Home-care clients’ need for help, and use and costs of services

Hammar, Teija; Rissanen, Pekka; Perälä, Marja-Leena

doi:10.1007/s10433-008-0078-4

Cited by 26 publications

(45 citation statements)

References 41 publications

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“…Several studies focused on the relationship between formal home care provision and informal care [28,29,32,34,38,39,42,44,46,51,54,57,58,64,69,73,75,79-81]. Quality and improvement of quality were the subject of seven studies [10,28,49,54,68-70].…”

Section: Resultsmentioning

confidence: 99%

Home care in Europe: a systematic literature review

Genet

Boerma

Kringos

et al. 2011

BMC Health Serv Res

380

384

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BackgroundHealth and social services provided at home are becoming increasingly important. Hence, there is a need for information on home care in Europe. The objective of this literature review was to respond to this need by systematically describing what has been reported on home care in Europe in the scientific literature over the past decade.MethodsA systematic literature search was performed for papers on home care published in English, using the following data bases: Cinahl, the Cochrane Library, Embase, Medline, PsycINFO, Sociological Abstracts, Social Services Abstracts, and Social Care Online. Studies were only included if they complied with the definition of home care, were published between January 1998 and October 2009, and dealt with at least one of the 31 specified countries. Clinical interventions, instrument developments, local projects and reviews were excluded. The data extracted included: the characteristics of the study and aspects of home care 'policy & regulation', 'financing', 'organisation & service delivery', and 'clients & informal carers'.ResultsSeventy-four out of 5,133 potentially relevant studies met the inclusion criteria, providing information on 18 countries. Many focused on the characteristics of home care recipients and on the organisation of home care. Geographical inequalities, market forces, quality and integration of services were also among the issues frequently discussed.ConclusionsHome care systems appeared to differ both between and within countries. The papers included, however, provided only a limited picture of home care. Many studies only focused on one aspect of the home care system and international comparative studies were rare. Furthermore, little information emerged on home care financing and on home care in general in Eastern Europe. This review clearly shows the need for more scientific publications on home care, especially studies comparing countries. A comprehensive and more complete insight into the state of home care in Europe requires the gathering of information using a uniform framework and methodology.

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Section: Resultsmentioning

confidence: 99%

Home care in Europe: a systematic literature review

Genet

Boerma

Kringos

et al. 2011

BMC Health Serv Res

380

384

View full text Add to dashboard Cite

show abstract

“…In contrast to a previous Finnish study concentrating on home care clients only (Hammar et al 2008), our study focusing on all community-dwelling elders allowed us to assess the associations at the population level. In the Finnish community-dwelling population of those aged 70 and over, 65% received no help, 3% received only public formal help, 21% received other types than public formal of help (mainly informal help) and 11% both formal and other types of help.…”

Section: Discussionmentioning

confidence: 99%

“…However, since domiciliary services are organized by the municipalities, the provision of care may vary according to the balance between demand of care and available resources in different municipalities. A more detailed description of the Finnish home-care system can be found in Hammar et al (2008).…”

Section: Introductionmentioning

confidence: 99%

Determinants of home-based formal help in community-dwelling older people in Finland

et al. 2008

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Knowledge of the determinants of use of formal home-based services among older people is of particular importance for predicting the need for and cost of care in the future. The aim of this study was to estimate the frequency of formal and informal help among community-dwelling older people and to assess the determinants of home-based formal help, with a special emphasis on the frequency of help from spouse, from children and other relatives and friends. We used nationally representative cross-sectional data from 1,166 communitydwelling Finnish persons aged 70-99. Determinants of formal help were assessed with logistic regression models. Receiving formal help was most strongly related to need factors such as age and functional capacity. Adjusted for need factors, receiving help from spouse or living with someone else than the spouse decreased the odds of receiving formal help. In contrast, the more frequently the children helped, the larger were the odds of receiving formal home-based help. Help from other informal sources did not affect receipt of formal help. Our results thus suggest that intra-household help from spouse or from other co-residents may partly offset expected cost increases in the formal care sector brought about by an aging population. The results further suggest that help from children and help from formal sources is likely to be concomitant and that children may act as agents seeking formal help also in a welfare state based on the universal and equal care services.

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“…one seventh of the population will be 80 or older [1]. It is therefore of interest to know what extent of dependency and need for health care is to be expected, what choices and decisions must be made, and which kind of technologies might be needed [2]. …”

Section: Introductionmentioning

confidence: 99%

Distribution and determinants of functioning and disability in aged adults - results from the German KORA-Age study

et al. 2013

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BackgroundToday industrialized countries face a burgeoning aged population. Thus, there is increasing attention on the functioning and disabilities of aged adults as potential determinants of autonomy and independent living. However, there are few representative findings on the prevalence and determinants of disability in aged persons in the German population.The objective of our study is to examine the frequency, distribution and determinants of functioning and disability in aged persons and to assess the contribution of diseases to the prevalence of disability.MethodsData originate from the MONICA/KORA study, a population-based epidemiological cohort. Survivors of the original cohorts who were 65 and older were examined by telephone interview in 2009. Disability was assessed with the Health Assessment Questionnaire Disability Index (HAQ-DI). Minimal disability was defined as HAQ-DI > 0. Logistic regression was used to adjust for potential confounders and additive regression to estimate the contribution of diseases to disability prevalence.ResultsWe analyzed a total of 4117 persons (51.2% female) with a mean age of 73.6 years (SD = 6.1). Minimal disability was present in 44.7% of all participants. Adjusted for age and diseases, disability was positively associated with female sex, BMI, low income, marital status, physical inactivity and poor nutritional status, but not with smoking and education. Problems with joint functions and eye diseases contributed most to disability prevalence in all age groups.ConclusionsIn conclusion, this study could show that there are vulnerable subgroups of aged adults who should receive increased attention, specifically women, those with low income, those over 80, and persons with joint or eye diseases. Physical activity, obesity and malnutrition were identified as modifiable factors for future targeted interventions.

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Home-care clients’ need for help, and use and costs of services

Cited by 26 publications

References 41 publications

Home care in Europe: a systematic literature review

Home care in Europe: a systematic literature review

Determinants of home-based formal help in community-dwelling older people in Finland

Distribution and determinants of functioning and disability in aged adults - results from the German KORA-Age study

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