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dc.date.accessioned2020-05-12T18:52:50Z
dc.date.available2020-05-12T18:52:50Z
dc.date.created2019-10-29T08:40:08Z
dc.date.issued2020
dc.identifier.citationKerpershoek, Liselot de Vugt, Marjolein Wolfs, Claire Orrell, Martin Woods, Bob Jelley, Hannah Meyer, Gabriele Bieber, Anja Stephan, Astrid Selbæk, Geir Michelet, Mona Wimo, Anders Handels, Ron L H Irving, Kate Hopper, Louise Gonçalves-Pereira, Manuel Balsinha, Conceição Zanetti, Orazio Portolani, Elisa Verhey, Frans . Is there equity in initial access to formal dementia care in Europe? The Andersen Model applied to the Actifcare cohort. International Journal of Geriatric Psychiatry. 2019, 1-8
dc.identifier.urihttp://hdl.handle.net/10852/75499
dc.description.abstractIn the current study the Anderson model is used to determine equitable access to dementia care in Europe. Predisposing, enabling and need variables were investigated to find out whether there is equitable access to dementia‐specific formal care services. Results can identify which specific factors should be a target to improve access. 451 People with middle‐stage dementia and their informal carers from eight European countries were included. At baseline, there was no use of formal care yet, but people were expected to start using formal care within the next year. Logistic regressions were carried out with one of four clusters of service use as dependent variables (home social care, home personal care, day care, admission). The independent variables (predisposing, enabling and need variables) were added to the regression in blocks. The most significant predictors for the different care clusters are disease severity, a higher sum of (un)met needs, hours spent on informal care, living alone, age, region of residence, and gender. The Andersen model provided for this cohort the insight that (besides need factors) the predisposing variables region of residence, gender and age do play a role in finding access to care. In addition, it showed us that the numbers of hours spent on informal care, living alone, needs and disease severity are also important predictors within the model's framework. Health care professionals should pay attention to these predisposing factors to ensure that they don't become barriers for those in need for care
dc.languageEN
dc.rightsAttribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.titleIs there equity in initial access to formal dementia care in Europe? The Andersen Model applied to the Actifcare cohort
dc.typeJournal article
dc.creator.authorKerpershoek, Liselot
dc.creator.authorde Vugt, Marjolein
dc.creator.authorWolfs, Claire
dc.creator.authorOrrell, Martin
dc.creator.authorWoods, Bob
dc.creator.authorJelley, Hannah
dc.creator.authorMeyer, Gabriele
dc.creator.authorBieber, Anja
dc.creator.authorStephan, Astrid
dc.creator.authorSelbæk, Geir
dc.creator.authorMichelet, Mona
dc.creator.authorWimo, Anders
dc.creator.authorHandels, Ron L H
dc.creator.authorIrving, Kate
dc.creator.authorHopper, Louise
dc.creator.authorGonçalves-Pereira, Manuel
dc.creator.authorBalsinha, Conceição
dc.creator.authorZanetti, Orazio
dc.creator.authorPortolani, Elisa
dc.creator.authorVerhey, Frans
cristin.unitcode185,53,11,15
cristin.unitnameGeriatrisk avdeling
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1
dc.identifier.cristin1741488
dc.identifier.bibliographiccitationinfo:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=International Journal of Geriatric Psychiatry&rft.volume=&rft.spage=1&rft.date=2019
dc.identifier.jtitleInternational Journal of Geriatric Psychiatry
dc.identifier.volume35
dc.identifier.issue1
dc.identifier.startpage45
dc.identifier.endpage52
dc.identifier.doihttps://doi.org/10.1002/gps.5213
dc.identifier.urnURN:NBN:no-78544
dc.type.documentTidsskriftartikkel
dc.type.peerreviewedPeer reviewed
dc.source.issn0885-6230
dc.identifier.fulltextFulltext https://www.duo.uio.no/bitstream/handle/10852/75499/2/Kerpershoek%2Bet%2Bal.pdf
dc.type.versionPublishedVersion


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