The outbreak of the Corona virus is a challenge for health care systems worldwide. aim this study to analyze a) knowledge about, and feelings related Corona-pandemic. Describe b) loneliness, depression anxiety and, c) perceived, immediate impact lockdown on frequency social contacts quality provision people with cognitive impairment during distancing in primary system living at home Germany.This analysis based data telephone-based assessment convenience sample n = 141 known setting. Data...

The transition from hospital to primary care is a risk factor for negative health outcomes in people with cognitive impairment. To test the effectiveness of intersectoral management during on repeated admission hospital, functionality and institutionalisation Longitudinal multisite randomised controlled trial two arms (care as usual management) follow-ups 3 12 months after discharge. Three hospitals different regions Germany. n = 401 impairment: community-dwelling, age 70+. Randomised into...

Abstract Background The sectorization of health-care systems leads to inefficient treatment, especially for elderly people with cognitive impairment. transition from hospital care primary is insufficiently coordinated, and communication between providers often lacking. Consequences include a further deterioration health, higher rates readmissions, institutionalization. Models collaborative have shown their efficacy in by improving patient-related outcomes. main goal this trial compare the...

In Germany, there are 1.8 million people currently living with dementia, and the trend is rising. particular, health system at transition from hospital to outpatient care facing major challenges given high increase in a difficult patient clientele. Legal efforts have been undertaken (sect. 39a of Fifth Social Code Book [SGB V]) close gaps discharge transfer process.This article aims provide an overview documentation process management for cognitive impairments everyday clinical practice...

Zusammenfassung Hintergrund In deutschen Krankenhäusern sind etwa 40 % aller Patienten über 65 Jahre kognitiv beeinträchtigt. Für diese ist es besonders wichtig, dass die Überleitung in Häuslichkeit möglichst bruchlos und vollumfänglich bedarfsgerecht organisiert ist. Ziel der Arbeit es, einen systematischen Überblick Evidenz des Entlassmanagements (EM) bei Menschen mit kognitiven Beeinträchtigungen (MmkB) oder Demenz (MmD) zu geben. Ferner soll geprüft werden, ob sich, darauf aufbauend,...

Abstract Background In the healthcare system in Germany, different institutions and actors play specific roles discharge transition of patients from hospitals into primary care (Sachverständigenrat zur Begutachtung der Entwicklung im Gesundheitswesen, Wettbewerb an Schnittstelle zwischen ambulanter und stationärer Gesundheitsversorgung, 2012). However, there are shortcomings these intersectoral transitions. Especially older people with cognitive impairment (PCI), management often lacks...

Cognitive impairment is an important determinant in health care. In the acute hospital setting cognition has a strong impact on treatment and can negatively affect diagnostics success. However, little known about individual situation specific risks of people with cognitive impairments during stays. The aim present research to describe analyze needs care.The analyses use baseline data ongoing multisite, longitudinal, randomized controlled intervention trial intersec-CM (Supporting elderly...

As older people are at increased risk of severe and fatal courses SARS-CoV‑2 infection, they receive special attention, which, however, often refers one-sidedly to their need for protection. What is needed a discussion that considers the subjective reality resources as well risks.The study focused on perspectives people. The aim was shed light experience corona pandemic. questions were how experienced pandemic, risks, consequences protective measures, what extent these affected everyday life...

Abstract Background : The outbreak of the Corona virus is a challenge for health care systems worldwide. aim this study to analyze a) knowledge about, and feelings related Corona-pandemic. Describe b) loneliness, depression anxiety and, c) perceived, immediate impact lockdown on frequency social contacts quality provision people with cognitive impairment during distancing in primary system living at home Germany. Methods This analysis based data telephone-based assessment convenience sample...

Zusammenfassung Ziel ist die Analyse pandemiebedingter Auswirkungen auf den Alltag und psychosoziale Gesundheit der bislang wenig untersuchten vulnerablen Gruppe zu Hause lebender, kognitiv beeinträchtigter älterer Menschen. Methodik Mittels strukturierter Telefoninterviews 2020 (n+=+141) 2021 (n+=+107) wurden über 65-Jährige mit kognitiven Beeinträchtigungen (MMSE Ø 23,4) befragt. Die hier vorgestellten Ergebnisse aus reflektieren Erfahrungen Einstellungen, Versorgung sowie Belastungen...

