[Managing patients with dementia--current status and formulating dementia policy desiderata and options ].
The demographic and epidemiological scenarios, concerning persons with dementia, are in tension between the legal general conditions of care, on the one hand, and the conceptual alignment, on the other hand; this tension is hardly resolved by the momentary activities in health and care policy. Even on the level of assessment, there are scarcely any instruments to picture the specific needs of patients with dementia. Concepts of supply for persons with dementia are widely still divided by the differentiation between stationary and outpatient. Intelligent mixtures and paradigmatic reorientation towards normalization or split responsibility have not yet enfolded their embossing effects in practice. The care of persons with dementia is in many respects still bound in pre-technical constellations: this applies to the conceptual bias inside an institution or service of old people's care, to legal and economical general conditions and instruments of control and in many ways also to the technical discourse. The relevancy of attendance of people with dementia today and in the future justifies talking about "dementia policy". Options for dementia policy lay in a consequent adaptation of the theory of the New Welfare Mix, which was developed by the political sciences, including discussion about normalization in the area of help for disabled people and in the reformulation of competence between the means of fringe benefits and employees' benefits in joint responsibility.
Klie
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T
Evangelische Fachhochschule Freiburg Bugginger Strasse 38 79114 Freiburg. Klie@efh-freiburg.de
Schmidt
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R
D000368:Aged; D000544:Alzheimer Disease / Q000453:epidemiology* / Q000451:nursing; D005544:Forecasting; D005858:Germany; D006291:Health Policy / Q000639:trends*; D006301:Health Services Needs and Demand / Q000639:trends; D006299:Health Services for the Aged / Q000639:trends*; D006801:Humans; D009313:National Health Programs / Q000639:trends*; D011157:Population Dynamics