NDLI: Are public care and services for older people targeted according to need? Applying the Behavioural Model on longitudinal data of a Swedish urban older population

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Are public care and services for older people targeted according to need? Applying the Behavioural Model on longitudinal data of a Swedish urban older population

Unequal but equitable: an analysis of variations in old-age care in Sweden

Population-based cohorts of the 50s and over: a summary of worldwide previous and ongoing studies for research on health in ageing

Elder Law: current issues and future frontiers

European Journal of Ageing : Volume 2

European Journal of Ageing : Volume 1

Are public care and services for older people targeted according to need? Applying the Behavioural Model on longitudinal data of a Swedish urban older population

Content Provider	Springer Nature Link
Author	Larsson, Kristina Thorslund, Mats Kåreholt, Ingemar
Copyright Year	2006
Abstract	The objectives were to identify factors that predict the use of home help services and transition into institutional care and to study to what extent care services were targeted according to the individuals’ needs. A further objective was to study whether people who had moved into institutional care facilities had received home help prior to institutionalisation. A community-dwelling sample (n=502) aged 81–100 was twice interviewed and assessed with medical examinations. Their use of public elderly care between 1994/1996 and 2000 was studied using survival analyses. Need factors, according to the Andersen Behavioural Model, were the most important predictors for the use of elderly care. Among people living alone, dementia, functional limitations, and depressive symptoms predicted the use of home help services and institutionalisation. Among non-demented cohabiting people, depressive symptoms and dependence in ADLs increased the likelihood of both home help and institutionalisation. Among cohabiting people with dementia, the effect of dementia was difficult to separate from the effects of ADL limitations and depression. Enabling factors were of importance among cohabiting people. A high level of education increased the likelihood of moving into institutional care, and informal extra-residential care increased the likelihood of both outcomes indicating that elderly care resources had not been targeted solely according to need. Predisposing factors such as age and gender were of importance only among people living alone. Basically the same factors predicted both the receipt of home help and institutionalisation. Only 4% of people living alone and 5% of those cohabiting moved to institutions without previously receiving home help.
Starting Page	22
Ending Page	33
Page Count	12
File Format	PDF
ISSN	16139372
Journal	European Journal of Ageing
Volume Number	3
Issue Number	1
e-ISSN	16139380
Language	English
Publisher	Springer-Verlag
Publisher Date	2006-01-27
Publisher Place	Berlin, Heidelberg
Access Restriction	Subscribed
Subject Keyword	Home- and community-based services Elderly care Dementia Depression The Andersen Behavioural Model Psychology Public Health/Gesundheitswesen Demography Aging Social Sciences
Content Type	Text
Resource Type	Article
Subject	Health (social science) Geriatrics and Gerontology

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