A systematic review on inequalities in accessing and using community-based social care in dementia

Giebel, Clarissa ORCID: 0000-0002-0746-0566, Hanna, Kerry ORCID: 0000-0001-7357-7749, Watson, James ORCID: 0000-0002-0238-1906, Faulkner, Thomas, O'Connell, Lena, Smith, Sandra and Donnellan, Warren ORCID: 0000-0002-0224-9155 (2023) A systematic review on inequalities in accessing and using community-based social care in dementia International Psychogeriatrics, 36 (7). pp. 540-563. ISSN 1041-6102, 1741-203X

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Abstract

Objectives: To evaluate and synthesize 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 (such as day care, respite care, paid home care, and peer support groups). Participants: People living with dementia and unpaid carers. Measurements: Seven databases were searched in March 2022, including English and German evidence published from 2000 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 categorized into the following five categories/themes: situational, psychological, interpersonal, structural, and cultural. Barriers were notably more prominent than facilitators and were multifaceted, 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.

Item Type:	Article
Uncontrolled Keywords:	inequalities, social care, dementia
Divisions:	Faculty of Health & Life Sciences Faculty of Health & Life Sciences > Inst. Population Health
Depositing User:	Symplectic Admin
Date Deposited:	06 Apr 2023 14:56
Last Modified:	16 Jun 2026 09:29
DOI:	10.1017/S104161022300042X
Related Websites:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3169495
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