Deinstitutionalization of the elderly in Finland, 1981-91

Scandinavian Journal of Public Health

Volumn 25, Issue 2, 1997, Pages 136-143

  Aro, Seppo ^a   Noro, Anja ^a   Salinto, Marjo ^a  

^a NATIONAL PUBLIC HEALTH INSTITUTE   (Finland)

Author keywords

deinstitutionalization; dependency level; elderly; length of stay; long term care; psychiatric care

Indexed keywords

AGED; ARTICLE; CASE MIX; DEINSTITUTIONALIZATION; FEMALE; FINLAND; GERIATRIC CARE; HEALTH CARE POLICY; HUMAN; INSTITUTIONALIZATION; LENGTH OF STAY; LONG TERM CARE; MAJOR CLINICAL STUDY; MALE; MENTAL HEALTH CARE; NURSING HOME; PRIORITY JOURNAL; RESIDENTIAL HOME;

EID: 26844562641     PISSN: 14034948     EISSN: None     Source Type: Journal    
DOI: 10.1177/140349489702500211     Document Type: Article

References (44)

1. Statistical Yearbook of Finland 1993. Helsinki: Statistics Finland, 1993.
2. Families 1990. SVT, Population 1992: 7. Helsinki: Statistics Finland, 1990.
3. Doty P. Long-term care in international perspective. Health Care Financing Review 1988; 1988 Annual Supplement: 145-155.
4. Mechanic D. Health Care and the Elderly. Annals, AAPSS 1989; 503: 89-98.
5. Berg S., Branch L.G., Doyle A.E., Sundstrom G. Institutional and Home-Based Long-Term Care Alternatives: The 1965–1985 Swedish Experience. The Gerontologist 1988; 28: 825-9.
6. Thorslund M. The de-institutionalization of care of the elderly: some notes about implementation and outcome of a Swedish case-study. Health Policy 1988; 10: 44-56.
7. Weissert W.G., Cready C.M., Pawelak J.E. The Past and Future of Home-and Community-based Long-Term Care. The Milbank Quarterly 1988; 66: 307-388.
8. Daatland S.O. Stress and strategies in care systems: the Scandinavian experience. Soc Sci Med 1994; 38: 867-874.
9. Coleman B.J. European Models of Long-Term Care in the Home and Community. International Journal of Health Services 1995; 25(3): 455-474.
10. Health for all policy in Finland. Copenhagen: WHO Regional Office for Europe, 1991.
11. Thorslund M., Johansson L. Elderly People in Sweden: Current Realities and Future Plans. Agcing and Society 1987; 7: 345-355.
12. Thorslund M. The increasing number of very old people will change the Swedish model of the welfare state. Soc Sci Med 1991; 32: 455-464.
13. Johansson L. Elderly care policy, formal and informal care. The Swedish case. Health Policy 1991; 18: 231-242.
14. Lagergren M. The residential home – what difference does it make? Comparing the public systems of care for the elderly and disabled in two Swedish municipalities. Scand J Soc Welfare 1993; 2: 25-32.
15. Nygaard H.A., Albrektsen G. Risk factors for Admission to a Nursing Home. A study of elderly people receiving home nursing. Scan J Prim Health Care 1992; 10: 128-133.
16. Kivelä S.-L. Indicators of Permanent Institutional Care. Scan J Prim Health Care 1985; 3: 39-43.
17. Niinistö L. Kotona asuvien ja pysyvästi laitoshoidossa olevien vanhusten eroavuudet (The elderly at home and in permanent institutional care) (In Finnish). Helsinki: Lääkintöhallituksen tutkimuksia 46, 1987.
18. Valvanne J. Vanhusten terveystarkastuslöydösten ennu-stemerkitys. Helsinkiläisten 75-, 80- ja 85-vuotiaiden yhden vuoden seurantatutkimus (The prognostic significance of clinical findings in the elderly. A one year follow-up study of groups of people aged 75, 80 and 85 years living in Helsinki) (In Finnish). Helsinki: Geriatrian yksikkö, II sisätautien klinikka, Helsingin yliopisto, 1992.
19. Aalto U. Pitkäaikaishoitoon Helsingissä vuosina 1978–1985 pyrkineiden laitoshoidon ja eliniän ennuste (Applicants for long-term institutional care in Helsinki in 1978–1985, fulfilment of institutional care among applicants and their life expectancy) (In Finnish). Helsinki: Helsingin kaupungin terveysvirasto, 1991.
20. Andersson M. Institutionalization of the elderly and characteristics of nursing home patients. Compr Gerontol Suppl issue A + B 1989; 3: 1-7.
