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Healthcare consumption in men and women aged 65 and above in the two years preceding decision about long-term municipal care
Author(s)Jimmie Kristensson, Ingalill Rahm Hallberg, Ulf Jakobsson
Journal titleHealth and Social Care in the Community, vol 15, no 5, September 2007
Pagespp 474-485
Sourcehttp://www.blackwellpublishing.com/hsc
KeywordsHealth services ; Community care ; Long term ; Usage [services] ; In-patients ; Out-patients ; Older men ; Older women ; Longitudinal surveys ; Sweden.
AnnotationEarly detection and preventive interventions to those at a transitional stage of becoming increasingly dependent on continuous care and services seems urgent to prevent escalating acute healthcare consumption. This study comprised 362 people (aged 65+), all subject to a decision about municipal care and/or services during 2002-2003, drawn from the Swedish National Study on Aging and Care (SNAC). Data were collected from three existing registers in Sweden. About 50% of the acute hospital stays (n=392) occurred within 5 months prior to municipal care. The 115 men (mean age 80.8) had significantly longer stays in hospital, more diagnoses and contacts with other staff groups beside physicians in outpatient care compared to the 247 women (mean age 83.8). The regression analysis showed heart conditions, cancer, musculo-skeletal problems, genito-urinary diseases, injuries and unspecified symptoms to be significantly associated with various kinds of healthcare consumption. The findings indicated a breakpoint in terms of hospital admissions about 5 months prior to municipal care and service and a share of 15% having several admissions to hospital. (KJ/RH).
Accession NumberCPA-070913205 A
ClassmarkL: PA: 4Q: QLD: LF7: LFB: BC: BD: 3J: 76P

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