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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.
BMC Health Serv Res. 2017 Sep 19; 17(1):668
Publication Type
Journal Article
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.
BMC Health Serv Res. 2017 Sep 19; 17(1):668
Publication Type
Journal Article
Aged, 80 and over
Cause of Death
Continuity of Patient Care
Finland - epidemiology
Government Programs
Health Facilities - economics - trends - utilization
Health Services Research
Health Services for the Aged - economics - trends - utilization
Life Expectancy - trends
Long-Term Care - economics - trends - utilization
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.
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PubMed ID
28927415 View in PubMed
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