Prevalence of dementia of insured persons with and without German citizenship

Stock, Stephanie; Ihle, Peter; Simić, Dušan; Rupprecht, Christoph; Schubert, Ingrid; Lappe, Veronika; Kalbe, Elke; Tebest, Ralf; Lorrek, Kristina

doi:10.1007/s00103-018-2711-5

Cited by 9 publications

(7 citation statements)

References 23 publications

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“…It is possible that these small differences can be explained by methodological differences such as years under study (1997-1998 vs. 2015-2016) and region of conduct (regional vs. national data). In fact, our findings also coincided with previously reported figures based on analyses with data from Germany's largest statutory health insurance provider, for example, by Stock et al (2018) Kosteniuk et al (2015), our prevalence estimates for all-cause dementia were a little bit higher. This is noteworthy since the authors applied a more broadly algorithm than we have chosen for the GePaRD database (e.g.…”

Section: Discussionsupporting

confidence: 92%

Dementia in health claims data: The influence of different case definitions on incidence and prevalence estimates

Riedel

Braitmaier

Langner

2022

Int J Methods Psych Res

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Objectives:The epidemiology of dementia subtypes including Alzheimer's disease (AD) and vascular dementia (VD) and their reliance on different case definitions ("algorithms") in health claims data are still understudied. Methods:Based on health claims data, prevalence estimates (per 100 persons), incidence rates (IRs, per 100 person-years), and proportions of AD, VD, and other dementias (oD) were calculated. Five algorithms of increasing strictness considered inpatient/outpatient diagnoses (#1, #2), antidementia drugs (#3) or supportive diagnostics (#4, #5).

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Section: Discussionsupporting

confidence: 92%

Dementia in health claims data: The influence of different case definitions on incidence and prevalence estimates

Riedel

Braitmaier

Langner

2022

Int J Methods Psych Res

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“…Then, second-generation immigrants would be more likely to provide LTC to their parents than people with native-born parents. This is in line with the finding that immigrants in European countries are less likely to use formal LTC services and more likely to use informal care than the native population (Hansen 2014 ; Innes 2020 ; Schmidt and Schneekloth 2011 ; Stock et al 2018 ).…”

Section: Discussionsupporting

confidence: 84%

“…In Denmark, older immigrants tend to be less likely to use municipal residential care facilities and home care services than ethnic Danes (Hansen 2014 ). In Germany, people who need LTC with non-German citizenship are more likely to receive informal care and less likely to receive formal or institutional care than people with German citizenship (Schmidt and Schneekloth 2011 ; Stock et al 2018 ).…”

Section: Introductionmentioning

confidence: 99%

Cultural traits and second-generation immigrants’ value of informal care

2022

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Many European studies find that immigrants and the native population differ in their long-term care use. These differences have been attributed to immigrants’ cultural preferences, among others. However, the cultural integration process of immigrants may result in a potential caregiving conflict between foreign-born immigrants’ preferences for long-term care and their children’s willingness to provide long-term care. In this study, we empirically assess to what extent cultural factors that prevail in foreign-born immigrants’ country of origin are reflected in their children’s value of informal care. Using data from the German Family Panel and the World Values Survey/European Values Study, we regressed second-generation immigrants’ value of informal care on the cultural strength of family ties that prevails in their parents’ country of birth. Probit models were estimated and individual characteristics were accounted for. The results show that second-generation immigrants who originate from cultures with stronger family ties are more likely to express a high value of informal care than second-generation immigrants who come from cultures with weaker family ties. We conclude that immigrants’ values of informal care are deeply shaped by their country of origin. Policy makers should keep immigrants’ needs and preferences in mind when implementing long-term care interventions. The same set of long-term care interventions can have very different effects, depending on immigrants’ values. Supplementary Information The online version contains supplementary material available at 10.1007/s10433-022-00730-1.

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“…The likelihood of nursing home admission increases with age and severity of behavioural symptoms ( 19 , 22 – 24 ) high burden of family carers is also associated with nursing home admission ( 24 ). People with migration background are less often cared for in nursing homes ( 25 ).…”

Section: Special Prerequisites Of Palliative Care In Advanced Dementimentioning

confidence: 99%

Palliative Care in Advanced Dementia

et al. 2020

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Dementia syndrome is common and expected to increase significantly among older people and characterized by the loss of cognitive, psychological and physical functions. Palliative care is applicable for people with dementia, however they are less likely to have access to palliative care. This narrative review summarizes specifics of palliative care in advanced dementia. Most people with advanced dementia live and die in institutional care and they suffer a range of burdensome symptoms and complications. Shortly before dying people with advanced dementia suffer symptoms as pain, eating problems, breathlessness, neuropsychiatric symptoms, and complications as respiratory or urinary infections and frequently experience burdensome transitions. Pharmacological and nonpharmacological interventions may reduce symptom burden. Sensitive observation and appropriate assessment tools enable health professionals to assess symptoms and needs and to evaluate interventions. Due to lack of decisional capacity, proxy decision making is often necessary. Advanced care planning is an opportunity establishing values and preferences and is associated with comfort and decrease of burdensome interventions. Family carers are important for people with advanced dementia they also experience distress and are in need for support. Recommendations refer to early integration of palliative care, recognizing signs of approaching death, symptom assessment and management, advanced care planning, person-centered care, continuity of care, and collaboration of health care providers.

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Prevalence of dementia of insured persons with and without German citizenship

Cited by 9 publications

References 23 publications

Dementia in health claims data: The influence of different case definitions on incidence and prevalence estimates

Dementia in health claims data: The influence of different case definitions on incidence and prevalence estimates

Cultural traits and second-generation immigrants’ value of informal care

Palliative Care in Advanced Dementia

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