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Health care consumption and place of death among old people with public home care or in special accommodation in their last year of life.

Andersson, Magdalena LU ; Hallberg, Ingalill R and Edberg, Anna-Karin LU (2007) In Aging clinical and experimental research 19(3). p.228-239
Abstract
BACKGROUND AND AIMS: Developing care for older people in the last phase of life requires knowledge about the type and extent of care and factors associated with the place of death. The aim of this study was to examine age, living conditions, dependency, care and service among old people during their last year of life, but also their place of death and factors predicting it. METHODS: The sample (n=1198) was drawn from the care and services part of the Swedish National Study on Ageing and Care (SNAC). Criteria for inclusion were being 75+ years, dying in 2001-2004, and having public care and services at home or in special accommodation. RESULTS: In the last year of life, 82% of persons living at home and 51% living in special accommodation... (More)
BACKGROUND AND AIMS: Developing care for older people in the last phase of life requires knowledge about the type and extent of care and factors associated with the place of death. The aim of this study was to examine age, living conditions, dependency, care and service among old people during their last year of life, but also their place of death and factors predicting it. METHODS: The sample (n=1198) was drawn from the care and services part of the Swedish National Study on Ageing and Care (SNAC). Criteria for inclusion were being 75+ years, dying in 2001-2004, and having public care and services at home or in special accommodation. RESULTS: In the last year of life, 82% of persons living at home and 51% living in special accommodation were hospitalized; median stays were 10 and 6.7 days respectively. Those living at home were younger and less dependent in ADL than those living in special accommodation. Those living at home and those having several hospital stays more often died in hospital. In the total sample, more visits to physicians in outpatient care predicted dying in hospital, whereas living in special accommodation and PADL dependency predicted dying outside hospital. CONCLUSIONS: Old people in their last year of life consumed a considerable amount of both municipal care and outpatient and in-hospital medical care, especially those living at home, which in several cases ended with death in hospital. (Aging Clin Exp Res 2007; 19: 228-239) ©2007, Editrice Kurtis (Less)
Please use this url to cite or link to this publication:
author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
80 and over, Delivery of Health Care: utilization, Female, Home Care Services, Hospitalization, Humans, Logistic Models, Activities of Daily Living, Age Factors, Aged, Hospice Care, Male, Terminal Care
in
Aging clinical and experimental research
volume
19
issue
3
pages
228 - 239
publisher
Kurtis
external identifiers
  • wos:000249820100011
  • scopus:34447262598
ISSN
1720-8319
language
English
LU publication?
yes
additional info
The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Caring Sciences (Closed 2012) (016514020)
id
768e12f9-43a7-47ec-b20a-bc0cd40a08ea (old id 541079)
alternative location
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=17607092&dopt=Abstract
date added to LUP
2016-04-01 16:58:55
date last changed
2022-01-28 23:28:35
@article{768e12f9-43a7-47ec-b20a-bc0cd40a08ea,
  abstract     = {{BACKGROUND AND AIMS: Developing care for older people in the last phase of life requires knowledge about the type and extent of care and factors associated with the place of death. The aim of this study was to examine age, living conditions, dependency, care and service among old people during their last year of life, but also their place of death and factors predicting it. METHODS: The sample (n=1198) was drawn from the care and services part of the Swedish National Study on Ageing and Care (SNAC). Criteria for inclusion were being 75+ years, dying in 2001-2004, and having public care and services at home or in special accommodation. RESULTS: In the last year of life, 82% of persons living at home and 51% living in special accommodation were hospitalized; median stays were 10 and 6.7 days respectively. Those living at home were younger and less dependent in ADL than those living in special accommodation. Those living at home and those having several hospital stays more often died in hospital. In the total sample, more visits to physicians in outpatient care predicted dying in hospital, whereas living in special accommodation and PADL dependency predicted dying outside hospital. CONCLUSIONS: Old people in their last year of life consumed a considerable amount of both municipal care and outpatient and in-hospital medical care, especially those living at home, which in several cases ended with death in hospital. (Aging Clin Exp Res 2007; 19: 228-239) ©2007, Editrice Kurtis}},
  author       = {{Andersson, Magdalena and Hallberg, Ingalill R and Edberg, Anna-Karin}},
  issn         = {{1720-8319}},
  keywords     = {{80 and over; Delivery of Health Care: utilization; Female; Home Care Services; Hospitalization; Humans; Logistic Models; Activities of Daily Living; Age Factors; Aged; Hospice Care; Male; Terminal Care}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{228--239}},
  publisher    = {{Kurtis}},
  series       = {{Aging clinical and experimental research}},
  title        = {{Health care consumption and place of death among old people with public home care or in special accommodation in their last year of life.}},
  url          = {{http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=17607092&dopt=Abstract}},
  volume       = {{19}},
  year         = {{2007}},
}