Supplementary Material for: Unmet Care Needs in the Oldest Old Primary Care Patients with Cognitive Disorders: Results of the AgeCoDe and AgeQualiDe Study

<i>Background:</i> In the future, an increase in health care needs in the elderly is expected. Reports on unmet care needs of the oldest old with cognitive disorders are pending. This study aims at exploring unmet needs in the oldest old primary care patients with mild cognitive impairment (MCI) and dementia. Furthermore, the association between sociodemographic and clinical factors and unmet needs ought to be analyzed. <i>Methods:</i> Based on the study “Needs, Health Service Use, Costs and Health-Related Quality of Life in a Large Sample of Oldest-Old Primary Care Patients (85+)” (AgeQualiDe), 749 patients (unimpaired, MCI, and dementia) aged 85 years and older, their relatives (<i>n</i> = 421), and general practitioners (GPs) (<i>n</i> = 607) were assessed. Descriptive, inferential, and regression analyses were run. <i>Results:</i> Most unmet needs were observed in dementia patients, although needs were less frequently rated as unmet by dementia patients themselves as compared to relatives and GPs. Unmet needs were associated with MCI and dementia; other risk factors were age, education, and marital status. <i>Conclusion:</i> This study provides first data on unmet needs according to different perceptions in the elderly with MCI and dementia in Germany. Need assessments should be part of medical examinations to ensure a high-quality health care in the elderly.

研究背景：未来老年群体的医疗照护需求预计将持续增长。目前针对高龄认知障碍老人未被满足照护需求的相关研究仍有待开展。本研究旨在探究高龄基层医疗照护患者中，轻度认知障碍（Mild Cognitive Impairment，MCI）与痴呆患者的未被满足照护需求，并分析社会人口学与临床因素和未被满足照护需求之间的关联。
研究方法：本研究基于《高龄基层医疗照护患者（85岁以上）大样本队列的照护需求、医疗服务利用、成本与健康相关生命质量》（AgeQualiDe）研究展开，共纳入749名年龄≥85岁的受试者（包括认知正常者、轻度认知障碍患者与痴呆患者）、421名家属以及607名全科医师（General Practitioners，GPs）。研究采用描述性分析、推断性分析与回归分析方法开展数据分析。
研究结果：痴呆患者的未被满足照护需求最为突出，但相较于家属与全科医师，痴呆患者自身对未被满足需求的报告率更低。未被满足的照护需求与轻度认知障碍及痴呆显著相关；其他危险因素包括年龄、受教育程度与婚姻状况。
研究结论：本研究首次提供了德国境内轻度认知障碍与痴呆老年群体基于不同主体感知的未被满足照护需求相关数据。照护需求评估应纳入老年患者的常规诊疗环节，以保障老年群体获得高质量的医疗照护服务。