Determinants of long‐term care service use by persons with dementia: A national dementia registry study conducted in Taiwan

Background This study investigated the determinants and use of Taiwan's long‐term care (LTC) Plan Version 2.0 (LTC 2.0) services by persons with dementia (PWDs) and their caregivers. Methods In total, 1268 PWD–caregiver dyads were enrolled for analysis from a national dementia registry. Anderse...

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Bibliographic Details
Published in:International journal of geriatric psychiatry 2022-05, Vol.37 (5), p.n/a
Main Authors: Tsai, Chia‐Fen, Huang, Mao‐Hsuan, Cheng, Chih‐Ming, Lee, Jun‐Jun, Wang, Wen‐Fu, Huang, Ling‐Chun, Huang, Li‐Kai, Lee, Wei‐Ju, Sung, Pi‐Shan, Liu, Yi‐Chien, Ouyang, Wen‐Chen, Hsu, Chih‐Cheng, Fuh, Jong‐Ling
Format: Article
Language:English
Subjects:
Activities of daily living
Caregivers
Dementia
dementia care
Dementia disorders
Geriatric psychiatry
neuropsychiatric symptoms
policy
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Summary:Background This study investigated the determinants and use of Taiwan's long‐term care (LTC) Plan Version 2.0 (LTC 2.0) services by persons with dementia (PWDs) and their caregivers. Methods In total, 1268 PWD–caregiver dyads were enrolled for analysis from a national dementia registry. Andersen's Behavioral Model of Health Services Use was used to investigate the association of LTC service use with several factors, namely the demographic data of PWDs and their caregivers, migrant caregiver employment, monthly household income, caregiver burden as determined by the Zarit Burden Interview (ZBI), Mini‐Mental State Examination score, Clinical Dementia Rating scores, neuropsychiatric inventory scores for the behavioral and psychological symptoms of dementia, and PWDs' activities of daily living (ADLs). Results Among the studied family caregivers, 81.4% did not use LTC resources. A multivariable logistic analysis revealed that aberrant motor behaviors (odd ratio [OR] = 1.31, 95% confidence interval [CI] = 1.10–1.56, p = 0.003), dysfunction in ADLs (OR = 1.06, 95% CI = 1.02–1.10, p = 0.002), higher ZBI scores (OR = 1.02, 95% CI = 1.01–1.03, p = 0.004), not residing with family members (OR = 1.88, 95% CI = 1.32–2.66, p 
ISSN:0885-6230
1099-1166
1099-1166
DOI:10.1002/gps.5719