| 1. |
|
|
| 2. |
- Karlsson, Staffan, 1959-
(författare)
-
Elderly Care Consumption in Municipalities, County Council and Informal Care
- 2005
-
Konferensbidrag (refereegranskat)abstract
- The aim was to investigate care consumption in County Council, municipalities and informal care for people 65+, make comparisons between age groups and housing. Data was drawn from elderly in the southern part of Sweden (n=1958). Data were collected regarding demography, extent of professional care in municipalities and County Council, and informal care.49 % got care in special accommodation (SA) and the remaining at home (AH). More (p<0.006) of the oldest had help in PADL from home service care than the youngest elderly, 66 % and 34 % respectively. Less (p<0.007) home nursing care could be seen by the oldest (9.6 visits/month) compared to the youngest elderly (15.7 visits/month). In out-patient care by physician had 65 % of the youngest elderly contact with primary health care (PHC) compared to 74 % for the age groups 75 and above (p<0.004). The oldest had less number of contacts with psychiatry (1 %) and specialist care (SC) (55 %) compared to age group 75-84, 3 % and 62 % respectively (p<0.001 and p<0.006 respectively). More (p<0.001) elderly in SA (81 %) had contact with PHC by physician, compared to elderly AH (66 %). Outpatient SC (p<0.001) and hospital care (number of episodes p<0.001 and days p<0.002) were more frequent among elderly living AH in contrast to SA.Elderly is not a homogenous group with regard to care consumption. The youngest elderly and those living AH consumed more of specialised care while the oldest and those living in SA consumed more of PHC.
|
|
| 3. |
|
|
| 4. |
- Karlsson, Staffan, 1959-, et al.
(författare)
-
Functional ability and health complaints among older people with a combination of public and informal care versus public care only
- 2007
-
Ingår i: Abstract Book. ; , s. 161-162
-
Konferensbidrag (refereegranskat)abstract
- The aim of the study was to investigate functional ability and health complaints of people, 65+, living in special accommodation and their counterparts who live at home and receive public care or a combination of public and informal care. Persons (n=1958) in receipt of municipal care were assessed in terms of functional ability, health complaints, and level of informal and municipal care and services. The results showed that more home care, services and help with IADL were provided to those receiving only public care at home, while more home care and services associated with PADL as well as nursing care were provided to those in receipt of informal care. Cohabitation was a predictor of a combination of public and informal care in the home (OR 5.935), while assistance with IADL provided by public home care and services predicted public care only (OR 0.344). Care in special accommodation was predicted by advanced age (OR 1.051), dependency in IADL (OR 19.883) and PADL (OR 2.695), and impaired cognitive ability (OR 3.849) with receipt of public care only as a reference. Living alone (OR 0.106), dependency in IADL (OR 11.348) and PADL (OR 2.506), impaired cognitive ability (OR 3.448), impaired vision or blindness (OR 1.812) and the absence of slowly healing wounds (OR 0.407) were predictors of special accommodation with a combination of informal and public care at home as a reference. The distribution of municipal care divided older people into three distinct groups. The most frail and elderly people who had no cohabitants received care in special accommodation, determined by their level of physical and cognitive dependency. The frailest individuals living at home were cohabiting and received a combination of public and informal care, while those who were less dependent mainly had help with IADL from public care only.
|
|
| 5. |
- Karlsson, Staffan, 1959-, et al.
(författare)
-
Functional ability and health complaints among older people with a combination of public and informal care vs. public care only
- 2008
-
Ingår i: Scandinavian Journal of Caring Sciences. - Chichester : Wiley-Blackwell Publishing Inc.. - 0283-9318 .- 1471-6712. ; 22:1, s. 136-148
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to investigate functional ability and health complaints of people, 65+, living in special accommodation (equivalent to nursing home) and their counterparts who live at home and receive municipal care or a combination of municipal and informal care. Persons (n = 1958) receiving municipal care were assessed in terms of functional ability, health complaints, and level of informal and municipal care and services. The results showed that more home care, services and help with Instrumental Activities of Daily Living (IADL) were provided to those receiving only municipal care at home, while more home care and services associated with Personal Activities of Daily Living (PADL) as well as nursing care were provided to those receiving informal care in addition to formal care. Cohabitation was a predictor of a combination of municipal and informal care in the home (OR: 5.935), while assistance with IADL provided by municipal home care and services predicted municipal care only (OR: 0.344). Care in special accommodation was predicted by advanced age (OR: 1.051), dependency in IADL (OR: 19.883) and PADL (OR: 2.695), and impaired cognitive ability (OR: 3.849) with receiving municipal care only as a reference. Living alone (OR: 0.106), dependency in IADL (OR: 11.348) and PADL (OR: 2.506), impaired cognitive ability (OR: 3.448), impaired vision or blindness (OR: 1.812) and the absence of slowly healing wounds (OR: 0.407) were predictors of special accommodation with a combination of informal and municipal care at home as a reference. The distribution of municipal care divided older people into three distinct groups. The most frail and elderly people who had no cohabitants received care in special accommodation, determined by their level of physical and cognitive dependency. The frailest individuals living at home were cohabiting and received a combination of municipal and informal care, while those who were less dependent mainly had help with IADL from municipal care only. The results indicate that there is a shift from the substitution to the complementary model and highlights that attention to the family carers is needed. © 2008 Nordic College of Caring Science
|
|
| 6. |
- Karlsson, Staffan, 1959-, et al.
