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. 2020 Jun 23;19(1):90.
doi: 10.1186/s12904-020-00598-x.

Health- and social care in the last year of life among older adults in Sweden

Jenny Hallgren  1   2 , Linda Johansson  3 , Christina Lannering  3   4 , Marie Ernsth Bravell  3 , Catharina Gillsjö  5   6
Affiliations

Health- and social care in the last year of life among older adults in Sweden

Jenny Hallgren et al. BMC Palliat Care. .

Abstract

Background: In the last years of life, burden of disease and disability and need of health- and social care often increase. Social, functional and psychological factors may be important in regard to social- and health care utilization. This study aims to describe use of health- and social care during the last year of life among persons living in ordinary housing or in assisted living facilities.

Methods: A retrospective study examining health- and social care utilization during their last year of life, using a subsample from the Swedish twin registries individually linked to several Swedish national quality registries (NQR). Persons that died during 2008-2009 and 2011-2012 (n = 1518) were selected.

Results: Mean age at death was 85.9 ± 7.3 (range 65.1-109.0). Among the 1518 participants (women n = 888, 58.5%), of which 741 (49%) were living in assisted living facilities and 1061 (69.9%) had at least one hospitalization during last year of life. The most common causes of death were cardiovascular disease (43.8%) and tumors (15.3%). A multivariable logistic regression revealed that living in ordinary housing, younger age and higher numbers of NQR's increased the likelihood of hospitalization.

Conclusions: Persons in their last year of life consumed high amount of health- and social care although 12% did not receive any home care. Married persons received less home care than never married. Persons living in ordinary housing had higher numbers of hospitalizations compared to participants in assisted living facilities. Older persons and persons registered in fewer NQR's were less hospitalized.

Keywords: Home care services; Hospitalization; Last year of life; National Quality Registries; Older adults.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Fig. 1
Fig. 1
Primary diagnoses of all hospitalizations
Fig. 2
Fig. 2
Mean length of stay in hospitals divided in primary diagnose during the last year of life
Fig. 3
Fig. 3
Numbers of participants in hospitals per week during their last year of life
See this image and copyright information in PMC

References

    1. Overbeek A, et al. Admissions to inpatient care facilities in the last year of life of community-dwelling older people in Europe. Eur J Public Health. 2017;27(5):814–821. doi: 10.1093/eurpub/ckx105. - DOI - PMC - PubMed
    1. Abarshi E, et al. Transitions between care settings at the end of life in the Netherlands: results from a nationwide study. Palliat Med. 2010;24(2):166–174. doi: 10.1177/0269216309351381. - DOI - PubMed
    1. Bravell ME, Malmberg B, Berg S. End-of-life care in the oldest old. Palliat Support Care. 2010;8(3):335–344. doi: 10.1017/S1478951510000131. - DOI - PubMed
    1. Ministry of Health and Social Affairs . Objectives and priorities for the elderly [Mål och prioriteringar för äldreomsorg] 2011.
    1. Schön P, Lagergren M, Kåreholt I. Rapid decrease in length of stay in institutional care for older people in S weden between 2006 and 2012: results from a population-based study. Health Social Care Community. 2016;24(5):631–638. doi: 10.1111/hsc.12237. - DOI - PubMed