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Health- and social ...
Health- and social care in the last year of life among older adults in Sweden
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- Hallgren, Jenny (author)
- Jönköping University,Högskolan i Skövde,Institutionen för hälsovetenskaper,Forskningsmiljön hälsa, hållbarhet och digitalisering,Institute of Gerontology, School of Health and Welfare, Jönköping University, Sweden,Välbefinnande vid långvariga hälsoproblem (WeLHP),HHJ, Institutet för gerontologi,HHJ. ARN-J (Aging Research Network - Jönköping),School of Health Sciences, University of Skövde, Sweden
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- Johansson, Linda, 1978- (author)
- Jönköping University,HHJ, Institutet för gerontologi,HHJ. ARN-J (Aging Research Network - Jönköping),Institute of Gerontology, School of Health and Welfare, Jönköping University, Sweden
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- Lannering, Christina (author)
- Jönköping University,HHJ. ARN-J (Aging Research Network - Jönköping),Institute of Gerontology, School of Health and Welfare, Jönköping University, Sweden / Futurum, Ryhov, Region Jönköping County, Jönköping, Sweden
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- Ernsth-Bravell, Marie, 1973- (author)
- Jönköping University,HHJ, Institutet för gerontologi,HHJ. ARN-J (Aging Research Network - Jönköping),Institute of Gerontology, School of Health and Welfare, Jönköping University, Sweden
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- Gillsjö, Catharina, Senior Lecturer, 1963- (author)
- Högskolan i Skövde,Institutionen för hälsovetenskaper,Forskningsmiljön hälsa, hållbarhet och digitalisering,School of Health Sciences, University of Skövde, Sweden, and College of Nursing, University of Rhode Island, Kingston, United States,Välbefinnande vid långvariga hälsoproblem (WeLHP), Wellbeing in long-term health problems
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(creator_code:org_t)
- 2020-06-23
- 2020
- English.
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In: BMC Palliative Care. - : BioMed Central. - 1472-684X. ; 19:1
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Abstract
Subject headings
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- BACKGROUND: In the last years of life, burden of disease and disability and need of health- and social care often increase. Social, functional and psychological factors may be important in regard to social- and health care utilization. This study aims to describe use of health- and social care during the last year of life among persons living in ordinary housing or in assisted living facilities. METHODS: A retrospective study examining health- and social care utilization during their last year of life, using a subsample from the Swedish twin registries individually linked to several Swedish national quality registries (NQR). Persons that died during 2008-2009 and 2011-2012 (n = 1518) were selected. RESULTS: Mean age at death was 85.9 ± 7.3 (range 65.1-109.0). Among the 1518 participants (women n = 888, 58.5%), of which 741 (49%) were living in assisted living facilities and 1061 (69.9%) had at least one hospitalization during last year of life. The most common causes of death were cardiovascular disease (43.8%) and tumors (15.3%). A multivariable logistic regression revealed that living in ordinary housing, younger age and higher numbers of NQR's increased the likelihood of hospitalization. CONCLUSIONS: Persons in their last year of life consumed high amount of health- and social care although 12% did not receive any home care. Married persons received less home care than never married. Persons living in ordinary housing had higher numbers of hospitalizations compared to participants in assisted living facilities. Older persons and persons registered in fewer NQR's were less hospitalized.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Annan medicin och hälsovetenskap -- Gerontologi, medicinsk/hälsovetenskaplig inriktning (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Other Medical and Health Sciences -- Gerontology, specialising in Medical and Health Sciences (hsv//eng)
Keyword
- Home care services
- Hospitalization
- Last year of life
- National Quality Registries
- Older adults
- Välbefinnande vid långvariga hälsoproblem (WeLHP)
- Wellbeing in long-term health problems (WeLHP)
Publication and Content Type
- ref (subject category)
- art (subject category)
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