Skip header and navigation

1 records – page 1 of 1.

Trends in the use and costs of round-the-clock long-term care in the last two years of life among old people between 2002 and 2013 in Finland.

https://arctichealth.org/en/permalink/ahliterature291563
Source
BMC Health Serv Res. 2017 Sep 19; 17(1):668
Publication Type
Journal Article
Date
Sep-19-2017
Author
Leena Forma
Marja Jylhä
Jutta Pulkki
Mari Aaltonen
Jani Raitanen
Pekka Rissanen
Author Affiliation
Faculty of Social Sciences (health sciences) and Gerontology Research Center (GEREC), University of Tampere, 33014, Tampere, Finland. leena.forma@uta.fi.
Source
BMC Health Serv Res. 2017 Sep 19; 17(1):668
Date
Sep-19-2017
Language
English
Publication Type
Journal Article
Keywords
Aged
Aged, 80 and over
Cause of Death
Continuity of Patient Care
Female
Finland - epidemiology
Government Programs
Health Facilities - economics - trends - utilization
Health Services Research
Health Services for the Aged - economics - trends - utilization
Humans
Life Expectancy - trends
Long-Term Care - economics - trends - utilization
Male
Registries
Abstract
The structure of long-term care (LTC) for old people has changed: care has been shifted from institutions to the community, and death is being postponed to increasingly old age. The aim of the study was to analyze how the use and costs of LTC in the last two years of life among old people changed between 2002 and 2013.
Data were derived from national registers. The study population contains all those who died at the age of 70 years or older in 2002-2013 in Finland (N = 427,078). The costs were calculated using national unit cost information. Binary logistic regression and Cox proportional hazard models were used to study the association of year of death with use and costs of LTC.
The proportion of those who used LTC and the sum of days in LTC in the last two years of life increased between 2002 and 2013. The mean number of days in institutional LTC decreased, while that for sheltered housing increased. The costs of LTC per user decreased.
Use of LTC in the last two years of life increased, which was explained by the postponement of death to increasingly old age. Costs of LTC decreased as sheltered housing replaced institutional LTC. However, an accurate comparison of costs of different types of LTC is difficult, and the societal costs of sheltered housing are not well known.
Notes
Cites: Health Econ. 2009 Aug;18(8):867-83 PMID 18770873
Cites: J Health Econ. 2011 Mar;30(2):425-38 PMID 21295364
Cites: Gerontologist. 2009 Feb;49(1):34-45 PMID 19363002
Cites: Methods Inf Med. 2007;46(5):558-66 PMID 17938779
Cites: Milbank Q. 2007 Jun;85(2):213-57 PMID 17517114
Cites: Health Econ. 2011 Aug;20(8):897-916 PMID 20799344
Cites: Gerontology. 2009;55(5):481-90 PMID 19349698
Cites: Soc Sci Med. 2013 Jul;88:39-47 PMID 23702208
Cites: Health Econ. 2007 Oct;16(10):1109-26 PMID 17311357
Cites: Annu Rev Public Health. 1999;20:125-44 PMID 10352853
Cites: Gerontologist. 2007;47 Spec No 3:118-24 PMID 18162574
Cites: Popul Stud (Camb). 2007 Nov;61(3):299-314 PMID 17979004
Cites: Health Econ. 2004 Aug;13(8):749-65 PMID 15322988
Cites: Eur J Public Health. 2009 Jun;19(3):313-8 PMID 19286838
Cites: Stat Med. 2003 Sep 15;22(17):2799-815 PMID 12939787
Cites: J Am Geriatr Soc. 2010 Jan;58(1):1-11 PMID 20122036
Cites: J Health Econ. 2004 Nov;23(6):1159-80 PMID 15556241
Cites: Eur J Ageing. 2007 Aug 8;4(3):145-154 PMID 28794784
Cites: Antimicrob Agents Chemother. 2004 Aug;48(8):2787-92 PMID 15273082
Cites: Eur J Ageing. 2008 Oct 31;5(4):349-357 PMID 28798585
Cites: BMC Health Serv Res. 2009 Aug 05;9:139 PMID 19656358
PubMed ID
28927415 View in PubMed
Less detail