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Health care services for older people in COVID-19 pandemic times – A Nordic comparison
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- Bliksvær, Trond (author)
- Nordland Research Institute, Bodø, Norway
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- Andrews, Therese (author)
- Nordland Research Institute, Bodø, Norway
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- Lindholst, Andrej Christian (author)
- Department of Politics and Society, Aalborg University, Aalborg, Denmark
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- Rauhala, Auvo (author)
- Faculty of Education and Welfare Studies, Åbo Akademi University, Vaasa, Finland
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- Wolmesjö, Maria, 1961- (author)
- Högskolan i Borås,Akademin för vård, arbetsliv och välfärd,Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Boras, Sweden
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- Sinervo, Timo S. (author)
- Finnish Institute for Health and Welfare, Helsinki, Finland
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- Fagerström, Lisbeth M. (author)
- Faculty of Education and Welfare Studies, Åbo Akademi University, Vaasa, Finland
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- Hansen, Morten Balle (author)
- Department of Applied Welfare Research, UCL University College, Odense, Denmark
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(creator_code:org_t)
- 2024
- 2024
- English.
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In: Scandinavian Journal of Primary Health Care. - 0281-3432 .- 1502-7724. ; 42:1, s. 144-155
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Abstract
Subject headings
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- Objective: to explore the Nordic municipal health and care services’ ability to promote principal goals within care for older people during the cOViD-19 pandemic.Design and setting: two surveys were conducted among managers of municipal health care services for older people in Denmark, Finland, Norway and sweden; the first around 6 months into the pandemic (survey 1), and the second around 12 months later (survey 2). Data were analysed through descriptive statistics, and multiple regression (Ols).Subjects: 1470 (survey 1, 2020) and 745 (survey 2, 2021) managers. 32% in home care, 51% in nursing homes, 17% combined.Results: in all countries the pandemic seems to have had more negative impact on eldercare services’ ability to promote an active and social life, than on the ability to promote or enhance older people’s mental and physical health. the regression analysis indicates that different factors influence the ability to promote these goals. Managers within nursing homes reported reduced ability to promote mental and physical health and an active social life to a significantly lower degree than managers of home care. the effect of three prevention strategies (lock down, testing, and/or organisational change), were explored. Organisational change (reorganize staff and practice, restrict use of substitutes) tended to impact the units’ ability to promote a social life in a positive direction, while lock down (areas, buffets etc) tended to impact both the ability to promote mental/physical health and a social life in a negative direction.Conclusion: Measures that can improve opportunities for an active and social life during a pandemic should have high priority, particularily within home care.KEY POINTS• it is important to learn from how the cOViD-19 outbreak in 2020 affected the municipal health and care services’ ability to achieve principal goals within care for older people.• the pandemic had a more negative impact on the services’ ability to promote an active and social life, than on their ability to promote or enhance mental and physical health.• Measures that can improve opportunities for an active and social life during a pandemic situation should have high priority, particularily within home-based care.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Keyword
- Primary health care
- eldercare
- older people
- cOViD-19
- pandemic
- managers
- Nordic countries
- Människan i vården
- The Human Perspective in Care
Publication and Content Type
- ref (subject category)
- art (subject category)
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