title: Inter-country exploration of factors associated with admission to long-term institutional dementia care: evidence from the RightTimePlaceCare study.
abstract: OBJECTIVE
  To explore inter-country variation of factors associated with institutionalization of people with dementia.
  
  
  BACKGROUND
  There is an urgent need for evidence on whether factors associated with admission to institutional dementia care are applicable across healthcare systems, as increasing evidence suggests that these factors could be country-specific.
  
  
  METHODS
  A prospective cohort study.
  
  
  METHODS
  Primary data were collected in eight European countries, at baseline and after 3 months follow-up (November 2010-April 2012). The sample included 2014 dyads of people with dementia and their informal caregivers; 791 patients were recently institutionalized, 1223 patients lived at home and were at risk of institutionalization. Associations between care setting (institution vs. home) and factors shown to influence institutionalization (e.g. cognition, independence in activities of daily life, behaviour) were studied.
  
  
  RESULTS
  Considerable differences were found between the eight countries in characteristics of people with dementia who had been recently admitted to ILTC. However, caregiver burden appeared the most consistent factor associated with institutionalization in all analyses. Indications for the importance of independence in activities of daily life were found as well, although country differences may be more prominent for this factor.
  
  
  CONCLUSIONS
  Evidence was found for two common factors, crucial in the process of institutionalization across countries: caregiver burden and independency in activities of daily life. However, this study also suggests that admission to institutional dementia care is context-specific, as wide variation exists in factors associated with institutionalization across countries. Tailored best-practice strategies are needed to reflect variations in response to these needs.
authors: Department of Health Services Research, CAPHRI School for Public Health and Primary Care, Maastricht University, the Netherlands.
authors: Hilde
authors: H
authors: Verbeek
authors: School of Nursing Science, Faculty of Health, Witten/Herdecke University, Germany.|Institut für Gesundheits- und Pflegewissenschaft, Medizinische Fakultät, Martin-Luther-University Halle-Wittenberg, Germany.
authors: Gabriele
authors: G
authors: Meyer
authors: Personal Social Services Research Unit, Faculty of Medical and Human Sciences, University of Manchester, UK.
authors: David
authors: D
authors: Challis
authors: Fundacíó Privada Clinic per la Recerca Biomedica, Hospital Clinic of Barcelona, Spain.
authors: Adelaida
authors: A
authors: Zabalegui
authors: Geriatrics Department, INSERM U 1027, Toulouse University Hospital, France.
authors: Maria E
authors: ME
authors: Soto
authors: Department of Internal Medicine, University of Tartu, Estonia.
authors: Kai
authors: K
authors: Saks
authors: Department of Nursing Science, Faculty of Medicine, University of Turku, University Hospital Turku, Finland.
authors: Helena
authors: H
authors: Leino-Kilpi
authors: Department of Health Sciences, Lund University, Sweden.
authors: Staffan
authors: S
authors: Karlsson
authors: Department of Health Services Research, CAPHRI School for Public Health and Primary Care, Maastricht University, the Netherlands.
authors: Jan P H
authors: JP
authors: Hamers
mesh_terms: D003704:Dementia / Q000451:nursing*; D006801:Humans; D008134:Long-Term Care; D009426:Netherlands; D009735:Nursing Homes; D010343:Patient Admission
keywords: dementia; long-term care; nursing; nursing homes