ArticleInternational journal of integrated care
Integrated Care Services for Dementia and Their Challenges from a Nursing Home Perspective: An Ethnographic Study.
Article in International journal of integrated care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Developing an integrated dementia care model using service blueprinting: process visualization and failure point analysis.BMC health services research · 2026Article
- How to Prevent Suicide in Older Patients with a Neurocognitive Disorder: A Scoping Review Leading to the Development of a Clinical Guide for Healthcare Workers.Healthcare (Basel, Switzerland) · 2025Review
- Coupling coordination evaluation and influencing factors analysis of older adult care service resource supply and demand in China.Frontiers in public health · 2025Article
- The Challenges in Dementia Three-Level Prevention Services Through Integrated Care Theory: Insights from an Ethnographic Study.International journal of integrated careArticle
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The number of older adults living with dementia is increasing in China and worldwide. There is limited attention paid to dementia care in nursing homes, and this study aimed to explore the current situation and challenges of providing integrated care services in nursing home settings. Methods: A 3-month focused ethnographic study, including semi-participatory observations and in-depth interviews, was conducted in a nursing home in Suzhou, China, from June to August 2022. Twelve residents and sixteen caregivers were observed, and sixteen observed caregivers were interviewed. The Rainbow Model guided data collection. Deductive analysis was used to examine the integrated care services, and a combination of deductive and inductive analysis was applied to explore the challenges. Results: The Combination of Medical and Elderly care and Medical Consortia were two main integrated care services. Eighteen challenges that threatened integrated care were identified. The nursing homes mainly faced professional and clinical challenges, while Medical Consortia encountered challenges at all levels, especially the organizational level. Conclusions: The integrated care services of residents living with dementia should be further strengthened. Policymakers, caregivers, and researchers should make more precise efforts to address the challenges that threaten integrated care services, thereby promoting better services for residents.
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Registered trials
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