Aplicación del modelo Balance of Care en la toma de decisiones acerca del mejor cuidado para las personas con demencia

Translated title of the contribution: Application of the Balance of Care model in decision-making regarding the best care for patients with dementia

Ester Risco, Adelaida Zabalegui, Susana Miguel, Marta Farré, Carme Alvira, Esther Cabrera*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

Objective To describe the implementation of the Balance of Care model in decision-making regarding the best care for patients with dementia in Spain. Methods The Balance of Care model was used, which consists of (1) describing the profile of the typical cases of people with dementia and their caregivers, (2) identifying the most suitable care setting for each of the cases (home-care or long-term care institution), (3) designing specific care plans for each case, and (4) evaluating the cost of the proposed care plans. Results A total of 1,641 people with dementia and their caregivers from eight European countries were used in the case design. The evaluation of cases was conducted by 20 experts in different medical fields of dementia. In Spain, the results indicated that initially the most suitable placement to take care of people with dementia was the home, however in cases with higher dependency in activities of daily living, the long-term care setting was the best option. For the best care plan, the following resources were chosen: professional help to perform basic activities; day center; multidisciplinary home care team; financial support; community nurse; and social worker. Discussion The Balance of Care method allows us to assess the most appropriate place of care for people with dementia systematically, objectively and with a multidisciplinary team. Other cost-effective interventions should be integrated in patients with dementia care in order to improve home care.
Translated title of the contributionApplication of the Balance of Care model in decision-making regarding the best care for patients with dementia
Original languageSpanish
Pages (from-to)518-523
Number of pages6
JournalGaceta Sanitaria
Volume31
Issue number6
DOIs
Publication statusPublished - Nov 2017
Externally publishedYes

Keywords

  • Decision-making
  • Dementia
  • Home care services

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