ArticleHealth services insights2019
Signs of Inequality? Variations in Providing Home Health Care Across Care Organizations and Across European Countries in the IBenC Study.
Article in Health services insights, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
8 citing papers in PubMed, 17 citations in OpenAlex.
- Is practice variation determined in the needs assessments performed by Dutch home care nurses? A cross-sectional multilevel analysis.BMJ open · 2026Article
- Social inequalities in the use of formal and informal home care in older women: evidence from a large UK cohort study.Age and ageing · 2025Article
- Determinants of received care time among Finnish home care clients and assisted living facility residents: a time-motion study.BMC geriatrics · 2024Observational
- Practice variation in home care nursing: mapping potential explanations through a scoping review of the literature.Research in health services & regions · 2024Article
- The prevalence of non-pharmacological interventions in older homecare recipients: an overview from six European countries.European geriatric medicine · 2024Article
- Inter-provincial variation in older home care clients and their pathways: a population-based retrospective cohort study in Canada.BMC geriatrics · 2023Article
- Measures to improve patient needs assessments and reduce practice variation in Dutch home care organizations.Nursing open · 2023Article
- Changes in home care clients' characteristics and home care in five European countries from 2001 to 2014: comparison based on InterRAI - Home Care data.BMC health services research · 2021Article
Corrections and comments
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Authors and funding
11 authors at 8 institutions in 6 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Most countries aim to allocate home health care to those in need in a fair and equal way. Equal allocation implies that the amount of home care a person receives would reflect the level of health impairment and the need for resources. It is not clear whether countries succeed in attaining this. Our objective was to explore signs of (un)equal home health care provisioning across care organizations and across European health countries. We used data of the IBenC study collected from 2718 older community care recipients from 33 organizations in 6 Western European countries (www.ibenc.eu). We benchmarked differences of provided and expected formal care time across organizations and countries. Expected formal care hours were estimated by multiplying the overall sample's mean formal hours with recipients' case mix weights from interRAI's resources utilization group profiles. We found substantial variations in provided formal care time among organizations both within and across countries that could not be explained by the case mix differences of recipients. This implied presence of inequality of home care provisioning. These findings may alert professionals and policy makers striving for equal home health care provisioning for dependent older persons.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.