Cargando…

The influence of individual and municipality characteristics on allocation of long-term care services: a register-based cross-sectional study

BACKGROUND: Variation 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 a...

Descripción completa

Detalles Bibliográficos
Autores principales: Burrell, Lisa Victoria, Rostad, Hanne Marie, Wentzel-Larsen, Tore, Skinner, Marianne Sundlisæter, Sogstad, Maren Kristine Raknes
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10373409/
https://www.ncbi.nlm.nih.gov/pubmed/37501173
http://dx.doi.org/10.1186/s12913-023-09641-y
_version_ 1785078563937976320
author Burrell, Lisa Victoria
Rostad, Hanne Marie
Wentzel-Larsen, Tore
Skinner, Marianne Sundlisæter
Sogstad, Maren Kristine Raknes
author_facet Burrell, Lisa Victoria
Rostad, Hanne Marie
Wentzel-Larsen, Tore
Skinner, Marianne Sundlisæter
Sogstad, Maren Kristine Raknes
author_sort Burrell, Lisa Victoria
collection PubMed
description BACKGROUND: Variation 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. METHODS: This 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. RESULTS: In 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. CONCLUSIONS: The 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.
format Online
Article
Text
id pubmed-10373409
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-103734092023-07-28 The influence of individual and municipality characteristics on allocation of long-term care services: a register-based cross-sectional study Burrell, Lisa Victoria Rostad, Hanne Marie Wentzel-Larsen, Tore Skinner, Marianne Sundlisæter Sogstad, Maren Kristine Raknes BMC Health Serv Res Research BACKGROUND: Variation 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. METHODS: This 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. RESULTS: In 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. CONCLUSIONS: The 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. BioMed Central 2023-07-27 /pmc/articles/PMC10373409/ /pubmed/37501173 http://dx.doi.org/10.1186/s12913-023-09641-y Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Burrell, Lisa Victoria
Rostad, Hanne Marie
Wentzel-Larsen, Tore
Skinner, Marianne Sundlisæter
Sogstad, Maren Kristine Raknes
The influence of individual and municipality characteristics on allocation of long-term care services: a register-based cross-sectional study
title The influence of individual and municipality characteristics on allocation of long-term care services: a register-based cross-sectional study
title_full The influence of individual and municipality characteristics on allocation of long-term care services: a register-based cross-sectional study
title_fullStr The influence of individual and municipality characteristics on allocation of long-term care services: a register-based cross-sectional study
title_full_unstemmed The influence of individual and municipality characteristics on allocation of long-term care services: a register-based cross-sectional study
title_short The influence of individual and municipality characteristics on allocation of long-term care services: a register-based cross-sectional study
title_sort influence of individual and municipality characteristics on allocation of long-term care services: a register-based cross-sectional study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10373409/
https://www.ncbi.nlm.nih.gov/pubmed/37501173
http://dx.doi.org/10.1186/s12913-023-09641-y
work_keys_str_mv AT burrelllisavictoria theinfluenceofindividualandmunicipalitycharacteristicsonallocationoflongtermcareservicesaregisterbasedcrosssectionalstudy
AT rostadhannemarie theinfluenceofindividualandmunicipalitycharacteristicsonallocationoflongtermcareservicesaregisterbasedcrosssectionalstudy
AT wentzellarsentore theinfluenceofindividualandmunicipalitycharacteristicsonallocationoflongtermcareservicesaregisterbasedcrosssectionalstudy
AT skinnermariannesundlisæter theinfluenceofindividualandmunicipalitycharacteristicsonallocationoflongtermcareservicesaregisterbasedcrosssectionalstudy
AT sogstadmarenkristineraknes theinfluenceofindividualandmunicipalitycharacteristicsonallocationoflongtermcareservicesaregisterbasedcrosssectionalstudy
AT burrelllisavictoria influenceofindividualandmunicipalitycharacteristicsonallocationoflongtermcareservicesaregisterbasedcrosssectionalstudy
AT rostadhannemarie influenceofindividualandmunicipalitycharacteristicsonallocationoflongtermcareservicesaregisterbasedcrosssectionalstudy
AT wentzellarsentore influenceofindividualandmunicipalitycharacteristicsonallocationoflongtermcareservicesaregisterbasedcrosssectionalstudy
AT skinnermariannesundlisæter influenceofindividualandmunicipalitycharacteristicsonallocationoflongtermcareservicesaregisterbasedcrosssectionalstudy
AT sogstadmarenkristineraknes influenceofindividualandmunicipalitycharacteristicsonallocationoflongtermcareservicesaregisterbasedcrosssectionalstudy