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Improved Housing Accessibility for Older People in Sweden and Germany : Short Term Costs and Long-Term Gains

Slaug, Björn LU ; Chiatti, Carlos LU ; Oswald, Frank; Kaspar, Roman and Schmidt, Steven M LU (2017) In International Journal of Environmental Research and Public Health 14(9).
Abstract

The physical housing environment is important to facilitate activities of daily living (ADL) for older people. A hindering environment may lead to ADL dependence and thus increase the need for home services, which is individually restricting and a growing societal burden. This study presents simulations of policy changes with regard to housing accessibility that estimates the potential impact specifically on instrumental activities of daily living (I-ADL), usage of home services, and related costs. The models integrate empirical data to test the hypothesis that a policy providing funding to remove the five most severe environmental barriers in the homes of older people who are at risk of developing dependence in I-ADL, can maintain... (More)

The physical housing environment is important to facilitate activities of daily living (ADL) for older people. A hindering environment may lead to ADL dependence and thus increase the need for home services, which is individually restricting and a growing societal burden. This study presents simulations of policy changes with regard to housing accessibility that estimates the potential impact specifically on instrumental activities of daily living (I-ADL), usage of home services, and related costs. The models integrate empirical data to test the hypothesis that a policy providing funding to remove the five most severe environmental barriers in the homes of older people who are at risk of developing dependence in I-ADL, can maintain independence and reduce the need for home services. In addition to official statistics from state agencies in Sweden and Germany, we utilized published results from the ENABLE-AGE and other scientific studies to generate the simulations. The simulations predicted that new policies that remove potentially hindering housing features would improve I-ADL performance among older people and reduce the need for home services. Our findings suggest that a policy change can contribute to positive effects with regard to I-ADL independence among older people and to a reduction of societal burden.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
International Journal of Environmental Research and Public Health
volume
14
issue
9
publisher
Multidisciplinary Digital Publishing Institute (MDPI)
external identifiers
  • scopus:85028451724
  • wos:000411574400016
ISSN
1660-4601
DOI
10.3390/ijerph14090964
language
English
LU publication?
yes
id
6cc0bc35-e9ac-4e3c-a587-e59401505748
date added to LUP
2017-09-12 11:55:07
date last changed
2018-01-16 13:25:34
@article{6cc0bc35-e9ac-4e3c-a587-e59401505748,
  abstract     = {<p>The physical housing environment is important to facilitate activities of daily living (ADL) for older people. A hindering environment may lead to ADL dependence and thus increase the need for home services, which is individually restricting and a growing societal burden. This study presents simulations of policy changes with regard to housing accessibility that estimates the potential impact specifically on instrumental activities of daily living (I-ADL), usage of home services, and related costs. The models integrate empirical data to test the hypothesis that a policy providing funding to remove the five most severe environmental barriers in the homes of older people who are at risk of developing dependence in I-ADL, can maintain independence and reduce the need for home services. In addition to official statistics from state agencies in Sweden and Germany, we utilized published results from the ENABLE-AGE and other scientific studies to generate the simulations. The simulations predicted that new policies that remove potentially hindering housing features would improve I-ADL performance among older people and reduce the need for home services. Our findings suggest that a policy change can contribute to positive effects with regard to I-ADL independence among older people and to a reduction of societal burden.</p>},
  articleno    = {964},
  author       = {Slaug, Björn and Chiatti, Carlos and Oswald, Frank and Kaspar, Roman and Schmidt, Steven M},
  issn         = {1660-4601},
  language     = {eng},
  month        = {08},
  number       = {9},
  publisher    = {Multidisciplinary Digital Publishing Institute (MDPI)},
  series       = {International Journal of Environmental Research and Public Health},
  title        = {Improved Housing Accessibility for Older People in Sweden and Germany : Short Term Costs and Long-Term Gains},
  url          = {http://dx.doi.org/10.3390/ijerph14090964},
  volume       = {14},
  year         = {2017},
}