ArticleBMC health services research2017
Allocation of home care services by municipalities in Norway: a document analysis.
Article in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.
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Who cites it
37 citing papers in PubMed.
- Unseen and unread decision letters in everyday care: a case study of medication management assistance in Norwegian municipal home healthcare.Scandinavian journal of primary health care · 2026Article
- When standards fall short: The use of discretion and just allocation of long-term care services in Norway.BMC health services research · 2026Article
- Diagnoses among long-term care recipients in Norway: a nation-wide registry study on prevalence and data completeness.Scandinavian journal of public health · 2026Article
- Norwegian translation and adaptation of the INT4 version of the Adult Social Care Outcomes Toolkit (ASCOT).Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026Article
- Contested involvement of family members in service allocation processes in long-term care: a qualitative study.BMC geriatrics · 2026Article
- All-cause and cause-specific mortality in older people with and without diabetes in Norwegian home care services: a nationwide registry study.BMC geriatrics · 2025Article
- Utilization of Municipal Healthcare Services Among High-Cost Older Patients in Norwegian Somatic Hospitals: A Cross-Sectional Registry Study.Health services insights · 2025Article
- On the move: understanding home care workers' experiences of using various modes of transportation at work in an occupational health perspective.BMC health services research · 2024Article
- Associations between diabetes and risk of short-term and long-term nursing home stays among older people receiving home care services: A nationwide registry study.BMC geriatrics · 2024Article
- Medication Self-Management for Home Care Users Receiving Multidose Drug Dispensing: Qualitative Interview Study.JMIR aging · 2024Article
- An organisation working mainly reactively instead of proactively: a qualitative study of how frail users of home care services and their next of kin experience crises.BMC health services research · 2024Article
- Oral healthcare beliefs among home care services personnel; a cross-sectional study in south-eastern Norway.BMC health services research · 2024Article
- Feasibility of an implementation strategy for preventing falls in homecare services.Implementation science communications · 2024Article
- Needs assessment in long-term care: expression of national principles for priority setting in service allocation.BMC health services research · 2024Article
- Allocating municipal services to individuals with complex rehabilitation needs - a discourse analysis of individual administrative decision letters.BMC health services research · 2024Article
- Service Allocators' Experiences of Ethical Dilemmas and Strategies in Long-Term Care: A Qualitative Study.Health services insights · 2024Article
- Social Contact and Belonging Among Older People Receiving Home Care Nursing.Journal of multidisciplinary healthcare · 2024Article
- Allocation of Adult Day Care Services to Different User Groups: A Register-Based Cross-Sectional Study.Health services insights · 2024Article
- Stakeholder development of an implementation strategy for fall prevention in Norwegian home care - a qualitative co-creation approach.BMC health services research · 2023Article
- The influence of individual and municipality characteristics on allocation of long-term care services: a register-based cross-sectional study.BMC health services research · 2023Article
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Authors and funding
4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundIn Norway, elder care is primarily a municipal responsibility. Municipal health services strive to offer the 'lowest level of effective care,' and home healthcare services are defined as the lowest level of care in Norway. Municipalities determine the type(s) of service and the amount of care applicants require. The services granted are outlined in an individual decision letter, which serves as a contract between the municipality and the home healthcare recipient. The purpose of this study was to gain insight into the scope and duration of home healthcare services allocated by municipalities and to determine where home care recipients live in relation to home healthcare service offices.
methodsA document analysis was performed on data derived from 833 letters to individuals allocated home care services in two municipalities in Northern Norway (Municipality A = 500 recipients, Municipality B = 333 recipients).
resultsIn Municipality A, 74% of service hours were allotted to home health nursing, 12% to practical assistance, and 14% to support contact; in Municipality B, the distribution was 73%, 19%, and 8%, respectively. Both municipalities allocated home health services with no service end date (41% and 85% of the total services, respectively). Among recipients of "expired" services, 25% in Municipality A and 7% in Municipality B continued to receive assistance.
conclusionsOur findings reveal that the municipalities adhered to the goal for home care recipients to remain at home as long as possible before moving into a nursing home. The findings also indicate that the system for allocating home healthcare services may not be fair, as the municipalities lacked procedures for revising individual decisions. Our findings indicate that local authorities should closely examine how they design individual decisions and increase their awareness of how long a service should be provided.
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