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Time use and costs of institutionalised elderly persons with or without dementia: results from the Nordanstig cohort in the Kungsholmen Project--a population based study in Sweden.
Int J Geriatr Psychiatry. 2007 Jul; 22(7):639-48.IJ

Abstract

BACKGROUND

The aging of the population has become a worldwide phenomenon. This leads to increased demand for services and with limited resources it is important to find a way to estimate how resources can be match to those with greatest need.

AIMS

To analyse time use and costs in institutional care in relation to different levels of cognitive and functional capacity for elderly persons.

METHODS

The population consisted of all institutionalised inhabitants, 75 + years, living in a rural community (n = 176). They were clinically examined by physicians and interviewed by nurses. Staff and informal care-giving time was examined with the RUD (Resource Utilization in Dementia) instrument.

RESULTS

Tobit regression analyses showed that having dementia increased the amount of ADL care time with 0.9 h when compared to those not having dementia, whereas each loss of an ADL function (0-6) added 0.6 h of ADL care time. Analysing the total care time use, the presence of dementia added more than 9 h, while each loss of one ADL function added 2.9 h. There were some informal care contributions, however with no correlation to severity in dependency. The estimated cost for institutional care increased with more than 85% for people being dependent in 5-6 ADL activities compared to persons with no functional dependency, and with 30% for persons with dementia compared to the non-demented.

CONCLUSION

There is a variation in time use in institutional settings due to differences in ADL dependency but also whether dementia is present or not. This variation has implications for costs of institutional care.

Authors+Show Affiliations

Aging Research Center (ARC), Karolinska Institutet, Stockholm, Sweden. Gunilla.Nordberg@ki.seNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17225239

Citation

Nordberg, Gunilla, et al. "Time Use and Costs of Institutionalised Elderly Persons With or Without Dementia: Results From the Nordanstig Cohort in the Kungsholmen Project--a Population Based Study in Sweden." International Journal of Geriatric Psychiatry, vol. 22, no. 7, 2007, pp. 639-48.
Nordberg G, Wimo A, Jönsson L, et al. Time use and costs of institutionalised elderly persons with or without dementia: results from the Nordanstig cohort in the Kungsholmen Project--a population based study in Sweden. Int J Geriatr Psychiatry. 2007;22(7):639-48.
Nordberg, G., Wimo, A., Jönsson, L., Kåreholt, I., Sjölund, B. M., Lagergren, M., & von Strauss, E. (2007). Time use and costs of institutionalised elderly persons with or without dementia: results from the Nordanstig cohort in the Kungsholmen Project--a population based study in Sweden. International Journal of Geriatric Psychiatry, 22(7), 639-48.
Nordberg G, et al. Time Use and Costs of Institutionalised Elderly Persons With or Without Dementia: Results From the Nordanstig Cohort in the Kungsholmen Project--a Population Based Study in Sweden. Int J Geriatr Psychiatry. 2007;22(7):639-48. PubMed PMID: 17225239.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Time use and costs of institutionalised elderly persons with or without dementia: results from the Nordanstig cohort in the Kungsholmen Project--a population based study in Sweden. AU - Nordberg,Gunilla, AU - Wimo,Anders, AU - Jönsson,Linus, AU - Kåreholt,Ingemar, AU - Sjölund,Britt-Marie, AU - Lagergren,Mårten, AU - von Strauss,Eva, PY - 2007/1/17/pubmed PY - 2007/12/13/medline PY - 2007/1/17/entrez SP - 639 EP - 48 JF - International journal of geriatric psychiatry JO - Int J Geriatr Psychiatry VL - 22 IS - 7 N2 - BACKGROUND: The aging of the population has become a worldwide phenomenon. This leads to increased demand for services and with limited resources it is important to find a way to estimate how resources can be match to those with greatest need. AIMS: To analyse time use and costs in institutional care in relation to different levels of cognitive and functional capacity for elderly persons. METHODS: The population consisted of all institutionalised inhabitants, 75 + years, living in a rural community (n = 176). They were clinically examined by physicians and interviewed by nurses. Staff and informal care-giving time was examined with the RUD (Resource Utilization in Dementia) instrument. RESULTS: Tobit regression analyses showed that having dementia increased the amount of ADL care time with 0.9 h when compared to those not having dementia, whereas each loss of an ADL function (0-6) added 0.6 h of ADL care time. Analysing the total care time use, the presence of dementia added more than 9 h, while each loss of one ADL function added 2.9 h. There were some informal care contributions, however with no correlation to severity in dependency. The estimated cost for institutional care increased with more than 85% for people being dependent in 5-6 ADL activities compared to persons with no functional dependency, and with 30% for persons with dementia compared to the non-demented. CONCLUSION: There is a variation in time use in institutional settings due to differences in ADL dependency but also whether dementia is present or not. This variation has implications for costs of institutional care. SN - 0885-6230 UR - https://www.unboundmedicine.com/medline/citation/17225239/Time_use_and_costs_of_institutionalised_elderly_persons_with_or_without_dementia:_results_from_the_Nordanstig_cohort_in_the_Kungsholmen_Project__a_population_based_study_in_Sweden_ L2 - https://doi.org/10.1002/gps.1724 DB - PRIME DP - Unbound Medicine ER -