Philp I, McKee K J, Meldrum P, Ballinger B R, Gilhooly M L, Gordon D S, Mutch W J, Whittick J E
Department of Geriatric Medicine, Royal Victoria Hospital, Dundee.
BMJ. 1995 Jun 10;310(6993):1503-6. doi: 10.1136/bmj.310.6993.1503.
To measure and compare perceived financial burden, use of services, and perceived unmet service needs of supporters of demented and non-demented elderly people.
Comparison study of age and sex matched demented and non-demented elderly people and their supporters.
25 primary health care teams in Dundee.
114 community resident elderly (age over 65) people with dementia, 114 age and sex matched comparators, and the main informal supporter of each elderly person.
Carers' perceptions of financial impact of looking after an old person, service use (from a list of locally available services), unmet service needs, and needs for three types of generic service (help with supervision, housework, or personal care).
Financial impact was low, except for extra household expense in the dementia group. There was significantly greater use of mainstream domiciliary and day care services in the dementia group. Dementia was nevertheless associated with a high level of unmet need, mainly for more mainstream support and help with supervision of the elderly person.
Supervisory care for demented elderly people should be further developed within an expanded domiciliary service to meet supporters needs.
衡量并比较痴呆老人和非痴呆老人的照料者所感受到的经济负担、服务使用情况以及未满足的服务需求。
对年龄和性别匹配的痴呆老人和非痴呆老人及其照料者进行比较研究。
邓迪的25个初级卫生保健团队。
114名患有痴呆症的社区居住老年人（年龄超过65岁）、114名年龄和性别匹配的对照者以及每位老年人的主要非正式照料者。
照料者对照顾老人的经济影响的认知、服务使用情况（从当地可用服务列表中选取）、未满足的服务需求以及对三种一般服务（监督帮助、家务帮助或个人护理帮助）的需求。
除痴呆症组的家庭额外开支外，经济影响较低。痴呆症组对主流居家和日托服务的使用明显更多。然而，痴呆症仍与较高水平的未满足需求相关，主要是对更多主流支持以及对老年人监督帮助的需求。
应在扩大的居家服务范围内进一步发展对痴呆老人的监督照料，以满足照料者的需求。
