ArticleBMC health services research2023
The influence of individual and municipality characteristics on allocation of long-term care services: a register-based cross-sectional study.
Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Nurse Managers' Awareness of and Competence in Palliative Care in Municipal Care Settings: A Systematic Mixed Studies Review.Nursing & health sciences · 2026Pooled it
- Diagnoses among long-term care recipients in Norway: a nation-wide registry study on prevalence and data completeness.Scandinavian journal of public health · 2026Article
- Frontline providers' perspectives on ageing in place: negotiating older adults' self-responsibility, preventive services and community support.BMC primary 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
- 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
- The role of impaired vision and declined cognition in falls and fall-related risk factors among older people receiving home care in Finland-a cross-sectional register study.European journal of ageing · 2025Article
- Utilization of Municipal Healthcare Services Among High-Cost Older Patients in Norwegian Somatic Hospitals: A Cross-Sectional Registry Study.Health services insights · 2025Article
- Determinants of received care time among Finnish home care clients and assisted living facility residents: a time-motion study.BMC geriatrics · 2024Observational
- Allocation of Adult Day Care Services to Different User Groups: A Register-Based Cross-Sectional Study.Health services insights · 2024Article
- The care of non-institutionalized ADL-dependent people in the Orcasitas neighborhood of Madrid (Spain) during the Covid-19 pandemic and its relationship with social inequalities, intergenerational dependency and survival.Frontiers in public health · 2024Article
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5 authors.
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Abstract
backgroundVariation in service allocation between municipalities may arise as a result of prioritisation. Both individual and societal characteristics determine service allocation, but previous literature has often investigated these factors separately. The present study aims to map variation in allocation of long-term care services and investigate the extent to which service allocation is associated with characteristics related to the individual care recipient and the municipality.
methodsThis cross-sectional study used register data from the Norwegian Registry for Primary Health Care on all 250 687 individuals receiving municipal health and care services in Norway on 31 December 2019. These individual level data were paired with municipal level data from the Municipality-State-Reporting register and information on the care models in Norwegian long-term care services, derived from a nationwide survey. Multilevel analyses were used to identify individual and municipal factors that were associated with allocation of home care, practical assistance and long-term stay in institutions.
resultsIn total, 164 634 people received home care services and 97 380 received practical assistance per 31 December 2019. Furthermore, 64 404 received both types of home-based services and 31 342 people had a long-term stay in an institution. Increased disability was strongly associated with being allocated more hours of home care and practical assistance, as well as allocation of a long-term institutional stay. The amount of home care and practical assistance declined with increasing age, but the odds of institutional stay increased with age. Care recipients living alone received more home-based services, and women had higher odds of a long-term institutional stay. Significant associations between the proportion of elderly in nursing homes and allocation of a long-term institutional stay and more practical assistance emerged. Other associations with municipalities' structural characteristics and care service models were weak.
conclusionsThe influence of individual characteristics outweighed the contribution of municipality characteristics, and the results point to a limited influence of municipality characteristics on allocation of long-term care services.
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