Municipal variation in health and social service use in the last 2 years of life among old people

Scandinavian Journal of Public Health

Volumn 39, Issue 4, 2011, Pages 361-370

  Forma, Leena ^a   Jylhä, Marja ^a   Aaltonen, Mari ^a   Raitanen, Jani ^a   Rissanen, Pekka ^a  

^a TAMPERE UNIVERSITY OF TECHNOLOGY   (Finland)

Author keywords

Aged; end of life; health services; long term care; multilevel analyses; municipalities; register studies

Indexed keywords

AGED; ARTICLE; COMMUNITY CARE; ECONOMICS; ELDERLY CARE; FEMALE; FINLAND; GERIATRIC NURSING; HEALTH CARE COST; HOME CARE; HOME FOR THE AGED; HUMAN; LENGTH OF STAY; LONG TERM CARE; MALE; REGISTER; SOCIAL WELFARE; STATISTICS; UTILIZATION REVIEW;

AGED; AGED, 80 AND OVER; COMMUNITY HEALTH SERVICES; FEMALE; FINLAND; GERIATRIC NURSING; HEALTH CARE COSTS; HEALTH SERVICES FOR THE AGED; HOME CARE SERVICES; HOMES FOR THE AGED; HUMANS; LENGTH OF STAY; LONG-TERM CARE; MALE; REGISTRIES; SOCIAL WELFARE;

EID: 79957517099     PISSN: 14034948     EISSN: None     Source Type: Journal    
DOI: 10.1177/1403494810396399     Document Type: Article

References (30)

