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@ARTICLE{Bergmann:258917,
      author       = {Bergmann, Johannes and Hoffmann, Anna Louisa and
                      Müller-Widmer, René and Palm, Rebecca},
      title        = {{T}ypology of {D}ementia-{S}pecific {C}are {U}nits: {A}
                      {N}ationwide {S}urvey {S}tudy in {G}ermany},
      journal      = {Innovation in Aging},
      volume       = {7},
      number       = {6},
      issn         = {2399-5300},
      address      = {Oxford},
      publisher    = {Oxford University Press},
      reportid     = {DZNE-2023-00689},
      pages        = {igad062},
      year         = {2023},
      abstract     = {Dementia-specific care units vary in their organizational
                      characteristics and are difficult to compare in empirical
                      studies. Based on a representative sample of care units in
                      German nursing homes, we present a typology of
                      organizational characteristics focusing on dementia-specific
                      care structures. We also examine the relationships between
                      organizational types and the provision of nonpharmacological
                      interventions for people with dementia.Data were collected
                      in a Germany-wide survey of a stratified randomized sample
                      of 134 care units using a standardized questionnaire
                      administered during telephone interviews with nursing home
                      administrators or their representatives. The typology was
                      developed based on a factor analysis of mixed data and a
                      hierarchical cluster analysis.We identified 4 types of care
                      units: Dementia Care Units (DCUs; n = 40), Dementia Special
                      Care Units (DSCUs; n = 17), Usual Separated Care Units (n =
                      58), and Usual Incorporated Care Units (n = 19). All care
                      unit types clearly differed in their organizational
                      characteristics. The specialization of DSCUs was agreed upon
                      with cost bearers and included admission criteria, higher
                      costs, and better staff conditions. Dementia Care Units
                      without specialization did not have these characteristics.
                      Three of seven nonpharmacological interventions were
                      associated with the DSCUs and two with DCUs, but not with
                      the other care unit types.Researchers can use the typology
                      to define and describe care units in empirical studies and
                      improve the understanding and comparability of the context.
                      A clear definition of care units also improves international
                      comparisons.},
      keywords     = {Dementia (Other) / Long-term care (Other) / Multivariate
                      analysis (Other) / Nursing (Other) / Residential facilities
                      (Other)},
      cin          = {AG Teupen / AG Holle},
      ddc          = {610},
      cid          = {I:(DE-2719)5000076 / I:(DE-2719)1610002},
      pnm          = {353 - Clinical and Health Care Research (POF4-353)},
      pid          = {G:(DE-HGF)POF4-353},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:37601899},
      pmc          = {pmc:PMC10433786},
      doi          = {10.1093/geroni/igad062},
      url          = {https://pub.dzne.de/record/258917},
}