costs assessed using multivariable regression models. At baseline, patients 46) exhibited more pronounced neuropsychiatric symptoms (NPI mean score 14 versus 10, p 0.075), frequently diagnosed (76% 56%, 0.040), less likely assigned level by long-term insurance (63% 91%, ≤ 0.001) to access formal services had (12.8 11.0, 0.001), especially social than DCC 57). After months, adjusted means indicated that implemented effective [EQ-5D-5L utility score; 0.061; 95% confidence interval (CI) − 0.032 0.153] costly (− 5950€; CI 8415€ 3485€) DCC. Patients system may benefit when is networks. However, patient samples specific conditions various different ways accessing healthcare, demonstrating need both settings, which must be considered integrate respective sectors efficiently. German Clinical Trials Register: DRKS00025074. Registered 16 April 2021—retrospectively registered.

Language: Английский

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Implementation and Review of the Care Ecosystem in an Integrated Healthcare System

Research Square (Research Square), Journal Year: 2023, Volume and Issue: unknown

Published: Jan. 25, 2023

Abstract Background and Objectives The University of California, San Francisco Memory Aging Center (UCSF-MAC) led the development tested a collaborative care model delivered by lay team navigators (CTNs) with support from multidisciplinary known as Care Ecosystem (CE). We report results application CE within non-academic healthcare system. Research Design Methods at HealthPartners consisted two CTNs, social worker, an RN, program coordinator, behavioral neurologist. Intake forms were developed to collect demographic, baseline, annual longitudinal data one year related dementia severity partner status. Experience surveys completed every 6 months participating partners. All was entered into REDCap. Results A total 570 PWD-caregiver dyads recruited CE: 53% PWDs female, average age 75.2 ± 9.43, 19% living rural communities. Of 173 assessed year, 58% partners responded surveys, 67% those provided about their experience through survey data. At progressed in disease functional impairment, although burden mood remained unchanged. observed significant reduction reported emotional challenges associated caregiving, sleep problems, obtaining help year. Eighty-six percent feeling supported CTN nearly always or quite frequently, 88% rated highly responsive what important them. Discussion Implications feasible well-received

Language: Английский

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Medication Reviews and Clinical Outcomes in Persons with Dementia: A Scoping Review

Pharmacy, Journal Year: 2023, Volume and Issue: 11(5), P. 168 - 168

Published: Oct. 20, 2023

Persons diagnosed with dementia are often faced challenges related to polypharmacy and inappropriate medication use could benefit from regular reviews. However, the of such reviews has not been examined in this population. Therefore, current scoping review was designed identify gaps knowledge regarding impact on clinical outcomes older adults dementia. Relevant studies were identified by searching three databases (Ovid MEDLINE, Ovid EMBASE, Scopus) inception January 2022 a combination keywords medical subject headings. After removal duplicates ineligible articles, 22 publications initial 8346 included review. A total 57 identified, including those pertaining evaluation (n = 17), drug-related interventions 11), problems 10), dementia-related behavioral symptoms 8), cost-effectiveness 2), hospital admissions 1), as well classified other 7). Gaps through paucity measuring management capacity adherence, quality life, mortality.

Language: Английский

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