1. Forma L., Rissanen P., Aaltonen M., Raitanen J., Jylhä M. Age and closeness of death as determinants of health and social care utilization: a case-control study. Eur J Public Health 2009;19:313-18.
2. Wolinsky F.D., Culler S.D., Callahan C.M., Johnson R.J. Hospital resource consumption among older adults: a prospective analysis of episodes, length of stay, and charges over a seven-year period. J Gerontol 1994;49:S240-S252.
3. Nihtilä E.K., Martikainen P.T., Koskinen S.V., Reunanen A.R., Noro A.M., Häkkinen U.T. Chronic conditions and the risk of long-term institutionalization among older people. Eur J Public Health 2008;18:77-84.
4. Fisher E.S., Wennberg J.E., Stukel T.A., Skinner J.S., Sharp S.M., Freeman J.L., et al. Associations among hospital capacity, utilization, and mortality of US Medicare beneficiaries, controlling for sociodemographic factors. Health Serv Res 2000;34:1351-62.
5. Fisher E.S., Wennberg J.E. Health care quality, geographic variations, and the challenge of supply-sensitive care. Perspect Biol Med 2003;46:69-79.
6. Virnig B.A., Kind S., McBean M., Fisher E. Geographic variation in hospice use prior to death. J Am Geriatr Soc 2000;48:1117-25.
7. Mukamel D.B., Bajorska A., Temkin-Greener H. Health care services utilization at the end of life in a managed care program integrating acute and long-term care. Med Care 2002;40:1136-48.
8. Pritchard R.S., Fisher E.S., Teno J.M., Sharp S.M., Reding D.J., Knaus W.A., et al. Influence of patient preferences and local health system characteristics on the place of death. SUPPORT Investigators. Study to Understand Prognoses and Preferences for Risks and Outcomes of Treatment. J Am Geriatr Soc 1998;46:1242-50.
9. Lahtinen Y., Mikkola T. Suurten kaupunkien terveydenhuollon kustannukset vuonna 2005. [The health care costs of big cities in year 2005.] Helsinki: The association of Finnish local and regional authorities, 2006.
10. Keskimäki I., Aro S., Teperi J. Regional variation in surgical procedure rates in Finland. Scand J Soc Med 1994;22:132-8.
11. Karvonen M., Peltola M., Isohanni M., Pirkola S., Suvisaari J., Lehtinen K., et al. PERFECT - skitsofrenia. Skitsofrenian hoito, kustannukset ja vaikuttavuus. [PERFECT - schizophrenia. Care, costs and effectiveness.] Helsinki: Stakes, 2008.
12. Skinner J., Wennberg J. How much is enough? Efficiency and Medicare spending in the last six month of life. NBER working paper series 1998.
13. Goins R.T., Hobbs G. Distribution and utilization of home-and community-based long-term care services for the elderly in North Carolina. J Aging Soc Policy 2001;12:23-42.
14. Wennberg J.E., Fisher E.S., Stukel T.A., Skinner J.S., Sharp S.M., Bronner K.K. Use of hospitals, physician visits, and hospice care during last six months of life among cohorts loyal to highly respected hospitals in the United States. BMJ 2004;328:607.
15. Fisher E.S., Wennberg D.E., Stukel T.A., Gottlieb D.J., Lucas F.L., Pinder E.L. The implications of regional variations in Medicare spending. Part 1: the content, quality, and accessibility of care. Ann Intern Med 2003;138:273-87.
16. Barnato A.E., Herndon M.B., Anthony D.L., Gallagher P.M., Skinner J.S., Bynum J.P., et al. Are regional variations in end-of-life care intensity explained by patient preferences? A Study of the US Medicare Population. Med Care 2007;45:386-93.
17. McConnel C.E., Zetzman M.R. Urban/rural differences in health service utilization by elderly persons in the United States. J Rural Health 1993;9:270-80.
18. Forma L., Rissanen P., Noro A., Raitanen J., Jylhä M. Health and social service use among old people in the last 2 years of life. Eur J Ageing 2007;4:145-54.
19. Goldstein H. Multilevel models in educational and social research. London: Griffin; 1987.
20. Hammar T., Rissanen P., Perälä M. Home-care clients’ need for help, and use and costs of services. Eur J Ageing 2008;5:147-60.
21. Rissanen P., Noro A. Ikääntyneiden potilaiden hoito- ja kotiuttamiskäytännöt. Rekisteripohjainen analyysi aivohalvaus- ja lonkkamurtumapotilaista. [Hospital care and discharge practices of elderly patients - register-based analysis.] Helsinki: Stakes, 1999.
22. Twisk J. Applied multilevel analysis: a practical guide. Cambridge : Cambridge University Press; 2007.
23. Menec V.H., Lix L., Nowicki S., Ekuma O. Health care use at the end of life among older adults: does it vary by age? J Gerontol A Biol Sci Med Sci 2007;62:400-7.
24. Nordberg M., Häkkinen U. Sairaalakäytön alueellinen vaihtelu sairastavuuden, tarjonnan ja sosioekonomisten tekijöiden vaikutus. [Determinants of geographical variation in use of hospital care in Finland.]. J Soc Med 1997;34:203-11.
25. Rissanen P., Aalto A., Nordberg M., Keskimäki I., Hakola R., Puolanne M. Kuntoutuspalvelujen kysyntään ja käyttöön vaikuttavat tekijät astmapotilailla. Teoksessa: Terveystieteiden monialainen tutkimus ja yliopistokoulutus. Suunnistuspoluilta tiedon valtateille. [Factors associated with demand and use of rehabilitation services among asthma-patients]. In: Kinnunen J., Meriläinen P., Vehviläinen-Julkunen K., Nyberg T., editors. [The multidisciplinary research and education in health sciences.]. Kuopio: University of Kuopio; 1999.
26. Keskimäki I., Aro S. Accuracy of data on diagnoses, procedures and accidents in the Finnish Hospital Discharge Register. Int J Health Sciences 1991;2:15-21.
27. Sund R., Nurmi-Luthje I., Luthje P., Tanninen S., Narinen A., Keskimäki I. Comparing properties of audit data and routinely collected register data in case of performance assessment of hip fracture treatment in Finland. Methods Inf Med 2007;46:558-66.
28. Casparie A.F. The ambiguous relationship between practice variation and appropriateness of care: an agenda for further research. Health Policy 1996;35:247-65.
29. Temkin-Greener H., Bajorska A., Mukamel D.B. Variations in service use in the Program of All-Inclusive Care for the Elderly (PACE): is more better? J Gerontol A Biol Sci Med Sci 2008;63:731-8.
30. Hujanen T., Kapiainen S., Tuominen U., Pekurinen M. Terveydenhuollon yksikkökustannukset Suomessa vuonna 2006. [The unit costs of health care in Finland 2006.] Helsinki: Stakes, 2008.