ArticleInnovation in aging2026
A dynamic approach to unmet needs in long-term care for older people across Europe.
Article in Innovation in aging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 authors.
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Abstract
Background and Objectives: Studies on unmet needs in long-term care (LTC) have focused on specific time points and have not adopted a dynamic approach that considers changes over time. This study examined the trajectories of unmet needs for care and support with activities of daily living (ADLs) and instrumental ADLs (IADLs) among adults aged 50+ across European countries up to 9 years after the onset of needs. Research Design and Methods: Using the longitudinal data from the SHARE survey (2011-2022; Results: An overwhelming majority of older adults experienced unmet needs at some point after the onset of needs. Multivariate analysis shows that having a cohabiting spouse/partner and higher income are associated with trajectories where care is available early on. Country-level public expenditure on LTC is also a strong determinant of belonging to different trajectories. We further explored the association between these trajectories and mortality and ADL/IADL limitations. Discussion and Implications: Results confirm the relevance of transition points, such as the time around the onset of needs, highlighting the potential role for case management and discharge teams at such transitions.
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