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Medical healthcare utilization as related to long-term care at home or in special accommodation
Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden & The Vårdal Institute, the Swedish Institute For Health Sciences, Lund University, Lund, Sweden.
Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden & The Vårdal Institute, the Swedish Institute For Health Sciences, Lund University, Lund, Sweden.ORCID iD: 0000-0002-3286-6023
Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.ORCID iD: 0000-0003-3676-307X
2010 (English)In: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 51, no 3, p. 250-256Article in journal (Refereed) Published
Abstract [en]

This study aimed to investigate medical healthcare utilization 3-5 years following the decision about long-term care at home vs. in special accommodation in older people. A total of 1079 people who were granted long-term care the years 2001, 2002 or 2003 were studied regarding the number of hospital stays and the number of contacts with physicians in outpatient care in the 3-5 subsequent years. Those living at home and those in special accommodation were compared regarding medical healthcare utilization during the 3-5 subsequent years. Data were collected through the study Good Aging in Skåne (GAS) and through the registers, Patient Administrative Support in Skåne (PASiS) and PrivaStat. Utilization of medical healthcare decreased slightly in the years following the decision about long-term care. Despite younger age and less dependency in activities of daily living (ADL), those living at home utilized hospital and outpatient care to a greater extent than those in special accommodation; these differences remained over time. Thus, it seems as long-term care needs to become more effective in the prevention of medical healthcare utilization among those cared for at home. More, older people who are granted long-term care at home may otherwise imply increased utilization of medical healthcare. © 2009 Elsevier Ireland Ltd. All rights reserved.

Place, publisher, year, edition, pages
Shannon: Elsevier, 2010. Vol. 51, no 3, p. 250-256
Keywords [en]
Utilization of health care, Outpatient care, Hospital care, Long-term care
National Category
Nursing
Identifiers
URN: urn:nbn:se:hh:diva-40901DOI: 10.1016/j.archger.2009.11.009PubMedID: 20006391Scopus ID: 2-s2.0-77957350303OAI: oai:DiVA.org:hh-40901DiVA, id: diva2:1369583
Funder
Vårdal Foundation
Note

Other funders: Greta and John Kochs Foundation & The Swedish National Study on Aging and Care, SNAC (www.snac.org) is financially supported by the Ministry of Health and Social Affairs, Sweden and the participating County Councils, Municipalities and University Department.

Available from: 2019-11-12 Created: 2019-11-12 Last updated: 2019-11-27Bibliographically approved

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