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P37: A systematic review on inequalities in accessing and using social care in dementia – from pre- and pandemic times to moving beyond

Published online by Cambridge University Press:  02 February 2024

Clarissa Giebel ,
Kerry Hanna ,
James Watson ,
Thomas Faulkner ,
Lena O’Connell ,
Sandra Smith  and
Warren Donnellan
Clarissa Giebel
Affiliation:
Department of Primary Care & Mental Health, University of Liverpool, Liverpool, UK NIHR Applied Research Collaboration North West Coast, Liverpool, UK
Kerry Hanna
Affiliation:
School of Health Sciences, University of Liverpool, UK
James Watson
Affiliation:
Department of Geography and Planning, University of Liverpool, Liverpool, UK
Thomas Faulkner
Affiliation:
Department of Primary Care & Mental Health, University of Liverpool, Liverpool, UK NIHR Applied Research Collaboration North West Coast, Liverpool, UK Mersey Care NHS Trust
Lena O’Connell
Affiliation:
Department of Primary Care & Mental Health, University of Liverpool, Liverpool, UK
Sandra Smith
Affiliation:
NIHR Applied Research Collaboration North West Coast, Liverpool, UK
Warren Donnellan
Affiliation:
Department of Psychology, University of Liverpool, Liverpool, UK

Abstract

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Objectives:

To evaluate and synthesise the evidence base on barriers and facilitators to accessing and using community-based social care in dementia.

Design:

Mixed-methods systematic review

Setting:

Community-based social care

Participants:

People living with dementia and unpaid carers

Measurements:

Seven databases were searched in March 2022, including English and German evidence published from 2005 focusing on inequalities in community-based social care for dementia across the globe. Titles and abstracts were screened by two reviewers, with all full texts screened by two reviewers also. Study quality was assessed using QualSyst.

Results:

From 3,904 screened records, 39 papers were included. The majority of studies were qualitative, with 23 countries represented. Barriers and facilitators could be categorised into the following five categories/themes: Situational, psychological, interpersonal, structural, and cultural. Barriers were notably more prominent than facilitators, and were multi-faceted, with many factors hindering or facilitating access to social care linked together.

Conclusions:

People with dementia and carers experience significant barriers in accessing care in the community, and a varied approach on multiple levels is required to address systemic and individual-level barriers to enable more equitable access to care for all.

Type
Posters
Information
International Psychogeriatrics , Volume 35 , Issue S1 , December 2023 , pp. 238 - 239
Copyright
© International Psychogeriatric Association 2024