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Disabled older peoples use of health and social care services and their unmet care needs in six European countries
Medical University of Bialystok, Poland .
Dalarna University, Sweden .
University of Medical Centre Hamburg Eppendorf, Germany .
50Plus Hellas Athens, Greece .
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2013 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 23, no 6, 1032-1038 p.Article in journal (Refereed) Published
Abstract [en]

Background: The national health and social care systems in Europe remain poorly integrated with regard to the care needs of older persons. The present study examined the range of health and social care services used by older people and their unmet care needs, across six European countries. Methods: Family carers of older people were recruited in six countries via a standard protocol. Those providing care for disabled older people (n = 2629) provided data on the older persons service use over a 6-month period, and their current unmet care needs. An inventory of 21 services common to all six countries was developed. Analyses considered the relationship between older peoples service use and unmet care needs across countries. Results: Older people in Greece, Italy and Poland used mostly health-oriented services, used fewer services overall and also demonstrated a higher level of unmet care needs when compared with the other countries. Older people in the United Kingdom, Germany and Sweden used a more balanced profile of socio-medical services. A negative relationship was found between the number of different services used and the number of different areas of unmet care needs across countries. Conclusions: Unmet care needs in older people are particularly high in European countries where social service use is low, and where there is a lack of balance in the use of health and social care services. An expansion of social care services in these countries might be the most effective strategy for reducing unmet needs in disabled older people.

Place, publisher, year, edition, pages
Oxford University Press (OUP): Policy B - Oxford Open Option D , 2013. Vol. 23, no 6, 1032-1038 p.
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-102773DOI: 10.1093/eurpub/cks190ISI: 000327735600026OAI: diva2:683907

Funding Agencies|European Union|QLK6-CT-2002-02647|

Available from: 2014-01-07 Created: 2013-12-26 Last updated: 2014-01-07

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Krevers, Barbro
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