ArticleBMC geriatrics2015
Social determinants of duration of last nursing home stay at the end of life in Switzerland: a retrospective cohort study.
Article in BMC geriatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Social inequity in ageing in place among older adults in Organisation for Economic Cooperation and Development countries: a mixed studies systematic review.Age and ageing · 2024Pooled it
- Factors associated with length of stay in care homes: a systematic review of international literature.Systematic reviews · 2019Pooled it
- The association of number and geographic proximity of children with care home use before all-cause and dementia deaths: a register-based study of Finnish older adults.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026Article
- The association between social risks and days at home for older veterans.Journal of the American Geriatrics Society · 2024Article
- The Association Between Social Determinants of Health and Population Health Outcomes: Ecological Analysis.JMIR public health and surveillance · 2023Article
- Patterns of long-term care utilization during the last five years of life among Swedish older adults with and without dementia.PloS one · 2023Article
- Social and Regional Factors Predict the Likelihood of Admission to a Nursing Home After Acute Hospital Stay in Older People With Chronic Health Conditions: A Multilevel Analysis Using Routinely Collected Hospital and Census Data in Switzerland.Frontiers in public health · 2022Article
- Identifying the Main Predictors of Length of Care in Social Care in Portugal.Portuguese journal of public health · 2021Article
- [Hospitalization of nursing home residents in the last phase of life: an analysis of health insurance data].Zeitschrift fur Gerontologie und Geriatrie · 2021Article
- Regional differences in healthcare costs at the end of life: an observational study using Swiss insurance claims data.International journal of public health · 2020Observational
- Article
- Long-Term Care Residents' Geriatric Syndromes at Admission and Disablement Over Time: An Observational Cohort Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2019Observational
- Individual and country-level determinants of nursing home admission in the last year of life in Europe.PloS one · 2019Article
- Mortality and hospitalization at the end of life in newly admitted nursing home residents with and without dementia.Social psychiatry and psychiatric epidemiology · 2018Article
- Marital Status and Persons With Dementia in Assisted Living.American journal of Alzheimer's disease and other dementias · 2017Article
- Vitamin D Supplementation in Tasmanian Nursing Home Residents.Drugs & aging · 2016Article
- Determinants of aggregate length of hospital stay in the last year of life in Switzerland.BMC health services research · 2016Article
- Health Care Utilisation and Transitions between Health Care Settings in the Last 6 Months of Life in Switzerland.PloS one · 2016Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDue to demographic ageing and increasing life expectancy, a growing demand for long-term nursing home care can be expected. Stays in nursing homes appear to be more socially determined than hospital stays. We therefore looked at the impact of socio-demographic and health care variables on the length of the last nursing home stay.
methodsNationwide individual data from nursing homes and hospitals in Switzerland were linked with census and mortality records. Gender-specific negative binomial regression models were used to analyze N = 35,739 individuals with an admission age of at least 65 years and deceased in 2007 or 2008 in a nursing home.
resultsPreceding death, men spent on average 790 days and women 1250 days in the respective nursing home. Adjusted for preceding hospitalizations, care level, cause of death and multimorbidity, a low educational level, living alone or being tenant as well as a low care level at the admission time increased the risk for longer terminal stays. Conversely, a high educational level, being homeowner, being married as well as a high care level at the admission time decreased the risk for longer stays. DISCUSSION: The length of the last nursing home stay before death was not only dependent on health-related factors alone, but also substantially depended on socio-demographic determinants such as educational level, homeownership or marital status. The support of elderly people at the admission time of a presumably following nursing home stay should be improved and better evaluated in order to reduce unnecessary and undesired long terminal nursing home stays.
conclusionsHealth policy should aim at diminishing the role of situational, non-health-related factors in order to empower people to spend the last years before death according to individual needs and preferences.
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