Evidence map›Paper›PMID 30326900›Full record

ArticleBMC health services research2018

Dementia care and service systems - a mapping system tested in nine Swedish municipalities.

Connie Lethin, Lottie Giertz, Emme-Li Vingare, Ingalill Rahm Hallberg

Abstract read
In one paragraph

Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Connie LethinFaculty of Medicine, Department of Health Sciences, Lund University, PO Box 157, 221 00, Lund, Sweden. connie.lethin@med.lu.se.ORCID http://orcid.org/0000-0002-2523-8440
Lottie GiertzDepartment of Social Work, Linnaeus University, Universitetsplatsen 1, 351 95, Växjö, Sweden.ORCID http://orcid.org/0000-0001-7817-2716
Emme-Li VingareDepartment of Social Work, Linnaeus University, Universitetsplatsen 1, 351 95, Växjö, Sweden.ORCID http://orcid.org/0000-0002-6408-2514
Ingalill Rahm HallbergFaculty of Medicine, Department of Health Sciences, Lund University, PO Box 157, 221 00, Lund, Sweden.ORCID http://orcid.org/0000-0002-3286-6023

Funding

Kamprad Family Foundation 2013121
6 · The paper itself

Abstract

backgroundIn dementia care, it is crucial that the chain of care is adapted to the needs of people with dementia and their informal caregivers throughout the course of the disease. Assessing the existing dementia care system with regard to facilities, availability and utilization may provide useful information for ensuring that the professional dementia care and service system meets the needs of patients and their families from disease onset to end of life.

methodsThe aim of this study was to further develop and test a mapping system, and adapt it to a local context. In addition, the aim was to assess availability and utilization of care activities as well as professional providers' educational level in nine municipalities under the categories of Screening, the diagnostic procedures, and treatment; Outpatient care facilities; Institutional care and Palliative care. This cross-sectional study was conducted in April through May 2015. Data was derived from the health care and social service systems in nine rural and urban municipalities in two counties in Sweden. The mapping system covered seven categories with altogether 56 types of health care and social service activities.

resultsThe mapping system was found to be reliable with minor adaptations to the context mainly in terms of activities. Availability of care activities was common with low utilization regarding Screening, the diagnostic procedures, and treatment; Outpatient care facilities; Institutional care and Palliative care and dementia trained staff was rare. Availability and utilization of care activities and professionals' educational level was higher concerning screening, the diagnostic procedures and treatment compared with outpatient care facilities, institutional care and palliative care.

conclusionsThe mapping system enables policy makers and professionals to assess and develop health care and social service systems, to be offered proactively and on equal terms to people with dementia and their informal caregivers throughout the course of the disease. The educational level of professionals providing care and services may reveal where, in the chain of care, dementia-specific education for professionals, needs to be developed.

Indexed as

Educational StatusCaregiversCross-Sectional StudiesDementiaHealth WorkforceHumansPalliative CarePatient Acceptance of Health CareSwedenChain of careDementiaEducationInstitutional carePalliative careProfessional care providersScreening

Identifiers

PMID30326900
PMCPMC6192069

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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.