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Horizontal and vertical target efficiency - a comparison between users and non-users of public long-term care in Sweden

Lagergren, Marten; Sjolund, Britt-Marie; Fagerstrom, Cecilia; Berglund, Johan; Fratiglioni, Laura; Nordell, Eva LU ; Wimo, Anders and Elmståhl, Sölve LU (2014) In Ageing & Society 34(4). p.700-719
Abstract
The extent to which a system of services is in tune with the needs of the population can be expressed in terms of target efficiency, which includes horizontal target efficiency - the extent to which those deemed to need a service receive it - and vertical target efficiency - the corresponding extent to which those who receive a service actually need it. Vertical efficiency can be measured by looking only at those receiving services. To measure horizontal target efficiency in a population, one must have access to population surveys. Data were taken from the baseline survey of the Swedish National Study on Ageing and Care (SNAC study). The results show that more than 80 per cent of those dependent in personal activities of daily living in... (More)
The extent to which a system of services is in tune with the needs of the population can be expressed in terms of target efficiency, which includes horizontal target efficiency - the extent to which those deemed to need a service receive it - and vertical target efficiency - the corresponding extent to which those who receive a service actually need it. Vertical efficiency can be measured by looking only at those receiving services. To measure horizontal target efficiency in a population, one must have access to population surveys. Data were taken from the baseline survey of the Swedish National Study on Ageing and Care (SNAC study). The results show that more than 80 per cent of those dependent in personal activities of daily living in the studied geographic areas were users of public long-term care (LTC). Dependency in instrumental activities of daily living was identified as the most important predictor of using LTC. Vertical target efficiency was 83-95 per cent depending on age, gender and type of household, if need was defined as dependency in instrumental activities of daily living. It was considerably lower, 35-61 per cent when defined as dependency in personal daily activities. Overall, long-term target efficiency in Sweden must be regarded as high. Few persons who need public LTC services fail to receive them. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
long-term care, public, population survey, target efficiency, older, people
in
Ageing & Society
volume
34
issue
4
pages
700 - 719
publisher
Cambridge University Press
external identifiers
  • wos:000332925500007
  • scopus:84896125966
ISSN
0144-686X
DOI
10.1017/S0144686X12001225
language
English
LU publication?
yes
id
14d04677-b1f4-47bc-a4cb-38cf7d72cea6 (old id 4410881)
date added to LUP
2014-05-05 07:18:18
date last changed
2017-09-10 03:11:05
@article{14d04677-b1f4-47bc-a4cb-38cf7d72cea6,
  abstract     = {The extent to which a system of services is in tune with the needs of the population can be expressed in terms of target efficiency, which includes horizontal target efficiency - the extent to which those deemed to need a service receive it - and vertical target efficiency - the corresponding extent to which those who receive a service actually need it. Vertical efficiency can be measured by looking only at those receiving services. To measure horizontal target efficiency in a population, one must have access to population surveys. Data were taken from the baseline survey of the Swedish National Study on Ageing and Care (SNAC study). The results show that more than 80 per cent of those dependent in personal activities of daily living in the studied geographic areas were users of public long-term care (LTC). Dependency in instrumental activities of daily living was identified as the most important predictor of using LTC. Vertical target efficiency was 83-95 per cent depending on age, gender and type of household, if need was defined as dependency in instrumental activities of daily living. It was considerably lower, 35-61 per cent when defined as dependency in personal daily activities. Overall, long-term target efficiency in Sweden must be regarded as high. Few persons who need public LTC services fail to receive them.},
  author       = {Lagergren, Marten and Sjolund, Britt-Marie and Fagerstrom, Cecilia and Berglund, Johan and Fratiglioni, Laura and Nordell, Eva and Wimo, Anders and Elmståhl, Sölve},
  issn         = {0144-686X},
  keyword      = {long-term care,public,population survey,target efficiency,older,people},
  language     = {eng},
  number       = {4},
  pages        = {700--719},
  publisher    = {Cambridge University Press},
  series       = {Ageing & Society},
  title        = {Horizontal and vertical target efficiency - a comparison between users and non-users of public long-term care in Sweden},
  url          = {http://dx.doi.org/10.1017/S0144686X12001225},
  volume       = {34},
  year         = {2014},
}