Exploring Assistance in Sweden and the United States
| Autor: | Gerdt Sundström, Stig Berg, Michael A. Smyer, Dennis G. Shea, Elia E. Femia, Adam Davey, Steven H. Zarit |
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| Rok vydání: | 2003 |
| Předmět: |
Cross-Cultural Comparison
Male Economic growth Activities of daily living National Health Programs Home Nursing Social support Age Distribution Activities of Daily Living Humans Medicine Community-based care Health policy Aged Aged 80 and over Sweden Receipt Health Services Needs and Demand business.industry International comparisons Social Support General Medicine Home Care Services Long-Term Care Cross-cultural studies United States Long-term care Multivariate Analysis Regression Analysis Female Demographic economics Geriatrics and Gerontology business Gerontology |
| Zdroj: | The Gerontologist. 43:712-721 |
| ISSN: | 1758-5341 0016-9013 |
| DOI: | 10.1093/geront/43.5.712 |
| Popis: | Purpose: Few international comparisons of health services are performed using microlevel data. Using such data, this paper compares the need for and receipt of assistance with activities of daily living (ADLs) in comparable samples in the United States and Sweden, a country with a universal system of community-based services. Design and Methods: Data from national surveys of community residents completed at approximately the same time in each nation are used to create comparable measures of need and assistance. Descriptive and logistic regression analyses compare need and assistance patterns across the nations and identify individual factors that explain receipt of assistance and unmet needs. Results: Our results indicate that a simple story of greater use of paid formal services in Sweden and more unpaid informal use in the United States masks a more complex relationship. Assistance with ADLs seems to be more targeted in Sweden; narrow differences in assistance widen considerably when the analysis is limited to those reporting need. Implications: Although these two different health systems result in similar levels of overall ADL assistance, a detailed microlevel comparison reveals key distinctions. Further microlevel comparisons of access, cost, and quality in cross-national data can further aid our understanding of the consequences of health policy. |
| Databáze: | OpenAIRE |
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