ArticleBMC health services research2020
Towards specialised and differentiated long-term care services: a cross-sectional study.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Municipal intermediate care services in Denmark and Norway: a cross-country comparative analysis.Scandinavian journal of primary health care · 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
- A Comparison of the Long-Term Care Systems in Norway and England.Health services insights · 2026Review
- 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
- Needs assessment in long-term care: expression of national principles for priority setting in service allocation.BMC health services research · 2024Article
- Navigating Rehabilitation Transitions at Street Level: A Qualitative Analysis of Municipal Service Allocation to Individuals With Complex Needs.Health services insights · 2024Article
- Feasibility of a kinect-based system in assessing physical function of the elderly for home-based care.BMC geriatrics · 2023Article
- Modes and models of care delivery in municipal long-term care services: a cross-sectional study from Norway.BMC health services research · 2023Review
- Fundamental nursing care focusing on older people's needs and continuity of long-term care: a scoping review protocol.BMJ open · 2023Article
- Publication Trends in Reablement - A Scoping Review.Journal of multidisciplinary healthcare · 2023Article
- Dilemmas and deliberations in managing the care trajectory of elderly patients with complex health needs: a single-case study.BMC health services research · 2022Article
- Municipal healthcare professionals' interprofessional collaboration during older patients' transitions in the municipal health and care services: a qualitative study.BMC health services research · 2022Article
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Authors and funding
4 authors.
Funding
Abstract
backgroundNumerous forces drive the evolution and need for transformation of long-term care services. During the previous decade, primary health care has assumed increased responsibility for developing and providing care services, but there is still limited knowledge about how European care service systems are evolving to address new tasks and patients. Based on data from Norwegian municipalities, this study aims to (1) describe the availability of specialised services in Norwegian nursing homes and home care services and (2) analyse whether structural factors, like population size and/or centrality, are associated with the availability of specialised services in nursing homes and home care.
methodsThis is a cross-sectional study of survey data. An online survey was designed specifically for this study. Its questions were developed from a comprehensive review of the literature and in partnership with a user panel. One representative from all of Norway's 422 municipalities were invited to answer the survey from February to April 2019. In total, 277 municipalities completed the survey (response rate 66%). Chi-square analysis and Fisher's exact test were used to test the associations between different categorical variables.
resultsSpecialised care services were highly prevalent. For example, there were nursing home units specialising in dementia care (89%) and rehabilitation (81%) and home care teams for dementia care (79%) and reablement (76%). Approximately two-thirds of our sample were categorised as having high availability of specialisation in nursing home and home care services. The larger, more central municipalities had higher availability of specialisation compared to medium-sized and small, less central municipalities.
conclusionsOur study indicates that a majority of nursing homes and home care services provide specialised and differentiated services that serve patient groups of different ages and diagnoses. Municipalities' population size and centrality are associated with availability of specialised services in nursing homes and home care services.
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