Signs of Inequality? Variations in Providing Home Health Care Across Care Organizations and Across European Countries in the IBenC Study.
Most countries aim to allocate home health care to those in need in a fair and equal way. Equal allocation implies that the amount of home care a person receives would reflect the level of health impairment and the need for resources. It is not clear whether countries succeed in attaining this. Our...
| Publicado en: | Health Services Insights Vol. 12 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | algorithm research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=140939595&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 140939595 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11786329 B10H jtl: Health Services Insights issn: 11786329 maglogo: Y pubinfo: dt: 2019 vid: 12 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 140939595 140939595 140939595 10.1177/1178632919837632 140939595 ppct: 1 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Signs of Inequality? Variations in Providing Home Health Care Across Care Organizations and Across European Countries in the IBenC Study. aug: au: van Hout, Hein PJ van Lier, Lisanne Draisma, Stasja Smit, Jan Finne-Soveri, Harriet Garms-Homolová, Vjenka Bosmans, Judith E Declercq, Anja Jónsson, Pálmi Onder, Graziano van der Roest, Henriëtte G affil: Department of General Practice and Elderly Care Medicine, Amsterdam UMC, Vrije Universiteit, Amsterdam Public Health, Amsterdam, The Netherlands sug: subj: Health Resource Allocation Europe Home Health Care Organizations Gerontologic Care Health Services Accessibility Human Europe Case Mix Benchmarking Descriptive Statistics Community Health Services Health Care Costs Outcomes (Health Care) Prospective Studies Belgium Germany Finland Iceland Italy Netherlands Community Living Aged Clinical Assessment Tools Functional Assessment Scales Cognition Confidence Intervals Spearman's Rank Correlation Coefficient Data Analysis Software Male Female Health Resource Utilization Nursing Care Home Health Aides Patient Care Physical Therapy Emergency Medical Services Aged: 65+ years Male Female ab: Most countries aim to allocate home health care to those in need in a fair and equal way. Equal allocation implies that the amount of home care a person receives would reflect the level of health impairment and the need for resources. It is not clear whether countries succeed in attaining this. Our objective was to explore signs of (un)equal home health care provisioning across care organizations and across European health countries. We used data of the IBenC study collected from 2718 older community care recipients from 33 organizations in 6 Western European countries (www.ibenc.eu). We benchmarked differences of provided and expected formal care time across organizations and countries. Expected formal care hours were estimated by multiplying the overall sample's mean formal hours with recipients' case mix weights from interRAI's resources utilization group profiles. We found substantial variations in provided formal care time among organizations both within and across countries that could not be explained by the case mix differences of recipients. This implied presence of inequality of home care provisioning. These findings may alert professionals and policy makers striving for equal home health care provisioning for dependent older persons. pubtype: Academic Journal doctype: algorithm research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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