Abstract Background : The outbreak of the Corona virus is a challenge for health care systems worldwide. Elderly people with comorbidities are at higher risk and different levels government in Germany reacted jointly to social distancing lockdown. Little empirical evidence exists about psychosocial situation elderly during this time. Thus, aim study analyze a) knowledge about, feelings related Corona-pandemic. Describe b) loneliness, depression anxiety, and, c) perceived, immediate impact...

Abstract Background : The outbreak of the Corona virus is a challenge for health care systems worldwide. aim this study to analyze a) knowledge about, and feelings related Corona-pandemic. Describe b) loneliness, depression anxiety and, c) perceived, immediate impact lockdown on frequency social contacts quality provision people with cognitive impairment during distancing in primary system living at home Germany. Methods This analysis based data telephone-based assessment convenience sample...

Abstract Background : The outbreak of the Corona virus is a challenge for health care systems worldwide. aim this study to analyze a) knowledge about, and feelings related Corona-pandemic. Describe b) loneliness, depression anxiety and, c) perceived, immediate impact lockdown on frequency social contacts quality provision people with cognitive impairment during distancing in primary system living at home Germany. Methods This analysis based data telephone-based assessment convenience sample...

Abstract Background There is a need to examine whether evidence based collaborative care management can be beneficial people with cognitive impairment transitioning from hospital primary care. Method We conducted longitudinal multisite randomized controlled trial two arms (care as usual and + intersectoral management) follow‐ups 3 12 months after discharge. The sample under analysis consists of n = 401 participants different hospitals in Germany who were at least 70 years old, cognitively...

Abstract Around 1.8 million people in Germany live with dementia. Ascending trend. Discharging cognitive impairment from the hospital and transitioning them to outpatient care brings special challenges presents health system a new increasingly important task. In there are legal efforts (§39 paragraph 1a, SGB V) close gaps, wich supposed develop discharge transfer process. A relevant Cochrane review provided further impressions of effectiveness individualized planning. The analysis is part...

Abstract Background Sectorization of health care systems causes inefficient treatment, especially for elderly people with cognitive impairments. The transition from hospital to primary is insufficiently coordinated, and communication between providers often lacking. Consequences include a further deterioration health, higher rates readmission, institutionalization. Models collaborative have shown their efficacy in by improving patient-related outcomes. main goal this trial test the...

Abstract Background Sectorization of health care systems causes inefficient treatment, especially for elderly people with cognitive impairments. The transition from hospital to primary is insufficiently coordinated, and communication between providers often lacking. Consequences include a further deterioration health, higher rates readmission, institutionalization. Models collaborative have shown their efficacy in by improving patient-related outcomes. main goal this trial test the...

Abstract Background Sectorization of health care systems causes inefficient treatment, especially for elderly people with cognitive impairments. The transition from hospital to primary is insufficiently coordinated, and communication between providers often lacking. Consequences include a further deterioration health, higher rates readmission, institutionalization. Models collaborative have shown their efficacy in by improving patient-related outcomes. main goal this trial test the...

Abstract Background: The outbreak of the Corona virus is a challenge for health care systems worldwide. aim this study to analyze a) knowledge about, and feelings related Corona-pandemic. Describe b) loneliness, depression anxiety and, c) perceived, immediate impact lockdown on frequency social contacts quality provision people with cognitive impairment during distancing in primary system living at home Germany. Methods: This analysis based data telephone-based assessment convenience sample...

Abstract Background: Cognitive impairment is an important determinant in health care. In the acute hospital setting cognition has a strong impact on treatment and can negatively affect diagnostics success. However, little known about individual situation specific risks of patients with cognitive impairments (PCI) during stays. The aim present research to describe analyze needs PCI Methods: analyses use baseline data ongoing multisite, longitudinal, randomized controlled intervention trial...