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Centre for Policy on Ageing | |
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Long-term care use among old people in their last 2 years of life
— variations across Finland | | Author(s) | Jutta Pulkki, Marja Jylha, Leena Forma |
| Journal title | Health and Social Care in the Community, vol 24, no 4, July 2016 |
| Publisher | Wiley Blackwell, July 2016 |
| Pages | pp 439-449 |
| Source | wileyonlinelibrary.com/journal/hsc |
| Keywords | Services ; Health services ; Long term ; Usage [services] ; Over 70s ; Death ; Quantitative studies ; Finland. |
| Annotation | Variations across Finland in the use of six different long-term care (LTC) services among old people in their last 2 years of life, and the effects of characteristics of municipalities on the variations were studied. The authors studied variations in the use of residential home, sheltered housing, regular home care and inpatient care in health centre wards by using national registers. They studied how the use of LTC was associated with characteristics of the individuals, in particular characteristics of the municipalities in which they lived. Analyses were conducted with multilevel binary logistic regression. Data included all individuals (34,753) who died in the year 2008 at the age of 70 or over. Of those, 58.3% used some kind of LTC during their last 2 years of life. Considerable variations wre found between municipalities in the use of different kinds of LTC. A portion of the variation was explained by municipality characteristics. The size and location of the municipality had the strongest association with the use of different kinds of LTC. The economic status of the municipality and morbidity at the population level were poorly associated with LTC use, whereas old-age dependency showed no association. When individual-level characteristics were added to the models, these associations did not alter. Results indicated that delivery system characteristics had an important effect on the use of LTC services. The considerable variation in LTC services also poses questions with respect to equity in access and to quality of LTC across the country. (RH). |
| Accession Number | CPA-160624206 A |
| Classmark | I: L: 4Q: QLD: BBK: CW: 3DQ: 76L |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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