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Home and Community-Based Service Utilization Patterns for Seniors with Alzheimer's Disease and Related Dementias.

Record Type:	Language materials, manuscript : Monograph/item
Title/Author:	Home and Community-Based Service Utilization Patterns for Seniors with Alzheimer's Disease and Related Dementias./
Author:	Saari, Margaret Elizabeth.
Description:	1 online resource (198 pages)
Notes:	Source: Dissertation Abstracts International, Volume: 79-05(E), Section: B.
Contained By:	Dissertation Abstracts International79-05B(E).
Subject:	Health care management. -
Online resource:	click for full text (PQDT)
ISBN:	9780355531947

Home and Community-Based Service Utilization Patterns for Seniors with Alzheimer's Disease and Related Dementias.
Saari, Margaret Elizabeth.

Home and Community-Based Service Utilization Patterns for Seniors with Alzheimer's Disease and Related Dementias. - 1 online resource (198 pages)

Source: Dissertation Abstracts International, Volume: 79-05(E), Section: B.

Thesis (Ph.D.)

Includes bibliographical references

Background: Half a million Canadians are living with Alzheimer's disease and related dementias. Approximately half these individuals live in the community, supported by informal caregivers. In this population, utilization of formal services is low and patterns of utilization are not well understood. Previous studies examining predictors of service use have examined services in isolation however, often multiple services are utilized, with little coordination between services.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2018

Mode of access: World Wide Web

ISBN: 9780355531947Subjects--Topical Terms:

1148454
Health care management.
Index Terms--Genre/Form:

554714
Electronic books.

Home and Community-Based Service Utilization Patterns for Seniors with Alzheimer's Disease and Related Dementias.
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100 1 $a Saari, Margaret Elizabeth. $3 1181498
245 1 0 $a Home and Community-Based Service Utilization Patterns for Seniors with Alzheimer's Disease and Related Dementias.
264 0 $c 2017
300 $a 1 online resource (198 pages)
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500 $a Source: Dissertation Abstracts International, Volume: 79-05(E), Section: B.
500 $a Adviser: Ann E. Tourangeau.
502 $a Thesis (Ph.D.) $c University of Toronto (Canada) $d 2017.
504 $a Includes bibliographical references
520 $a Background: Half a million Canadians are living with Alzheimer's disease and related dementias. Approximately half these individuals live in the community, supported by informal caregivers. In this population, utilization of formal services is low and patterns of utilization are not well understood. Previous studies examining predictors of service use have examined services in isolation however, often multiple services are utilized, with little coordination between services.
520 $a Purpose: The purpose of this study was to provide a better understanding of the community-based services utilized concurrently by seniors with dementia and their caregivers.
520 $a Methods: Administrative data were utilized to conduct a secondary analysis. Using latent class analysis, cases were categorized into patterns of home and community-based health and support service use. Multinomial logistic regression was employed to identify predictors of identified service use patterns.
520 $a Results: A broad range of services were utilized by seniors with dementia in this sample. Services supporting patients' functional needs were utilized most frequently, while services addressing patients' medical needs, rehabilitation and caregiver relief were used less often. Utilization of all services, except nursing and occupational therapy, varied by level of cognitive impairment. Seven unique patterns of home and community-based service use were identified. Key patient and caregiver characteristics impacting service use patterns included living arrangement, functional impairment, location of care, cognitive impairment, age, continence, and caregiver relationship.
520 $a Conclusions: The majority of community-based seniors with dementia did not access formal services. For those who did access formal services, availability of informal caregivers, living arrangement, caregiver relationship and location of care impacted the pattern of service use. A proactive approach to supporting caregivers and reducing the impact of functional limitations is recommended. Further research is needed to understand caregivers' decision-making processes affecting service utilization and to assess the impact of patterns of service utilization on both patient and caregiver outcomes.
533 $a Electronic reproduction. $b Ann Arbor, Mich. : $c ProQuest, $d 2018
538 $a Mode of access: World Wide Web
650 4 $a Health care management. $3 1148454
650 4 $a Nursing. $3 563081
650 4 $a Aging. $3 559847
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773 0 $t Dissertation Abstracts International $g 79-05B(E).
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10623870 $z click for full text (PQDT)