ArticleDementia (London, England)2018
What are the barriers to care integration for those at the advanced stages of dementia living in care homes in the UK? Health care professional perspective.
Article in Dementia (London, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Barriers for access and utilization of dementia care services in Europe: a systematic review.BMC geriatrics · 2025Pooled it
- Impact of home healthcare on end-of-life outcomes for people with dementia: a systematic review.BMC geriatrics · 2022Pooled it
- The impact of game play on dementia knowledge: A student evaluation of the Dementia Inequalities Game.Dementia (London, England) · 2024Article
- Care home practitioners' perceptions of the barriers and facilitators for using off-the-shelf gaming technology with people with dementia.Dementia (London, England) · 2022Article
- Moral distress - a threat to dementia care? A qualitative study of nursing staff members' experiences in long-term care facilities.BMC health services research · 2022Article
- Pain Assessment for Individuals with Advanced Dementia in Care Homes: A Systematic Review.Geriatrics (Basel, Switzerland) · 2021Review
- Urgent care for patients with dementia: a scoping review of associated factors and stakeholder experiences.BMJ open · 2020Article
- Context, mechanisms and outcomes in end-of-life care for people with advanced dementia: family carers perspective.BMC palliative care · 2019Article
- Valuing biomarker diagnostics for dementia care: enhancing the reflection of patients, their care-givers and members of the wider public.Medicine, health care, and philosophy · 2019Article
- What enables good end of life care for people with dementia? A multi-method qualitative study with key stakeholders.BMC geriatrics · 2018Article
- Perceived barriers and facilitators in providing palliative care for people with severe dementia: the healthcare professionals' experiences.BMC health services research · 2018Article
- Codesigning a Measure of Person-Centred Coordinated Care to Capture the Experience of the Patient: The Development of the P3CEQ.Journal of patient experience · 2018Article
- End-of-life care in UK care homes: a systematic review of the literature.Journal of research in nursing : JRN · 2018Article
- Living and dying with advanced dementia: A prospective cohort study of symptoms, service use and care at the end of life.Palliative medicine · 2018Article
- Collaborative action for person-centred coordinated care (P3C): an approach to support the development of a comprehensive system-wide solution to fragmented care.Health research policy and systems · 2017Article
- Article
- Context, mechanisms and outcomes in end of life care for people with advanced dementia.BMC palliative care · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
People with advanced dementia are frequently bed-bound, doubly incontinent and able to speak only a few words. Many reside in care homes and may often have complex needs requiring efficient and timely response by knowledgeable and compassionate staff. The aim of this study is to improve our understanding of health care professionals' attitudes and knowledge of the barriers to integrated care for people with advanced dementia. In-depth, interactive interviews conducted with 14 health care professionals including commissioners, care home managers, nurses and health care assistants in the UK. Barriers to care for people with advanced dementia are influenced by governmental and societal factors which contribute to challenging environments in care homes, poor morale amongst care staff and a fragmentation of health and social care at the end of life. Quality of care for people with dementia as they approach death may be improved by developing collaborative networks to foster improved relationships between health and social care services.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.