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Utilization of medical healthcare among people receiving long-term care at home or in special accommodation.

Condelius, Anna LU ; Edberg, Anna-Karin LU ; Rahm Hallberg, Ingalill LU and Jakobsson, Ulf LU (2010) In Scandinavian Journal of Caring Sciences 24. p.404-413
Abstract
Scand J Caring Sci; 2009 Utilization of medical healthcare among people receiving long-term care at home or in special accommodation Aim: To investigate the utilization of medical healthcare, hospital care and outpatient care, during a 1-year period in relation to informal care, multimorbidity, functional status and health complaints and to long-term care at home or in special accommodation among people aged 65+, with one or more hospital admissions and receiving long-term care. Method: A total of 694 people receiving long-term care during the year 2001 were studied. Data were collected by means of the administrative registers Patient Administrative Support in Skåne and PrivaStat and through the study Good Ageing in Skåne. Those at home... (More)
Scand J Caring Sci; 2009 Utilization of medical healthcare among people receiving long-term care at home or in special accommodation Aim: To investigate the utilization of medical healthcare, hospital care and outpatient care, during a 1-year period in relation to informal care, multimorbidity, functional status and health complaints and to long-term care at home or in special accommodation among people aged 65+, with one or more hospital admissions and receiving long-term care. Method: A total of 694 people receiving long-term care during the year 2001 were studied. Data were collected by means of the administrative registers Patient Administrative Support in Skåne and PrivaStat and through the study Good Ageing in Skåne. Those at home and those in special accommodation were compared regarding utilization of medical healthcare, informal care, multimorbidity, functional status and health complaints. Multiple logistic regression analysis was performed using at home vs. in special accommodation as the dependent variable and also two multiple linear regression analyses using the number of hospital stays and the number of contacts with the physician in outpatient care separately as dependent variables. Findings: Those at home were significantly younger (mean age: 81 vs. 84 years) and less dependent in personal and instrumental activities of daily living (PADL/IADL) than those in special accommodation. A larger proportion of those at home was admitted to hospital three times or more (21 vs. 14%) and they had significantly more contacts with physicians in outpatient care (md: 10 vs. md: 7). Informal care was associated with care at home (OR = 0.074) and with utilization of outpatient care (B = 2.045). Dependency in PADL was associated with care in special accommodation (OR = 1.375) and with utilization of hospital care (B = -0.060) and outpatient care (B = -0.581). Conclusion: Medical healthcare seems more accessible to those who live at home are younger, less dependent and who have access to informal caregivers. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Scandinavian Journal of Caring Sciences
volume
24
pages
404 - 413
publisher
Wiley-Blackwell
external identifiers
  • WOS:000277713500025
  • PMID:20030774
  • Scopus:77953966523
ISSN
1471-6712
DOI
10.1111/j.1471-6712.2009.00725.x
language
English
LU publication?
yes
id
23b64cdf-63d1-407b-b216-99fc0405e231 (old id 1523370)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/20030774?dopt=Abstract
date added to LUP
2010-01-11 14:28:28
date last changed
2016-11-27 04:26:35
@misc{23b64cdf-63d1-407b-b216-99fc0405e231,
  abstract     = {Scand J Caring Sci; 2009 Utilization of medical healthcare among people receiving long-term care at home or in special accommodation Aim: To investigate the utilization of medical healthcare, hospital care and outpatient care, during a 1-year period in relation to informal care, multimorbidity, functional status and health complaints and to long-term care at home or in special accommodation among people aged 65+, with one or more hospital admissions and receiving long-term care. Method: A total of 694 people receiving long-term care during the year 2001 were studied. Data were collected by means of the administrative registers Patient Administrative Support in Skåne and PrivaStat and through the study Good Ageing in Skåne. Those at home and those in special accommodation were compared regarding utilization of medical healthcare, informal care, multimorbidity, functional status and health complaints. Multiple logistic regression analysis was performed using at home vs. in special accommodation as the dependent variable and also two multiple linear regression analyses using the number of hospital stays and the number of contacts with the physician in outpatient care separately as dependent variables. Findings: Those at home were significantly younger (mean age: 81 vs. 84 years) and less dependent in personal and instrumental activities of daily living (PADL/IADL) than those in special accommodation. A larger proportion of those at home was admitted to hospital three times or more (21 vs. 14%) and they had significantly more contacts with physicians in outpatient care (md: 10 vs. md: 7). Informal care was associated with care at home (OR = 0.074) and with utilization of outpatient care (B = 2.045). Dependency in PADL was associated with care in special accommodation (OR = 1.375) and with utilization of hospital care (B = -0.060) and outpatient care (B = -0.581). Conclusion: Medical healthcare seems more accessible to those who live at home are younger, less dependent and who have access to informal caregivers.},
  author       = {Condelius, Anna and Edberg, Anna-Karin and Rahm Hallberg, Ingalill and Jakobsson, Ulf},
  issn         = {1471-6712},
  language     = {eng},
  pages        = {404--413},
  publisher    = {ARRAY(0x82ad4e8)},
  series       = {Scandinavian Journal of Caring Sciences},
  title        = {Utilization of medical healthcare among people receiving long-term care at home or in special accommodation.},
  url          = {http://dx.doi.org/10.1111/j.1471-6712.2009.00725.x},
  volume       = {24},
  year         = {2010},
}