Needs-Based Provision of Medical Care to Nursing Home Residents

Conditions

K00-K14 H00-H59 H60-H95 G20-G26

Lienesch P, Rothgang H, Gerhardus A, Wolf-Ostermann K, Hoffmann F, Czwikla J.

2025-02-012 citations

Contacts with general practitioners, dentists, and medical specialists among nursing home residents: a cross-sectional study in 44 German nursing homes

Jonas Czwikla, Annika Schmidt, Maike Schulz, Ansgar Gerhardus, Guido Schmiemann et al. (10 authors)

BMC Health Services Research2022-01-0617 citations

10.1186/s12913-021-07429-6

Needs-based provision of medical care to nursing home residents: protocol for a mixed-methods study

Jonas Czwikla, Maike Schulz, Franziska Heinze, Thomas Kalwitzki, Daniel Gand et al. (13 authors)

BMJ Open2019-08-0111 citations

10.1136/bmjopen-2018-025614

Interventions

Group 1: We assess health and health care of nursing home residents using standardized function tests and personal interview. Based on the assessed data, a team of physicians evaluates whether study p

Eligibility

Sex/Gender

All

Age

60 Years to No maximum

Inclusion criteria

Inclusion criteria: Care-dependent people (aged 60 years and over) who are members of the AOK Bremen/Bremerhaven statutory health insurance fund and who are residing for at least 12 months in a nursing home located in the federal state of Bremen and gave informed consent for participation.

Exclusion criteria

Exclusion criteria: Participants are excluded if there are any chance findings (i.e. depression, dementia) that substantiate that these participants initially were not capable of giving informed consent.

Design outcomes

Primary

Measure	Time frame
The study aims to assess, evaluate and explain whether nursing home residents obtain appropriate medical care or not.	—

Secondary

Measure	Time frame
Primary data (health condition or problem studied): - Vision assessed by visual test (Bailey Lovie Chart), - Hearing assessed by whispered voice test, - Oral health assessed by Oral Health Assessment Tool (OHAT) and Oral Health Impact Profile (OHIP), - Parkinson's disease assessed by medical chart; Primary data (general health status): - Health-related quality of life assessed by 12-Item Short-Form Health Survey (SF-12), - Depression assessed by Geriatric Depression Scale (GDS) and Cornell Scale for Depression in Dementia (CSDD), - Functional and cognitive status assessed by Mini Mental State Examination (MMST) and extended Barthel-Index, - Nutritional status assessed by Mini-Nutritional Assessment Short Form (MNA-SF); Primary data (medical care): - Appropriateness of medical care evaluated by GPs and medical specialists for vision, hearing, oral health and Parkinson's disease, - Causes of (in)appropriate medical care assessed in case reconstructions in case conferences, expert interviews and statistical analysis of linked primary and secondary data - Potential for improvement identified and pilot project developed by using a modified Delphi method; Secondary data (medical care): - medical specialist consultations assessed by claims data, - drug prescriptions assessed by claims data.	—

Measure

Time frame

Primary data (health condition or problem studied): - Vision assessed by visual test (Bailey Lovie Chart), - Hearing assessed by whispered voice test, - Oral health assessed by Oral Health Assessment Tool (OHAT) and Oral Health Impact Profile (OHIP), - Parkinson's disease assessed by medical chart; Primary data (general health status): - Health-related quality of life assessed by 12-Item Short-Form Health Survey (SF-12), - Depression assessed by Geriatric Depression Scale (GDS) and Cornell Scale for Depression in Dementia (CSDD), - Functional and cognitive status assessed by Mini Mental State Examination (MMST) and extended Barthel-Index, - Nutritional status assessed by Mini-Nutritional Assessment Short Form (MNA-SF); Primary data (medical care): - Appropriateness of medical care evaluated by GPs and medical specialists for vision, hearing, oral health and Parkinson's disease, - Causes of (in)appropriate medical care assessed in case reconstructions in case conferences, expert interviews and statistical analysis of linked primary and secondary data - Potential for improvement identified and pilot project developed by using a modified Delphi method; Secondary data (medical care): - medical specialist consultations assessed by claims data, - drug prescriptions assessed by claims data.

—

Countries

Germany

Contacts

Public ContactMaike Schulz

Universität Bremen, SOCIUM Forschungszentrum Ungleichheit und Sozialpolitik, Abteilung Gesundheit, Pflege und Alterssicherung

maike.schulz@uni-bremen.de+49 421 218-58545

Outcome results

None listed