{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T12:40:01Z","timestamp":1741869601826,"version":"3.38.0"},"reference-count":27,"publisher":"Radboud University","issue":"3","license":[{"start":{"date-parts":[[2008,6,1]],"date-time":"2008-06-01T00:00:00Z","timestamp":1212278400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["TGG"],"abstract":"<jats:p>Dutch GP\u2019s (General Practitioners) take care of people living in homes for the elderly. The population of these homes isselected on the basis of poor functioning on ADL (activities of daily living). We expected to find a group of elderly people withinthese homes that need more complex primary care. We describe the characteristics of care for an institutionalized elderlypopulation and compare these to the care provided to their independently living peers. The design of this study is a matchedcase-control study in a Dutch General Practice in the study period 1\/1\/1998 to 1\/7\/2004.Our main results show that the rate of cognitive problems is two times, the prevalence of depression even three times higherin older people living in a home for the elderly than in those who live independently. Locomotory problems are a frequentproblem in homes for the elderly. Rates of chronic pulmonary problems, atherosclerosis-related diseases and urinary tractinfection are higher, whereas no significant differences for CVA, diabetes and cancer were found. Institutionalized olderpatients use more different types of medication. GP\u2019s do not have more contacts with people living in a home for the elderlythan with older people living independently.We conclude that people living in homes for the elderly have complex problems, and need special attention for their specificvulnerability. Differences in care are not primarily explained by chronic disease but by problems with mobility, confusion, depression and cognition.<\/jats:p>","DOI":"10.1007\/bf03078136","type":"journal-article","created":{"date-parts":[[2010,4,22]],"date-time":"2010-04-22T16:56:12Z","timestamp":1271955372000},"source":"Crossref","is-referenced-by-count":0,"title":["Huisartsgeneeskundige zorg in het verzorgingshuis","Primary care in homes for the elderly"],"prefix":"10.54195","author":[{"given":"E.","family":"De Lange","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W. J.","family":"Van der Veen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G. Th.","family":"Van der Werf","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"14109","published-online":{"date-parts":[[2008,6,1]]},"reference":[{"key":"BF03078136_CR1","doi-asserted-by":"crossref","unstructured":"Rockwood K, et al. A clinimetric evaluation of specialized geriatric care for rural dwelling, frail older people. J Am Geriatr Soc. 2000; 48(9): 1080-5.","DOI":"10.1111\/j.1532-5415.2000.tb04783.x"},{"key":"BF03078136_CR2","doi-asserted-by":"crossref","unstructured":"Portrait F, Lindeboom M, Deeg D. The use of long-term care services by the Dutch elderly. Health Econ. 2000; 9: 513-31.","DOI":"10.1002\/1099-1050(200009)9:6<513::AID-HEC534>3.0.CO;2-R"},{"key":"BF03078136_CR3","unstructured":"Zorgindicatiebesluit 1997 CIZ. www.CIZ.nl"},{"key":"BF03078136_CR4","unstructured":"Dijkstra GJ, Groothoff JW, Post D. Welke objectiveerbare beperkingen op lichamelijk, huishoudelijk, psychisch en social gebied zijn verantwoordelijk voor de indicatie voor een verzorgingshuis of een verpleeghuis? Tijdschr Gerontol Geriatr. 2001; 32(2): 62-8."