Care Structures
Dr. Bernhard Holle
Group Leader
Stockumer Str. 12
58453  Witten
 +49 2302 926-241

Areas of investigation/research focus

With a methodological focus on the area of health services research, the research group picks up on current and anticipated issues of organizing the care of people with dementia and provides scientific results that are of high practical relevance.

The substantial issues of the research group Care Structures are:

  • What is the contribution of the health care structures for people with dementia and their relatives regarding their needs, demands and stability of the care arrangement?
  • How can health care structures be designed and developed in order to make a targeted contribution to the care of people with dementia and to supporting their families and relatives?

Besides the adjustment to the demands and needs of people with dementia and their families, there are more factors of crucial importance for the structural configuration of health care services. Important factors for the configuration of appropriate care services in their respective settings are: legal and economic parameters, organizational standards, interdisciplinary cooperation and the dementia-specific skills of the professions.

To focus on the two substantial issues, different research projects were established in the last years. For the Future it is planned two focus on different aspects in two major projects which are named :

  • SoCA (Stability of care arrangements for people living with dementia)
  • BeStaDem (Realist Evaluation of Dementia Special Care Units)
 more Infos

StiV (Stability of care arrangements for people living with dementia)

The maintenance of sustainable care arrangements is a desired outcome in dementia care. The core result of the preceding study VerAH-Dem (DZNE Witten 2010-2013) is a phase model of informal dementia care trajectories, that identifies the creation and maintenance of stability as a leading principle of informal carers. The project StiV researches the complex phenomenon of stability of (home-based) care arrangements for people living with dementia with a broad spectrum of methodologies and pursues the goal to finally develop stability promoting care structures and interventions.

BeStaDem Studie (Programmatische Evaluation der besonderen stationären Demenzbetreuung in Deutschland)

Eine an den speziellen Bedürfnissen von Menschen mit schwerer Demenz ausgerichtete Versorgung in Altenheimen erfordert spezielle Konzepte. Viele verschiedene spezialisierte Versorgungskonzepte wurden entwickelt und in den letzten Jahren in der Praxis eingeführt. Es stellt sich nun die Frage, wie Strukturen für spezialisierte Versorgungskonzepte organisiert sein müssen um eine hohe Versorgungsqualität herzustellen. Ebenfalls soll untersucht werden wie die Finanzierung dieser Angebote erfolgen kann. Um diese Fragen zu beantworten ist das Ziel der Studie eine programmatische Evaluation der besonderen Demenzversorgung in der stationären Altenhilfe in Deutschland.

Key Publications

Franziska Laporte Uribe, Johannes Gräske, Susann Grill, Steffen Heinrich, Susanne Schäfer-Walkmann, Jochen René Thyrian, Bernhard Holle. Regional dementia care networks in Germany: Changes in caregiver burden at one-year follow-up and associated factors. International Psychogeriatrics. 2017 May 31; 29:991-1004. doi: 10.1017/S1041610217000126
Milena von Kutzleben, Kerstin Köhler, Jan Dreyer, Bernhard Holle, Martina Roes. Stability of home based care arrangements for people with dementia: Development of a consensus definition of stability using expert focus groups. Zeitschrift fur Gerontologie und Geriatrie. 2017 Mar 31; 50:210-218. doi: 10.1007/s00391-015-0990-0
Rebecca Palm, Diana Trutschel, Michael Simon, Sabine Bartholomeyczik, Bernhard Holle. Differences in Case Conferences in Dementia Specific vs Traditional Care Units in German Nursing Homes: Results from a Cross-Sectional Study. Journal of the American Medical Directors Association. 2015 Dec 31; 17:91.e9-91.e13. doi: 10.1016/j.jamda.2015.08.018
Heinrich, Laporte Uribe, Roes, Hoffmann, Thyrian, Wolf-Ostermann, Holle. Knowledge management in dementia care networks: A qualitative analysis of successful information and support strategies for people with dementia living at home and their family caregivers. Public Health. 2016 Jan 31; 131:40-48. doi: 10.1016/j.puhe.2015.10.021
Milena von Kutzleben, Sven Reuther, Olga Dortmann, Bernhard Holle. Care arrangements for community-dwelling people with dementia in Germany as perceived by informal carers - a cross-sectional pilot survey in a provincial-rural setting. Health and Social Care in the Community. 2016 Apr 30; 24:283-296. doi: 10.1111/hsc.12202


Thursdays 1:30-4:30 pm

Patients +49 800-7799001

(free of charge)

Professionals +49 180-779900

(9 Cent/Min. German landline, mobile and out of Germany possibly more expensive)

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