(författare)
-
Older People Receiving Public Long-Term Care in Relation to Consumption of Medical Health Care and Informal Care
- 2008
-
Ingår i: The Open Geriatric Medicine Journal. - Bussum : Bentham Open. - 1874-8279. ; 1, s. 1-9
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to investigate medical health care and informal care consumption among older people receiving public long-term care, and factors associated with medical health care consumption. 1958 persons aged 65 years and over were included. Data were collected from two registers, including demography, functional ability and received long-term, informal and medical health care. 35% of those at home were admitted to hospital and 76% had contact with outpatient care by physician compared to 26% and 87% respectively of those in special accommodation. Living in special accommodation was associated with more contacts with primary health care and fewer contacts with specialist care other than psychiatric care. Informal care was associated with more contacts with primary health care, specialist care, admis- sions to and days in hospital. More elderly people being cared for at home may mean more hospital and outpatient care consumption.
|
|
| 7. |
- Karlsson, Staffan, 1959-
(författare)
-
Older people`s public health care and social services : Functional ability, health complaints, agreement in needs assessment and care satisfaction
- 2008
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The overall aim was to describe and compare functional ability and health complaints of older people receiving municipal care in relation to housing and informal care, and factors associated with medical health care, municipal care and informal care. Further, the aim was to investigate agreement in needs assessments between personnel and older people and to investigate care satisfaction and health-related quality of life among older people receiving municipal care and services. Study I and II included 1958 persons aged 65 years and above, who were assessed for functional ability, health complaints, and level of informal and municipal care and service. Study II in addition included data from a register including medical health care. In study III (n=152), standardised needs assessments were performed by the staff. Later, the older person’s view was collected in a personal interview concerning functional ability, health complaints, public and informal care. In addition (Study IV, n=166), SF-12 was used for measuring health-related quality of life and for measuring care satisfaction. Cohabitation was a predictor of a combination of municipal and informal care at home (OR: 5.935), while assistance with Instrumental Activities of Daily Living (IADL) provided by municipal home care and services predicted municipal care only (OR: 0.344). Care in special accommodation was predicted by advanced age (OR: 1.051), dependency in IADL (OR: 19.883), Personal Activities of Daily Living (PADL) (OR: 02.695), and impaired cognitive ability (OR: 3.849) with receiving municipal care only as a reference. Living alone (OR: 0.106), dependency in IADL (OR: 11.348) and PADL (OR: 2.506), impaired cognitive ability (OR: 3.448), impaired vision or blindness (OR: 1.812) and the absence of slowly healing wounds (OR: 0.407) were predictors of special accommodation with a combination of informal and municipal care at home as a reference. 35% of those with public care at home were admitted to hospital and 76% had contact with outpatient care by physician compared to 26% and 87% respectively of those in special accommodation. Living in special accommodation was associated with more contacts with primary health care (B=0.643) and fewer contacts with specialist care (B=-0.722). Informal care was associated with more contacts with primary health care (B=0.413), specialist care (B=0.787), admissions to (B=0.265) and days in hospital (B=1.573). Agreement for dependency in IADL and PADL varied between good (κ=0.78) and moderate (κ=0.43). Poor agreement was found for dizziness (κw=0.17) and fair agreement for impaired hearing, urinary incontinence, pain, anxiety and depressed mood (κw between 0.21 and 0.37). Older persons reported more health complaints than were found in the personnel’s assessments, although significantly lower estimation was found only for incontinence and vision. Agreement for provided public care at home was poor, while for informal care it varied between very good and moderate. Low care satisfaction was associated with dependency in IADL (B=-1.338 and B=-1.630), impaired mobility (B=-12.579), blindness (B=-26.143), faeces incontinence (B=-11.898 and B=-17.529) and anxiety (B=-6.105 and B=-27.197), while high care satisfaction was associated with dependency in PADL (B=2.109) and receiving informal care with IADL from spouse (B=8.738). In special accommodation, low care satisfaction had to do with continuity, timing, the staff’s personal characteristics and with their ability to give service. At home, the older people were the least satisfied with the staff’s ability to do housework and to give medical care, with the staff’s amount of time and with their own influence over their care.
|
|