21. Kemper P., Murtaugh C.M. Lifetime use of nursing home care. New Engl J Med 1991; 324: 595-600.
22. Weissert W.G., Cready C.M. Toward a Model for Improved Targeting of Aged at Risk of Institutionalization. HSR 1989; 24: 485-510.
23. Hanley R.J., Alecxih L.M.B., Wiener J.M., Kennel D.L. Predicting Elderly Nursing Home Admissions. Results From the 1982–1984 National Long-Term Care Survey. Research on Aging 1990; 12: 199-228.
24. Branch L.G., Jette A.M. A Prospective Study of Long-Term Care Institutionalization among the Aged. Am J Public Health 1982; 72: 1373-9.
25. Wingard D.L., Jones D.W., Kaplan R.M. Institutional Care Utilization by The Elderly: A Critical Review. The Gerontologist 1987; 27: 156-163.
26. Shapiro E., Tate R. Predictors of long term care facility use among the elderly. Canadian Journal of Ageing 1985; 4: 11-19.
27. Greenberg J.N., Ginn A. A Multivariate Analysis of the Predictors of Long-Term Care Placement. Home Health Care Services Quarterly 1979; 1: 75-99.
28. Vaarama M. Vanhusten palvelujen tavoitteet ja todellis-uus. Katsaus vanhusväestön elinoloihin, palvelutarpei-siin ja sosiaali-ja terveyspalveluihin (Aims and reality of services for the elderly. A survey of living conditions, need for services and health and social services) (In Finnish). Helsinki: Sosiaali-ja terveyshallitus raportteja 48, 1992.
29. Johansson L., Thorslund M. Care needs and sources of support in a nationwide sample of elderly in Sweden. Z Gerontol 1992; 25: 57-62.
30. Salmela R., Hemminki E. Health trends in the Nordic countries. Annus Medicus 1990. Kobenhavn: NOMESKO, 1990.
31. Gierveld J., van Solinge H. Aging and its consequences for the socio-medical system. Strasbourg: Council of Europe, 1994.
32. Holstein B.E., Due P., Almind G., Holst E. The Home-Help Service in Denmark. In: Jamieson A, ed. Home Care for Older People in Europe. A Comparison of Policies and Practices. Oxford: Commission of the European Communities. Health Services Research Series No. 7. Oxford University Press, 1991: 38-62.
33. Petersen C. The development in local authority services for elderly. Danish Medical Bulletin 1992; 39: 246-8.
34. Daatland S.O. Adapting the “Scandinavian Model” of Care for Elderly People. In: Caring for Frail Elderly People. Policies in evolution. Paris: OECD, Social Policy Studies No. 19, 1996: 247-260.
35. Health for All by the Year 2000 The Finnish National Strategy. Helsinki: Ministry of Social Affairs and Health, 1987.
36. Health for All by the Year 2000 Revised Strategy for Co-operation. Helsinki: Ministry of Social Affairs and Health, Publication series 1993: 9, 1993.
37. Komiteanmietintö 1996: 1. Vanhuspolitiikkaa vuoteen 2001. Suomen vanhuspoliittisen tavoite- ja strategiato-imikunnan mietintö (Elderly policy to the year 2001. Report of the Committee of Finland's elderly policy targets and strategy) (In Finnish). Helsinki: Sosiaali- ja terveysministeriö, 1996.
38. Valtakunnallinen suunnitelma sosiaali- ja terveydenhu-ollon järjestämisestä vuosina 1993–1996 (National plan for social and health care in 1993–1996) (In Finnish). Helsinki: Painatuskeskus, 1992.
39. Hermanson T., Aro S., Bennett C.M. Letter from Helsinki: Finland's Health Care System. Universal Access to Health Care in a Capitalistic Democracy. JAMA 1994; 271: 1957-1962.
40. Health Care 1994: 2. Health Care. Jyväskylä: National Research and Development Centre for Welfare and Health, 1994.
41. Health 1992: 7. Census of patients in psychiatric wards 1984–1991. Helsinki: Official Statistics of Finland, National Agency for Welfare and Health, 1992.
42. Hakkarainen A. Changes in the mental hospital population and legal reform. Tampere: Tampereen yliopiston kansanterveystieteen laitos, 1991.
43. Heikkinen J. Vanhainkotiasukkaan terveydentila ja ennuste (Health and prognosis of residents in an old people's home) (In Finnish). Tampere: Tampereen yliopisto, 1986.
44. Liu K. A Data Perspective on Long-Term Care. The Gerontologist 1994; 34: 476-481.