Primary care service utilisation pattern in dementia: a 10-year longitudinal population-based study.
Background Primary care services play a key role in dementia care, yet activity may vary between subtypes. Objective To investigate longitudinal determinants of primary care contact across Alzheimer's disease (ad), vascular dementia (VD), dementia with Lewy bodies (DLB), and Parkinson's disease deme...
| Publicado en: | Age & Ageing Vol. 55; no. 2; pp. 1 - 11 |
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| Autores principales: | , , |
| Formato: | Artículo |
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Oxford University Press / USA
Feb2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=192513145&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 192513145 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Feb2026 vid: 55 iid: 2 pid: 622 pub: Oxford University Press / USA artinfo: ui: 192513145 10.1093/ageing/afag016 ppf: 1 ppct: 10 formats: tig: atl: Primary care service utilisation pattern in dementia: a 10-year longitudinal population-based study. aug: au: Tjin, Anna Thang, Leng Leng Stewart, Robert affil: King's College London - Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, 16 De Crespigny Park, Denmark Hill Campus, London, SE5 8AF, United Kingdom of Great Britain and Northern IrelandNational University of Singapore - Department of Japanese Studies, Faculty of Arts and Social Sciences, 10 Kent Ridge Crescent, Singapore 119260, Singapore National University of Singapore - Department of Japanese Studies, Faculty of Arts and Social Sciences, 10 Kent Ridge Crescent, Singapore 119260, Singapore King's College London - Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, 16 De Crespigny Park, Denmark Hill Campus, London, SE5 8AF, United Kingdom of Great Britain and Northern IrelandSouth London and Maudsley NHS Foundation Trust, London SE5 8AZ, England, United Kingdom of Great Britain and Northern Ireland su: Primary health care Retrospective studies Sociodemographic factors Parkinson's disease diagnosis Alzheimer's disease diagnosis Lewy body dementia Cognitive testing Research funding Early medical intervention Vascular dementia Descriptive statistics Longitudinal method Medical records Acquisition of data Data analysis software Confidence intervals Comparative studies Time sug: subj: Primary health care Retrospective studies Sociodemographic factors Parkinson's disease diagnosis Alzheimer's disease diagnosis Lewy body dementia Cognitive testing Research funding Early medical intervention Vascular dementia Descriptive statistics Longitudinal method Medical records Acquisition of data Data analysis software Confidence intervals Comparative studies Time keyword: Alzheimer's disease comorbidity copyrightHolder:British Geriatrics Society copyrightYear:2026 dementia dementia with Lewy body diagnosis healthcare service utilisation healthcare trajectories https://dx.doi.org/10.1093/ageing/afag016 inLanguage:en longitudinal older people parkinson disease Parkinson's disease dementia population-based study primary care primary health care publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/41645773/ vascular dementia Alzheimer's disease comorbidity copyrightHolder:British Geriatrics Society copyrightYear:2026 dementia dementia with Lewy body diagnosis healthcare service utilisation healthcare trajectories https://dx.doi.org/10.1093/ageing/afag016 inLanguage:en longitudinal older people parkinson disease Parkinson's disease dementia population-based study primary care primary health care publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/41645773/ vascular dementia ab: Background Primary care services play a key role in dementia care, yet activity may vary between subtypes. Objective To investigate longitudinal determinants of primary care contact across Alzheimer's disease (ad), vascular dementia (VD), dementia with Lewy bodies (DLB), and Parkinson's disease dementia (PDD) 5 years pre-and-post-diagnosis, encompassing clinical, cognitive, functional, and sociodemographic factors. Design Retrospective cohort study. Methods Data on 4384 individuals with first dementia diagnoses (2008–2023) were obtained from a South London catchment linking dementia services with primary care records. Linear mixed-effects models were run on 3-month interval counts (up to 40 intervals per individual, 20 pre-and-post-diagnosis). Separate pre-and-post-diagnosis models assessed longitudinal trends, adjusted for age, sex, and antidepressant use, with subgroup analyses by dementia subtype and cognitive status. Result Service utilisation increased over time, with VD showing a steeper pre-diagnosis rise and PDD moderate post-diagnosis increases compared to ad. Across both periods, worse cognitive impairment and antipsychotic receipt were associated with lower contacts, while older age and Black/British Black ethnicity were associated with higher contact. Pre-diagnosis, agitation, depressed mood, relationship and living conditions problems were linked to lower contact, whereas hallucinations were associated with higher use. Post-diagnosis, hypnotic/anxiolytic use predicted lower contact, while acetylcholinesterase inhibitor receipt, comorbidities, daily living difficulties, and mixed ethnicity were associated with increased utilisation. Conclusion Person-centred care pathways should anticipate subtype-specific and individual patterns, providing targeted support for those with reduced pre-diagnosis contact who may have unmet needs, while considering early intervention for groups anticipated to require increased service use after diagnosis. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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