Wolff, Franziska
[Author]
;
Schöffski, Oliver
[Degree supervisor];
Kolominsky-Rabas, Peter L.
[Other]
Versorgungsforschung bei Demenz: Zeitgerechte Diagnosestellung und Wirtschaftlichkeit von nichtpharmakologischen Verfahren für Menschen mit Demenz und deren pflegenden Angehörigen
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Media type:
E-Book;
Thesis
Title:
Versorgungsforschung bei Demenz: Zeitgerechte Diagnosestellung und Wirtschaftlichkeit von nichtpharmakologischen Verfahren für Menschen mit Demenz und deren pflegenden Angehörigen
University thesis:
Dissertation, Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), 2021
Footnote:
Description:
Background and objectives: Considering current demographic trends and the predicted rise of the estimated numbers of people with dementia (PwD) in Germany, the provision of care and support for PwD will continue to pose significant familial, social and economic challenges. In light of the absence of causal therapies, the combination of effective symptomatic pharmacological treatment for certain subtypes of dementia and non-pharmacological therapies is recommended in current national treatment guidelines. So far, however, economic research has focused mainly on pharmacological interventions for dementia. In addition, access to timely diagnosis" is generally considered as an essential prerequisite for evidence-based treatment and support of PwD and their caring relatives. As opposed to an "early" diagnosis at a preclinical state, "timely diagnosis" describes a diagnosis at the time of the first detection of dementia symptoms either by the PwD, relatives or health professionals. National and international studies indicate a high rate of under-detection of dementia even in high-income countries. Moreover, the diagnosis is frequently made at an advanced stage. Only a few studies have examined potential predictors for the period from the first perceived symptoms to a firm diagnosis of dementia. In addition, none of them was conducted within the context of the German health and social care system. Against this background, the first aim of this dissertation project is to assess and evaluate the current economic evidence on non-pharmacological interventions directly targeted at PwD, people with mild cognitive impairment (PwMCI) and their respective caregivers. Secondly, based on empirical data this thesis aims to analyze the median period from the first symptom onset perceived by the caregiver to a dementia diagnosis within the context of the German health and social care system. Furthermore, predictors of a timely diagnosis within nine months from the recognition of the first symptoms of dementia shall be identified. ..."