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  • 1.
    Andersson, Magdalena
    et al.
    Department of Health Sciences and The Vårdal Institute, The Swedish Institute For Health Sciences, Lund University.
    Hallberg, Ingalill R
    Department of Health Sciences and The Vårdal Institute, The Swedish Institute For Health Sciences, Lund University.
    Edberg, Anna-Karin
    Department of Health Sciences and The Vårdal Institute, The Swedish Institute For Health Sciences, Lund University.
    Health care consumption and place of death among old people with public home care or in special accommodation in their last year of life2007In: Aging Clinical and Experimental Research, ISSN 1594-0667, E-ISSN 1720-8319, Vol. 19, no 3, p. 228-239Article in journal (Refereed)
    Abstract [en]

    BACKGROUND AND AIMS:Developing care for older people in the last phase of life requires knowledge about the type and extent of care and factors associated with the place of death. The aim of this study was to examine age, living conditions, dependency, care and service among old people during their last year of life, but also their place of death and factors predicting it.

    METHODS:The sample (n=1198) was drawn from the care and services part of the Swedish National Study on Ageing and Care (SNAC). Criteria for inclusion were being 75+ years, dying in 2001-2004, and having public care and services at home or in special accommodation.

    RESULTS:In the last year of life, 82% of persons living at home and 51% living in special accommodation were hospitalized; median stays were 10 and 6.7 days respectively. Those living at home were younger and less dependent in ADL than those living in special accommodation. Those living at home and those having several hospital stays more often died in hospital. In the total sample, more visits to physicians in outpatient care predicted dying in hospital, whereas living in special accommodation and PADL dependency predicted dying outside hospital.

    CONCLUSIONS: Old people in their last year of life consumed a considerable amount of both municipal care and outpatient and in-hospital medical care, especially those living at home, which in several cases ended with death in hospital.

  • 2.
    Werntoft, Elisabet
    et al.
    Department of Health Sciences, Lund University.
    Rahm Hallberg, Ingalill
    Department of Health Sciences, Lund University.
    Elmståhl, Sölve
    Department of Health Sciences, Lund University.
    Edberg, Anna-Karin
    Department of Health Sciences, Lund University.
    Older people's views of prioritization in health care2005In: Aging Clinical and Experimental Research, ISSN 1594-0667, E-ISSN 1720-8319, Vol. 17, no 5, p. 402-411Article in journal (Refereed)
    Abstract [en]

    BACKGROUND AND AIMS: The aim of this study was to investigate and compare older people's views of prioritization in health care with specific regard to age, gender and HRQoL.

    METHODS: The sample was collected from a prospective longitudinal cohort study, the GAS project (Good Ageing in Skane) that is in progress in Sweden. For this study, 902 persons, 424 men and 478 women, aged between 60 and 93 years, were invited consecutively over a period of 17 months to participate in an additional structured interview based on an interview manual. Socio-demographic and HRQoL data were collected from the GAS project. For the analysis, the sample was divided into age groups: young-old, old-old, and oldest-old.

    RESULTS: Older people in general did not want age as a criterion for prioritization in health care. When pain was added as a criterion, age became even less important than when it was the sole criterion. The oldest-old, to a higher degree than the other age groups, prioritized younger patients, as did men, while women, more than men, preferred "old age" as an indicator for prioritization. The respondents' views on prioritization were also more associated with age and gender than HRQoL.

    CONCLUSIONS: Older people's views of priorities seem to differ from previous population-based studies, in that age per se as a criterion for selection between patients was not favored; health and wellbeing were more important. Differences were, however, found within the group of older people, as regards both age and gender.

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