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Changes in home care clients’ characteristics and home care in five European countries from 2001 to 2014 : comparison based on InterRAI - Home Care data

Changes in home care clients’ characteristics and home care in five European countries from 2001 to 2014 : comparison based on InterRAI - Home Care data


Title: Changes in home care clients’ characteristics and home care in five European countries from 2001 to 2014 : comparison based on InterRAI - Home Care data
Author: Kristinsdóttir, Inga Valgerður
Jónsson, Pálmi V.
Hjaltadóttir, Ingibjörg
Björnsdóttir, Kristín
Date: 2021-10-29
Language: English
Scope:
Department: Faculty of Nursing
Faculty of Medicine
Series: BMC Health Services Research; 21(1)
ISSN: 1472-6963
DOI: https://doi.org/10.1186/s12913-021-07197-3
Subject: Aldraðir; Heimahjúkrun; Heilbrigðisstefna; AdHOC; Elderly; Formal care; Health care policy; Home care; IBenC; interRAI-home care; Health Policy
URI: https://hdl.handle.net/20.500.11815/2760

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Citation:

Kristinsdóttir , I V , Jónsson , P V , Hjaltadóttir , I & Björnsdóttir , K 2021 , ' Changes in home care clients’ characteristics and home care in five European countries from 2001 to 2014 : comparison based on InterRAI - Home Care data ' , BMC Health Services Research , vol. 21 , no. 1 , 1177 . https://doi.org/10.1186/s12913-021-07197-3

Abstract:

Background: Policymakers advocate extended residence in private homes as people age, rather than relocation to long-term care facilities. Consequently, it is expected that older people living in their own homes will be frailer and have more complex health problems over time. Therefore, community care for aging people is becoming increasingly important to facilitate prevention of decline in physical and cognitive abilities and unnecessary hospital admission and transfer to a nursing home. The aim of this study was to examine changes in the characteristic of home care clients and home care provided in five European countries between 2001 and 2014 and to explore whether home care clients who are most in need of care receive the care required. Methods: This descriptive study used data from two European research projects, Aged in Home Care (AdHOC; 2001–2002) and Identifying best practices for care-dependent elderly by Benchmarking Costs and outcomes of Community Care (IBenC; 2014–2016). In both projects, the InterRAI-Home Care assessment tool was used to assess a random sample of home care clients 65 years and older in five European countries. These data facilitate a comparison of physical and cognitive health and the provided home care between countries and study periods. Results: In most participating countries, both cognitive (measured on the Cognitive Performance Scale) and functional ability (measured on the Activities of Daily Living Hierarchy scale) of home care clients deteriorated over a 10-year period. Home care provided increased between the studies. Home care clients who scored high on the physical and cognitive scales also received home care for a significantly higher duration than those who scored low. Conclusion: Older people in several European countries remain living in their own homes despite deteriorating physical and cognitive skills. Home care services to this group have increased. This indicates that the government policy of long-term residence at own home among older people, even in increased frailty, has been realised.

Description:

Funding Information: The doctoral project was funded partly by the University of Iceland Research Fund and The Foundation of St. Josef’s Hospital in cooperation with The Icelandic Gerontological Research Center, National University Hospital of Iceland. Funding Information: The author gratefully thanks Kristin Bjornsdottir for her supervision and the directors and coworkers at the Home Care center at the Capital Area Primary Care in Reykjavik. Publisher Copyright: © 2021, The Author(s).

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