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Effects of municipality factors on care transitions.

https://arctichealth.org/en/permalink/ahliterature114573
Source
Scand J Public Health. 2013 Aug;41(6):604-15
Publication Type
Article
Date
Aug-2013
Author
Mari Aaltonen
Leena Forma
Pekka Rissanen
Jani Raitanen
Marja Jylhä
Author Affiliation
Gerontology Research Center and School of Health Sciences, University of Tampere, Tampere, Finland. mari.s.aaltonen@uta.fi
Source
Scand J Public Health. 2013 Aug;41(6):604-15
Date
Aug-2013
Language
English
Publication Type
Article
Keywords
Aged
Aged, 80 and over
Cities
Continuity of Patient Care - statistics & numerical data
Female
Finland
Health Facilities - utilization
Home Care Services - utilization
Humans
Male
Registries
Residence Characteristics - statistics & numerical data
Socioeconomic Factors
Time Factors
Abstract
To analyse whether transitions between care settings differ between municipalities in the last 2 years of life among older people in Finland.
Data were derived from Finnish national registers, and include all those who died in 2002 and 2003 at the age of 70 or older except those living in very small municipalities (n=67,027). Data include admissions and discharges from health and social care facilities (university hospitals, general hospitals, health centres, residential care facilities) and time spent outside care facilities for 730 days prior to death. Three-level negative binomial regression analyses were performed to study the effect of municipal factors on (1) the total number of all care transitions, (2) the number of transitions between home and different care facilities, and (3) transitions between different care facilities.
The municipality of residence had only a minor effect on the total number of care transitions, but greater variation between municipalities was found when different types of care transition were examined separately. Largest differences were found in care transitions involving specialised care. Age structure, urbanity, and economic situation of the municipality had an impact on several different care transitions.
The total number of care transitions in 2 final years of life was approximately similar irrespective of the municipality of residence, but the findings imply differences in transitioning specialised care. Potentially, this may suggest inequality between the municipalities, but more detailed studies are needed to confirm the factors underlying these differences.
PubMed ID
23604036 View in PubMed
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