Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Using an Integrated Clinical and Functional Assessment Tool to Describe the Use of Social and Medical Care in an Urban Community-Dwelling Swedish Older Population
Karolinska Univ Hosp, Karolinska Inst, Dept Mol Med & Surg, Solna, Sweden.
Karolinska Inst, Aging Res Ctr, Dept Neurobiol Care Sci & Soc, Tomtebodavagen 18A,Floor 10, S-17165 Solna, Sweden;Stockholm Univ, Stockholm, Sweden;Stockholm Gerontol Res Ctr, Stockholm, Sweden.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Research and Development, Gävleborg. Karolinska Inst, Dept Neurobiol Care Sci & Soc, Div Neurogeriatr, Ctr Alzheimer Res, Solna, Sweden.ORCID iD: 0000-0003-0963-5750
Karolinska Univ Hosp, Karolinska Inst, Dept Mol Med & Surg, Solna, Sweden;Univ Brescia, Dept Clin & Expt Sci, Brescia, Italy.
Show others and affiliations
2019 (English)In: Journal of the American Medical Directors Association, ISSN 1525-8610, E-ISSN 1538-9375, Vol. 20, no 8, p. 988-994Article in journal (Refereed) Published
Abstract [en]

Objectives: To describe the use of social and medical care services in a community-dwelling older population from Stockholm, Sweden, using an integrated clinical and functional assessment tool.

Design: Study based on data from the longitudinal community-based Swedish National Study on Aging and Care in Kungsholmen.

Setting and Participants: Random sample of people >65 years of age living in the community in central Stockholm between March 2001 and June 2004 (N = 2368).

Measures: Health status was measured with a health assessment tool (HAT), which combines 5 indicators (gait speed, cognitive function, chronic multimorbidity, mild disability, severe disability) collected during Swedish National Study on Aging and Care in Kungsholmen clinical examinations. The amount of formal and informal social care was self-reported in hours per month and recorded by trained nurses at baseline and the 3-year follow-up for those >= 78 years of age at baseline. Data on hospital admissions, 30-day readmissions, days spent in the hospital, primary care visits, and specialist visits were obtained from Stockholm County Council registers (2001-2007).

Results: At baseline, 10% of the sample received formal social care and 11% received informal care. Annually between baseline and the 3-year follow-up, 15% were admitted to the hospital, 5% were readmitted, 78% visited a specialist, and 89% visited primary care. Those with the best HAT scores received 0.02 hours/month of formal care; those with the worst, 34 h/mo. The corresponding numbers for other variables were 0.02 vs 73 h/mo of informal care, 2 vs 11 hospital admissions per 10 persons/year, 44 vs 226 hospital days per 10 persons/y, 0.4 vs 2 30-day readmissions per 10 persons/y, 37 vs 78 specialist visits per 10 persons/y, and 50 vs 327 primary care visits per 10 persons/y.

Conclusions/Implications: Because of its high discriminative power, the easy-to-use HAT index could help decision makers to plan medical and social care services.

Place, publisher, year, edition, pages
ELSEVIER SCIENCE INC , 2019. Vol. 20, no 8, p. 988-994
Keywords [en]
Geriatric assessment, delivery of healthcare, home care services, Sweden
National Category
Gerontology, specialising in Medical and Health Sciences Nursing
Identifiers
URN: urn:nbn:se:uu:diva-391287DOI: 10.1016/j.jamda.2018.11.017ISI: 000476978200013PubMedID: 30661864OAI: oai:DiVA.org:uu-391287DiVA, id: diva2:1344858
Funder
Swedish Research CouncilForte, Swedish Research Council for Health, Working Life and Welfare, 2017-01764Available from: 2019-08-22 Created: 2019-08-22 Last updated: 2019-08-22Bibliographically approved

Open Access in DiVA

fulltext(945 kB)56 downloads
File information
File name FULLTEXT01.pdfFile size 945 kBChecksum SHA-512
ac4ee0d02595634b94cf8b8df264c576c715973b31ddc6d23a068b2cb5c4b91fca6ef30c0ec4000c0394bea3d883f1ac346c89901c3f1c7296dac9e307855e15
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Wimo, AndersCalderon-Larranaga, Amaia
By organisation
Centre for Research and Development, Gävleborg
In the same journal
Journal of the American Medical Directors Association
Gerontology, specialising in Medical and Health SciencesNursing

Search outside of DiVA

GoogleGoogle Scholar
Total: 56 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 61 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf