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Horizontal and vertical targeting : a population-based comparison of public eldercare services in urban and rural areas of Sweden

Lagergren, Mårten (författare)
Stockholm Gerontology Research Center
Fagerström, Cecilia (författare)
Blekinge Institute of Technology
Sjölund, Britt-Marie (författare)
Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI),Karolinska Institutet;Stockholm University,Department of Neurobiology, Aging Research Center, Care Sciences and Society, Karolinska Institutet and Stockholm University
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Berglund, Johan (författare)
Blekinge Institute of Technology
Fratiglioni, Laura (författare)
Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI),Stockholm Gerontology Research Center, Sweden,Stockholm Gerontol Res Ctr, Stockholm, Sweden.;Karolinska Inst, Dept Neurobiol, Aging Res Ctr, Care Sci & Soc, Solna, Sweden.;Stockholm Univ, Solna, Sweden.,Stockholm Gerontology Research Center;Karolinska Institutet;Stockholm University,Stockholm Gerontology Research Center; Department of Neurobiology, Aging Research Center, Care Sciences and Society, Karolinska Institutet and Stockholm University,Karolinska University Hospital
Nordell, Eva (författare)
Lund University,Lunds universitet,Geriatrik,Forskargrupper vid Lunds universitet,Geriatric Medicine,Lund University Research Groups,Geriatrics
von Strauss, Eva (författare)
Röda Korsets Högskola,Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI),Red Cross Hospital, Sweden; Red Cross University College, Sweden,Karolinska Inst, Dept Neurobiol, Aging Res Ctr, Care Sci & Soc, Solna, Sweden.;Stockholm Univ, Solna, Sweden.;Red Cross Hosp, Nonprofit Org, Stockholm, Sweden.;Red Cross Univ Coll, Stockholm, Sweden.,Karolinska Institutet;Stockholm University;Red Cross University College,Avdelningen Medicin och Folkhälsa,Department of Neurobiology, Aging Research Center, Care Sciences and Society, Karolinska Institutet and Stockholm University,Red Cross University College
Wimo, Anders (författare)
Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI),Karolinska Institutet, Sweden,Karolinska Inst, Dept Neurobiol, Alzheimers Dis Res Ctr, Care Sci & Soc, Solna, Sweden.,Karolinska Institutet;Stockholm University,Department of Neurobiology, Aging Research Center, Care Sciences and Society, Karolinska Institutet and Stockholm University; Department of Neurobiology, Alzheimérs Disease Research Center, Care Sciencesand Society, Karolinska Institutet,Karolinska University Hospital
Elmståhl, Sölve (författare)
Lund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Geriatrik,Forskargrupper vid Lunds universitet,Department of Health Sciences,Faculty of Medicine,Geriatrics,Lund University Research Groups
Sjolund, Britt-Marie (författare)
Karolinska Inst, Dept Neurobiol, Aging Res Ctr, Care Sci & Soc, Solna, Sweden.;Stockholm Univ, Solna, Sweden.
Elmstahl, Solve (författare)
Lund Univ, Dept Hlth Sci, Div Geriatr Med, Malmo, Sweden.;Skane Univ Hosp, Malmo, Sweden.
Lagergren, Marten (författare)
Stockholm Gerontol Res Ctr, Stockholm, Sweden.
Sanmartin Berglund, Johan (författare)
Blekinge Tekniska Högskola,Institutionen för hälsa
Fagerstrom, Cecilia (författare)
Blekinge Tekniska Högskola,Institutionen för hälsa
Sjolund, BM (författare)
Karolinska Institutet
Fagerstrom, C (författare)
Lagergren, M (författare)
Berglund, J (författare)
Nordell, E (författare)
Fratiglioni, L (författare)
Karolinska Institutet
Elmstahl, S (författare)
von Strauss, E (författare)
Karolinska Institutet
Wimo, A (författare)
Karolinska Institutet
Sjölund, Britt Marie (författare)
Karolinska University Hospital
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 (creator_code:org_t)
Springer, 2016
2016
Engelska.
Ingår i: Aging Clinical and Experimental Research. - : Springer. - 1594-0667 .- 1720-8319. ; 28:1, s. 147-158
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • The concepts of target efficiency can be used to assess the extent to which service provision is in line with the needs of the population. Horizontal target efficiency denotes the extent to which those deemed to need a service receive it and vertical target efficiency is the corresponding extent to which those who receive services actually need them. The aim of this study was to assess the target efficiency of the Swedish eldercare system and to establish whether target efficiencies differ in different geographical areas such as large urban, midsize urban and rural areas. Vertical efficiency was measured by studying those people who received eldercare services and was expressed as a percentage of those who received services who were functionally dependent. To measure horizontal target efficiency, data collected at baseline in the longitudinal population study SNAC (Swedish National study on Aging and Care) during the years 2001-2004 were used. The horizontal efficiency was calculated as the percentage of functionally dependent persons who received services. Functional dependency was measured as having difficulty with instrumental activities of daily living (IADL) and/or personal activities of daily living (PADL). Services included long-term municipal eldercare services (LTC). Horizontal target efficiency for the public LTC system was reasonably high in all three geographical areas, when using dependency in PADL as the measure of need (70-90 %), but efficiency was lower when the less restrictive measure of IADL dependency was used (40-50 %). In both cases, the target efficiency was markedly higher in the large urban and the rural areas than in the midsize urban areas. Vertical target efficiency showed the same pattern-it was almost 100 % in all areas for IADL dependency, but only 50-60 % for PADL dependency. Household composition differed in the areas studied as did the way public long-term care was provided to people living alone as compared to those co-habiting.

Ämnesord

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Geriatrics (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Geriatrik (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Other Medical Sciences -- Gerontology, specialising in Medical and Health Sciences (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Annan medicin och hälsovetenskap -- Gerontologi, medicinsk/hälsovetenskaplig inriktning (hsv//swe)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin (hsv//swe)
MEDICIN OCH HÄLSOVETENSKAP  -- Annan medicin och hälsovetenskap (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine (hsv//eng)
MEDICAL AND HEALTH SCIENCES  -- Other Medical and Health Sciences (hsv//eng)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences (hsv//eng)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nursing (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper -- Omvårdnad (hsv//swe)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)

Nyckelord

Urban/rural differences
Long-term care
Older people
Public care
Eldercare
Target efficiency
Eldercare

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