ArticleBMC geriatrics2021
Transitions between levels of dependency among older people receiving social care - a retrospective longitudinal cohort study in a Swedish municipality.
Article in BMC geriatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- What characterizes first-time use of eldercare? A SNAC Stockholm Eldercare registry-based study of older people's health and care needs in Sweden.BMC health services research · 2026Article
- 'We're the Eyes and Ears… out There': A Qualitative Exploration of the Perceptions and Experiences of Polypharmacy Amongst Home Care Providers.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Older people in Sweden increasingly enter long-term care with extensive care needs-a register study of first-time users based on the SNAC Stockholm Eldercare study.European journal of ageing · 2026Article
- A qualitative exploration of professionals' perspectives on the implementation of reablement intervention programs in community care.Scientific reports · 2024Article
- Latent class of multidimensional dependency in community-dwelling older adults: evidence from the longitudinal ageing study in India.BMC geriatrics · 2024Article
- Development and content of a community-based reablement programme (I-MANAGE): a co-creation study.BMJ open · 2023Article
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2 authors.
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Abstract
backgroundKnowledge is scarce on how needs for home help and special housing evolve among older people who begin to receive support from municipal social care. The purpose of this study was to describe baseline distributions and transitions over time between levels of dependency among older persons after being granted social care in a Swedish municipality.
methodsBased on a longitudinal cohort study in a Swedish municipality, data was collected retrospectively from municipal records. All persons 65 years or older who received their first decision on social care during 2010 (n = 415) were categorized as being in mild, moderate, severe, or total dependency, and were observed until the end of 2013. Baseline distributions and transitions over time were described descriptively and analysed with survival analysis, with the Kaplan-Meier estimator, over the entire follow-up period. To test potential differences in relation to gender, we used the Cox-Proportional hazards model.
resultsBaseline distributions between mild, moderate, severe, and total dependency were 53, 16, 24, and 7.7%. During the first year, between 40 and 63% remained at their initial level of dependency. Among those with mild and moderate levels of dependency at baseline, a large proportion declined towards increasing levels of dependency over time; around 40% had increased their dependency level 1 year from baseline and at the end of the follow-up, 75% had increased their dependency level or died.
conclusionsOlder people in Sweden being allocated home help are at high risk for decline towards higher levels of dependency, especially those at mild or moderate dependency levels at baseline. Taken together, it is important that municipalities make use of existing knowledge so that they implement cost-effective preventative interventions for older people at an early stage before a decline toward increasing levels of dependency.
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