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A comprehensive approach of the determinants of use of care in dementia: the Recaredem (recourse to care in dementia) cross-sectional study

dc.rights.licenseopenen_US
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorRULLIER, Laetitia
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorMEILLON, Celine
ORCID: 0000-0001-7891-9648
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorBERGUA, Valerie
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorPIMOUGUET, Clement
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorGONZALES-COLACO HARMAND, Magali
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorHELMER, Catherine
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorPERES, Karine
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorDARTIGUES, Jean-Francois
ORCID: 0000-0001-9482-5529
IDREF: 058586105
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorAMIEVA, Helene
dc.date.accessioned2023-12-11T15:49:45Z
dc.date.available2023-12-11T15:49:45Z
dc.date.issued2019-07-01
dc.identifier.issn1741-203Xen_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/186547
dc.description.abstractEnGiven the rate of the undiagnosed cases of dementia and the consequences of inappropriate care, understanding the factors that explain the use of medical and health care in dementia is a critical concern. Our objective was to identify the psychosocial and medical determinants of use of care in dementia. The study sample consisted of 308 participants: the persons with dementia (n = 99) selected from three French population-based cohorts (i.e. PAQUID, 3C, AMI), their family caregivers (primary, n = 96, and secondary, n = 51), and their general practitioners (n = 62). Use of care in dementia was considered according to two indicators: (1) recourse to secondary care, (2) number of community and health services used. Multiple logistic models including sociodemographics and psychosocial variables revealed that the determinants of nonuse of care are similar both for the recourse to secondary care and for the number of community and health services used: lack of education and the contribution of the people with dementia to the decisions regarding their own care and dementia care services in the community area. In addition, satisfaction of the primary caregiver with the services used by his/her relative is associated with non-recourse to secondary care. Taken together, these results highlight the predominant role of psychosocial factors in the use of care in dementia and the importance of addressing this issue through an integrative approach including psychological, social, medical, and family dimensions.
dc.description.sponsorshipAge, sommeil et processus cognitifsen_US
dc.language.isoENen_US
dc.subject.enCommunity and health services
dc.subject.enDementia
dc.subject.enFamily caregiver factors
dc.subject.enHealth care-related factors
dc.subject.enPatient factors
dc.subject.enPopulation-based studies
dc.subject.enSecondary care
dc.title.enA comprehensive approach of the determinants of use of care in dementia: the Recaredem (recourse to care in dementia) cross-sectional study
dc.title.alternativeInt Psychogeriatren_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1017/S1041610218001497en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed30375304en_US
bordeaux.journalInternational Psychogeriatricsen_US
bordeaux.page1027-1037en_US
bordeaux.volume31en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.issue7en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.identifier.funderIDFondation Plan Alzheimeren_US
bordeaux.identifier.funderIDCaisse nationale de l'Assurance Maladieen_US
bordeaux.identifier.funderIDConseil Régional Aquitaineen_US
bordeaux.identifier.funderIDFondation de Franceen_US
bordeaux.identifier.funderIDAssociation France Alzheimeren_US
bordeaux.identifier.funderIDMutuelle Générale de l'Education Nationaleen_US
bordeaux.identifier.funderIDMutualité Sociale Agricoleen_US
bordeaux.identifier.funderIDNovartis Pharmaen_US
bordeaux.identifier.funderIDSanofien_US
bordeaux.identifier.funderIDFondation pour la Recherche Médicaleen_US
bordeaux.identifier.funderIDConseil régional de Bourgogne-Franche-Comtéen_US
bordeaux.identifier.funderIDCaisse nationale de solidarité pour l'autonomieen_US
bordeaux.import.sourcepubmed
hal.identifierhal-04336254
hal.version1
hal.date.transferred2023-12-11T15:49:47Z
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exporttrue
workflow.import.sourcepubmed
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=International%20Psychogeriatrics&rft.date=2019-07-01&rft.volume=31&rft.issue=7&rft.spage=1027-1037&rft.epage=1027-1037&rft.eissn=1741-203X&rft.issn=1741-203X&rft.au=RULLIER,%20Laetitia&MEILLON,%20Celine&BERGUA,%20Valerie&PIMOUGUET,%20Clement&GONZALES-COLACO%20HARMAND,%20Magali&rft.genre=article


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