Department of Health Sciences, Faculty of Medicine, Lund University, P.O. Box 157, 221 00 Lund, Sweden.
Arch Gerontol Geriatr. 2010 Nov-Dec;51(3):250-6. doi: 10.1016/j.archger.2009.11.009. Epub 2009 Dec 16.
This study aimed to investigate medical healthcare utilization 3-5 years following the decision about long-term care at home vs. in special accommodation in older people. A total of 1079 people who were granted long-term care the years 2001, 2002 or 2003 were studied regarding the number of hospital stays and the number of contacts with physicians in outpatient care in the 3-5 subsequent years. Those living at home and those in special accommodation were compared regarding medical healthcare utilization during the 3-5 subsequent years. Data were collected through the study Good Aging in Skåne (GAS) and through the registers, Patient Administrative Support in Skåne (PASiS) and PrivaStat. Utilization of medical healthcare decreased slightly in the years following the decision about long-term care. Despite younger age and less dependency in activities of daily living (ADL), those living at home utilized hospital and outpatient care to a greater extent than those in special accommodation; these differences remained over time. Thus, it seems as long-term care needs to become more effective in the prevention of medical healthcare utilization among those cared for at home. More, older people who are granted long-term care at home may otherwise imply increased utilization of medical healthcare.
本研究旨在调查老年人在决定选择居家长期护理还是特殊住所长期护理后的 3-5 年内的医疗保健利用情况。对 2001、2002 或 2003 年获得长期护理的 1079 人进行了研究，以了解他们在随后的 3-5 年内住院次数和门诊医疗接触次数。比较了居家和特殊住所居住者在随后 3-5 年内的医疗保健利用情况。数据通过研究“斯科讷良好老龄化（GAS）”以及登记处“斯科讷患者行政支持（PASiS）”和“PrivaStat”收集。自长期护理决定做出后的几年里，医疗保健的利用率略有下降。尽管居家护理者年龄较小，日常生活活动能力（ADL）依赖性较低，但他们在医院和门诊的医疗保健利用率高于特殊住所居住者；这些差异随着时间的推移而持续存在。因此，似乎需要使居家护理者的长期护理更有效地预防医疗保健的利用。此外，居家接受长期护理的老年人可能意味着医疗保健的利用率会增加。
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