From rural to urban areas: differences in behavioural and psychological symptoms of dementia in nursing home residents according to geographical location

Barreto, Philipe de Souto; Lapeyre‐Mestre, Maryse; Vellas, Bruno; Rolland, Yves

doi:10.1111/psyg.12063

Cited by 6 publications

(3 citation statements)

References 16 publications

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“…Research in various European countries has shown differences in the health services provided to residents of rural and urban areas. In France, several studies identify differences between urban and rural health services as well as differences in the incidence of specific diseases (Bertin et al , 2015; Kihal-Talantikite et al , 2015; De Souto Barreto et al , 2014; Lemesle et al , 1996; Dufouil et al , 1995). The findings of Kovess-Masfety et al ’s (2005) research show that it is more prudent to rely on social indicators rather than seeking differences between urban and rural mental health issues.…”

Section: Resultsmentioning

confidence: 99%

Rural health enterprises in the EU context: a systematic literature review and research agenda

Αποστολόπουλος

Ratten

Stavroyiannis

et al. 2020

JEC

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Purpose The COVID-19 crisis has brought to the forefront the importance of rural health enterprises (RHEs), the peculiarity, in these terms, of rural areas, and the impact of rurality on health entrepreneurial activities. This paper aims to undertake a literature review regarding RHEs in the EU, identify research gaps and set future research directions. Design/methodology/approach A systematic literature review was conducted and the key aspects coded across four thematic areas – after examining 68 papers. Findings The findings reveal that more intense research should be conducted across four area which emerged; rural health providers vs urban health providers; RHEs and rural development; RHEs and quality of life; and social RHEs. Research limitations/implications Future research avenues were identified and suggestions for further research on RHEs were provided. Practical implications The paper provides insights into how rural areas can attract health enterprises and how health enterprises can operate in rural areas. Originality/value This research expands on the limited existing knowledge of RHEs and sets the foundations for further research.

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Section: Resultsmentioning

confidence: 99%

Rural health enterprises in the EU context: a systematic literature review and research agenda

Αποστολόπουλος

Ratten

Stavroyiannis

et al. 2020

JEC

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“…The elderly in rural old-age care institutions have a higher suicide tendency, more cognitive barriers and problematic behaviors than those in urban old-age care institutions [ 48 , 49 ]. However, some studies comparing urban and rural residents show that rural residents are in a better state concerning dementia behavior and psychological symptoms [ 50 ]. The prominent medical gap between urban and rural areas in the field of cognition and psychotherapy makes the probability of correct diagnosis and related treatment of mental illnesses such as depression among the elderly in rural old-age care institutions lower than that in urban old-age care institutions [ 51 , 52 ].…”

Section: Discussionmentioning

confidence: 99%

A Scoping Literature Review of Rural Institutional Elder Care

Deng

et al. 2022

IJERPH

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Under circumstances of pervasive global aging combined with weakened traditional family elder care, an incremental demand for institutional elder care is generated. This has led to a surge in research regarding institutional elder care. Rural residents’ institutional elder care is receiving more attention as a major theme in social sciences and humanities research. Based on 94 articles related to rural institutional elder care, this study identified the most influential articles, journals and countries in rural institutional elder care research since 1995. This was done using science mapping methods through a three-step workflow consisting of bibliometric retrieval, scoping analysis and qualitative discussion. Keywords revealed five research mainstreams in this field: (1) the cognition and mental state of aged populations, (2) the nursing quality and service supply of aged care institutions, (3) the aged care management systems’ establishment and improvements, (4) the risk factors of admission and discharge of aged care institutions, and (5) deathbed matters regarding the aged population. A qualitative discussion is also provided for 39 urban and rural comparative research papers and 55 pure rural research papers, summarizing the current research progress status regarding institutional elder care systems in rural areas. Gaps within existing research are also identified to indicate future research trends (such as the multi-dimensional and in-depth comparative research on institutional elder care, new rural institutional elder care model and technology, and correlative policy planning and development), which provides a multi-disciplinary guide for future research.

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“…Regarding medication composition, we investigated the prevalence of dementia medications and medications associated with BPSD. Medications were identified based on the ATC code; the ATC codes of medications related to BPSD were based on previous studies [ 46 , 47 ]. The medications investigated were as follows: N06D (anti-dementia drugs), N05A (antipsychotics), N05B (anxiolytics), N05C (hypnotics and sedatives), N03A (antiepileptics), N06A (antidepressants), N02 (analgesics).…”

Section: Methodsmentioning

confidence: 99%

Polypharmacy and associated factors in South Korean elderly patients with dementia: An analysis using National Health Insurance claims data

Kim,

Lee

2024

PLoS ONE

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Background Dementia is accompanied by several symptoms, including cognitive function decline, as well as behavioral and psychological symptoms. Elderly patients with dementia often experience polypharmacy, the concurrent use of multiple medications, due to chronic comorbidities. However, research on polypharmacy in patients with dementia is limited. This study aimed to characterize polypharmacy and associated factors among elderly patients with dementia in South Korea, and compare the characteristics of patients with and without dementia patients. Methods From the National Health Insurance Service (NHIS)-Senior cohort database, we extracted data on patients aged≥60 years who received outpatient treatment in 2019. Polypharmacy was defined as the concurrent use of five or more different oral medications for ≥90 days; excessive polypharmacy referred to the concurrent use of ten or more different oral medications for ≥90 days. We compared the prevalence of polypharmacy between patients with and without and identified the associated factors using a logistic regression model. Results About 70.3% and 23.7% of patients with dementia exhibited polypharmacy and excessive polypharmacy, respectively. After adjusting for conditions such as age and Charlson’s comorbidity index, the likelihood of polypharmacy and excessive polypharmacy significantly increased over time after the diagnosis of dementia. Additionally, under the same conditions, Medical Aid beneficiaries with dementia were more likely to experience polypharmacy and excessive polypharmacy compared to patients with dementia covered by National Health Insurance (NHI). Conclusion This study reports the latest evidence on the status and risk factors of polypharmacy in elderly patients with dementia. We proposed that careful monitoring and management are required for patients at high risk for polypharmacy.

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From rural to urban areas: differences in behavioural and psychological symptoms of dementia in nursing home residents according to geographical location

Abstract: Rurality seems to play a positive role in the expression of BPSD. If this hypothesis were confirmed, it would encourage NH staff to develop activities that explore rural potentials for the management of BPSD.

Cited by 6 publications

References 16 publications

Rural health enterprises in the EU context: a systematic literature review and research agenda

Rural health enterprises in the EU context: a systematic literature review and research agenda

A Scoping Literature Review of Rural Institutional Elder Care

Polypharmacy and associated factors in South Korean elderly patients with dementia: An analysis using National Health Insurance claims data

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