},{"key":"BF03078136_CR5","doi-asserted-by":"crossref","unstructured":"Rockwood K, Howlett SE, et al. Prevalence, attributes, and outcomes of fitness and frailty in community-dwelling older adults: report from the Canadian study of health and aging. J Gerontol A Biol Sci Med Sci. 2004; 59(12): 1310-7.","DOI":"10.1093\/gerona\/59.12.1310"},{"key":"BF03078136_CR6","doi-asserted-by":"crossref","unstructured":"Puts TE, Lips P, Deeg DJH. Sex differences in the risk of frailty for mortality independent of disability in chronic diseases. J Am Geriatr Soc. 2005; 53: 40-47.","DOI":"10.1111\/j.1532-5415.2005.53008.x"},{"key":"BF03078136_CR7","doi-asserted-by":"crossref","unstructured":"Gill TM, Allore HG, Holford TR, Guo Z. Hospitalization, restricted activity and the development of disability among older persons. JAMA. 2004; 292: 2115-124.","DOI":"10.1001\/jama.292.17.2115"},{"key":"BF03078136_CR8","unstructured":"Bootsma- van der Wiel A. Disability in the oldest old. The Leiden 85-plus study [thesis]. Leiden: University of Leiden, 2002."},{"key":"BF03078136_CR9","doi-asserted-by":"crossref","unstructured":"Reuben DB, Roth C, Kamberg C, Wenger NS. Restructuring primary care practices to manage geriatric syndromes: the ACOVE-2 intervention. J Am Geriatr Soc. 2003; 51: 1787-93.","DOI":"10.1046\/j.1532-5415.2003.51565.x"},{"key":"BF03078136_CR10","unstructured":"Van der Scheer E, Boersma F, Deeg DJH. Gezondheidstoestand en zorggebruik van bewoners van service-ouderenwoningen. Een vergelijking met zelfstandig wonenden.Tijdschr Gerontol Geriatr. 2003; 34(4): 162-7."},{"key":"BF03078136_CR11","unstructured":"Groom L, et al. The impact of nursing home patients on general practitioners\u2019 workload. Br J Gen Pract. 2000; 50: 472-476."},{"key":"BF03078136_CR12","unstructured":"Harris T, Cook DG, Victor CR, Beighton C, DeWilde S, Carey IM. Linking survey data with computerised records to predict consulting by older people. Br J Gen Pract. 2004; 54: 928-931."},{"key":"BF03078136_CR13","unstructured":"Werf GTh van der, Smith RJA, Stewart RE, Meyboom-de Jong B. Spiegel op de huisarts. Over registratie van ziekte, medicatie en verwijzingen in de geautomatiseerde huisartspraktijk. Groningen: Universiteitsdrukkerij Groningen; 1998."},{"key":"BF03078136_CR14","unstructured":"Veen, WJ van der, Meyboom-de Jong, B. Age and gender. In: Jones et al., editors. Oxford Textbook of Primary Medical Care. Oxford, Oxford University Press; 2004."},{"key":"BF03078136_CR15","unstructured":"Lamberts H, Wood M. International classification of Primary care. Oxford: Oxford University Press, 1987."},{"key":"BF03078136_CR16","unstructured":"WHO Collaborating Centre for Drug Statistics Methodology. ATC Index with DDS. Norway: WHO, 1999."},{"key":"BF03078136_CR17","unstructured":"Eisses AMH et al. Prevalentie en incidentie van depressie in Drentse verzorgingshuizen: hoger dan bij bejaarden in de algemene bevolking, maar lager dan in andere verzorgingshuizen. Ned Tijdschr Geneeskd. 2002; 146(20): 946-9."},{"key":"BF03078136_CR18","doi-asserted-by":"crossref","unstructured":"Bowman C, Whistler J, Ellerby M. A national census of care home residents. Age ageing. 2004; 33: 561-66.","DOI":"10.1093\/ageing\/afh177"},{"key":"BF03078136_CR19","doi-asserted-by":"crossref","unstructured":"Williams BR et al. Medication use in residential care facilities for the elderly. Ann Pharmacother. 1999; 33: 149-155.","DOI":"10.1345\/aph.17424"},{"key":"BF03078136_CR20","doi-asserted-by":"crossref","unstructured":"Lakey SL et al. Psychotropic use in community residential care facilities: a prospective cohort study. Am J Geriatr Pharmacother. 2006; 4(3): 227-235.","DOI":"10.1016\/j.amjopharm.2006.09.010"},{"key":"BF03078136_CR21","doi-asserted-by":"crossref","unstructured":"Kriegsman DMW, Deeg DJH, Beekman ATF, Van Tilburg W. The longitudinal relation between chronic diseases and depression in older persons in the community: the Longitudinal Aging Study Amsterdam. J Clin Epidemiol. 2004 ; 57: 187-194.","DOI":"10.1016\/j.jclinepi.2003.01.001"},{"key":"BF03078136_CR22","doi-asserted-by":"crossref","unstructured":"Devroey D, Casteren V van, Lepeleire J de. Placement in psychiatric institutions, nursing homes, and homes for the elderly by Belgian general practitioners. 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The development of a short instrument to identify comon unmet needs in older people in general practice. 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