Centre for Policy on Ageing
 

 

Exploring assistance in Sweden and the United States
Author(s)Dennis Shea, Adam Davey, Elia E Femia
Journal titleThe Gerontologist, vol 43, no 5, October 2003
Pagespp 712-721
Sourcehttp://www.geron.org
KeywordsServices ; Informal care ; Self care capacity ; Mobility ; Cross sectional surveys ; Comparison ; Sweden ; United States of America.
AnnotationSweden with its universal system of community-based services is compared with the US regarding the need for and assistance with activities of daily living (ADLs). Descriptive and logistic regression analyses compare need and assistance patterns across the nations using data from national surveys of community residents completed at about the same time in the two countries. Individual factors that explain receipt of assistance and unmet needs are also identified. Results indicate that a simple story of greater use of paid formal services in Sweden and more unpaid informal use in the US masks a more complex relationship. Assistance with ADLs seems to be more targeted in Sweden; narrow differences in assistance widen when the analysis is limited to those reporting need. Although these two different health systems result in similar levels of ADL assistance, a detailed micro-level comparison reveals key distinctions. Further micro-level comparisons of access, cost and quality in cross-national data can further aid our understanding of the consequences of health policy. (RH).
Accession NumberCPA-040504216 A
ClassmarkI: P6: CA: C4: 3KB: 48: 76P: 7T

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