ArticlePloS one2019
Individual and country-level determinants of nursing home admission in the last year of life in Europe.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 17 citations in OpenAlex.
- Addressing healthcare vulnerabilities in nursing homes : Insights from human rights monitoring in two Austrian provinces.Wiener klinische Wochenschrift · 2025Article
- Costs of Care in Relation to Alzheimer's Disease Severity in Sweden: A National Registry-Based Cohort Study.PharmacoEconomics · 2025Article
- A European National Health and Social Service model: the S of social.Internal and emergency medicine · 2024Article
- Functional and Psychosocial Profile of Older People Living in Nursing Homes: Findings from the European Survey of Health, Ageing and Retirement in Europe (SHARE).Healthcare (Basel, Switzerland) · 2023Article
- Unhealed pressure ulcers among nursing home residents with diabetes.Archives of gerontology and geriatrics · 2023Article
- Long-term care use among people living with dementia: a retrospective register-based study from Sweden.BMC geriatrics · 2022Article
- Predictors of nursing home admission in the older population in Belgium: a longitudinal follow-up of health interview survey participants.BMC geriatrics · 2022Article
- Article
- Social inequality and the risk of living in a nursing home: implications for the COVID-19 pandemic.Genus · 2021Article
- Use of healthcare services and assistive devices among centenarians: results of the cross-sectional, international5-COOP study.BMJ open · 2020Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
backgroundPrevious research has focussed on individual-level determinants of nursing home admission (NHA), although substantial variation in the prevalence of NHA between European countries suggests a substantial impact of country of residence. The aim of this analysis was to assess individual-level determinants and the role of country of residence and specifically a country`s public institutional long-term care infrastructure on proxy-reported NHA in the last year of life.
methodsWe analysed data from 7,018 deceased respondents (65+) of the Survey of Health, Ageing and Retirement in Europe (2004-2015, 16 countries) using Bayesian hierarchical logistic regression analysis in order to model proxy-reported NHA.
resultsIn total, 14% of the general older population utilised nursing home care in the last year of life but there was substantial variation across countries (range = 2-30%). On the individual-level, need factors such as functional and cognitive impairment were the strongest predictors of NHA. In total, 18% of the variance of NHA was located at the country-level; public expenditure on institutional care strongly affected the chance of NHA in the last year of life.
conclusionOn the individual-level, the strong impact of need factors indicated equitable access to NHA, whereas differences in public spending for institutional care indicated inequitable access across European countries.
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