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Dementia in a regional hospital setting: contextual challenges and barriers to effective care


Annear, MJ and Lucas, P, Dementia in a regional hospital setting: contextual challenges and barriers to effective care, International Journal of Ageing and Later Life, 12, (1) pp. 91-119. ISSN 1652-8670 (2018) [Refereed Article]

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DOI: doi:10.3384/ijal.1652-8670.17344


Dementia is a growing public health problem, which may be underrecognised and poorly managed in regional hospitals. With projections of increasing dementia among older adults in regional and rural areas, knowledge about dementia and capacity of professionals to provide best-evidence care is paramount. This research investigates the challenges of dementia care in a publicly funded regional hospital in Australia. The study elucidates prevalence of dementia-related admissions, costs of treatment, length of stay and capacity for dementia care. A mixed methodology was employed in this study, including analysis of hospital records (N = 2405), dementia knowledge surveys (n = 50) and semi-structured interviews with clinical staff (n = 13). Hospital records showed that dementia-related admissions were lower than population prevalence reported in regional Australia. Dementia patients, however, attracted significantly higher treatment costs and greater length of stay than age-matched admissions who did not have a diagnosis of dementia.

Item Details

Item Type:Refereed Article
Keywords:dementia, barriers, care quality, regional hospital
Research Division:Medical and Health Sciences
Research Group:Public Health and Health Services
Research Field:Aged Health Care
Objective Division:Health
Objective Group:Specific Population Health (excl. Indigenous Health)
Objective Field:Health Related to Ageing
Author:Annear, MJ (Dr Michael Annear)
Author:Lucas, P (Dr Peter Lucas)
ID Code:129108
Year Published:2018
Deposited By:Paramedicine
Deposited On:2018-11-09
Last Modified:2018-11-09

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