Berücksichtigung der eingeschränkten Alltagskompetenz im Rahmen der Weiterentwicklung der Sozialen Pflegeversicherung

In 1995, long-term care insurance (LTCI) was introduced in Germany. The a need for long-term carea was tight and referred to people who needed help with basic ADL. The needs of people with dementia, mental disabilities or illnesses (PEA) were not included in the entitlement. Based on administrative data, partial linked with survey data, (1) a characterization of PEA and two cohort studies concerning (2) the utilization of relief services and (3) associated with institutionalization were conducted. These results were integrated in describing the development of entitlement rules for PEA within the LTCI. Within PEA, at least 60 % suffered from dementia. 75 % show medium cognitive impairment and more than half cannot perform any IADL anymore. The relief services were used more often when a nursing service conducted the care. The probability to be institutionalized is higher in women than in men and when cared for by a nursing service. Future research should focus on the analysis of the effectiveness of relief services, regional differences in supply and demand of these services and sex-specific differences concerning treatment, care and support of people with dementia.