Houston Center for Quality of Care & Utilization Studies, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA.
Am J Alzheimers Dis Other Demen. 2011 Mar;26(2):115-20. doi: 10.1177/1533317510394156. Epub 2011 Jan 13.
Financial and legal services are unique needs of persons with dementia and their caregivers. This study examines their need for legal and financial assistance and the kinds of legal and financial services provided within Partners in Dementia Care, a telephone-based, care coordination and support service intervention delivered through a partnership between Veterans Affairs (VA) medical centers and local Alzheimer's Association chapters. Based on comprehensive assessment, and needs prioritization, care coordinators collaboratively planned action steps (specific behavioral tasks) with each caregiver/person with dementia to address the dyad's identified unmet needs. Results show that 51 (54.8%) of 93 dyads reported a need for legal and financial services. Action steps related to legal and financial need included education or assistance with legal services (27.27%), nonhealth-related financial benefits (32.32%), health-related financial benefits (21.21%), financial management/planning (9.09%), and financial support (10.1%). Comparable numbers of action steps were directed to VA (41.4%) and non-VA (58.6%) services.
财务和法律服务是痴呆症患者及其照顾者的独特需求。本研究考察了他们对法律和财务援助的需求,以及在痴呆症关爱伙伴(Partners in Dementia Care)中提供的法律和财务服务种类,这是一种基于电话的、护理协调和支持服务干预措施,通过退伍军人事务部(VA)医疗中心与当地阿尔茨海默病协会分会之间的伙伴关系实施。基于全面评估和需求优先级排序,护理协调员与每位照顾者/痴呆症患者共同制定行动步骤(具体行为任务),以解决二人组确定的未满足需求。结果表明,93 对二人组中有 51 对(54.8%)报告需要法律和财务服务。与法律和财务需求相关的行动步骤包括法律服务教育或协助(27.27%)、非健康相关的经济利益(32.32%)、健康相关的经济利益(21.21%)、财务管理/规划(9.09%)和经济支持(10.1%)。针对 VA(41.4%)和非 VA(58.6%)服务的行动步骤数量相当。