title: [Prevalence of dementia and medical care in German nursing homes: a nationally representative survey].
abstract: OBJECTIVE
  The study aimed to determine the prevalence of dementia and the degree of medical care among residents of nursing homes based on a nationally representative sample of nursing homes in Germany for the first time.
  
  
  METHODS
  Based on a probability sample of 609 long-term care institutions in Germany, we drew a sample of 86 facilities by applying a two-stage random procedure. All residents of the participating care facilities were comprehensively assessed by qualified nurses using a standardized Care and Behavior Assessment (CBA).
  
  
  RESULTS
  Of the 4,481 residents assessed in 58 care facilities (mean age 82.6 years;78 % female) on average 68.6 % (95 % CI: 67.0 - 69.8) were affected by a dementia-syndrome, 56.6 % by a severe dementia-syndrome. There were frequent contacts between residents and general practitioners, but provision of specialized medical care seemed to be deficient in many aspects.
  
  
  CONCLUSIONS
  People with dementia form the major group of residents in German nursing homes. The study provides important data on need for care and health care planning.
authors.affiliation: Hochschule Mannheim/University of Applied Sciences, Mannheim. m.schaeufele@hs-mannheim.de
authors.forename: Martina
authors.initials: M
authors.lastname: Schäufele
authors.forename: Leonore
authors.initials: L
authors.lastname: Köhler
authors.forename: Ingrid
authors.initials: I
authors.lastname: Hendlmeier
authors.forename: Andreas
authors.initials: A
authors.lastname: Hoell
authors.forename: Siegfried
authors.initials: S
authors.lastname: Weyerer
mesh_terms: D000368:Aged; D000544:Alzheimer Disease / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology; D003430:Cross-Sectional Studies; D005260:Female; D005858:Germany; D019538:Health Care Surveys; D006299:Health Services for the Aged / Q000706:statistics & numerical data*; D006306:Health Surveys; D006707:Homes for the Aged / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D020380:Needs Assessment / Q000706:statistics & numerical data; D009735:Nursing Homes / Q000706:statistics & numerical data*; D011787:Quality of Health Care / Q000706:statistics & numerical data; D014600:Utilization Review