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BMC Geriatrics

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Open Access 01-12-2023 | Care | Research

Predictors of long-term care use - informal home care recipients versus private and public facilities residents in Poland

Authors: Małgorzata Wrotek, Małgorzata Kalbarczyk

Published in: BMC Geriatrics | Issue 1/2023

Abstract

Background

The population aging, together with the shrinking caring potential of families, is a major challenge for social policy in the coming years. The aim of the study is to identify the factors that determine not only the use of long-term care (LTC) but also the selection of individual types of such care in Poland.

Methods

Using unique data collected from inpatient LTC facilities in Poland and the Survey on Health, Ageing and Retirement in Europe (SHARE) database, we estimate logistic regressions explaining the choice of LTC solution.

Results

Our results suggest that social inequalities play a role in choosing the type of LTC. Better educated people choose private institutions, while people without support network use more often social residential homes. The impact of multimorbidity on choosing different types of inpatient facilities is limited, thus the number of ADL limitations remains a better indicator of long term care utilization.

Conclusions

The study confirms that social inequalities influence decisions about the choice of LTC. However, multi-morbidity is a predictor of using LTC to a limited extent. The differences in LTC selection determinants between women and men are noticeable.

Available only for authorised users

Authors’ calculations based on data from Eurostat - Population on 1 January by age group and sex [demo_pjangroup] access: July 30, 2022.

Authors’ calculations based on data from Eurostat – EUROPOP-19 - Demographic balances and indicators by type of projection [proj_19ndbi]; Baseline projections; access: July 30, 2022.

Including nursing homes, psychiatric nursing homes and psychiatric chronic medical care homes, hospices as well as palliative care wards.

This group included the people who received help with paper work (but did not receive any personal or domestic help), as we decided that it is not a good predictor of being independent and it concerned only 25 observations (1,4% of no LTC group).

Data was unweighted due to the combination of two databases, so statistics are specified for our sample and should not to be generalized onto whole population of LTC recipients.

Group of selected diseases includes: Parkinson disease, heart diseases (inc. myocardial infarction), respiratory system diseases, chronic renal failure, Alzheimer or dementia diseases, mental health problems – other, other diseases (incl. stroke, somatic problems).

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Title: Predictors of long-term care use - informal home care recipients versus private and public facilities residents in Poland
Authors: Małgorzata Wrotek
Małgorzata Kalbarczyk
Publication date: 01-12-2023
Publisher: BioMed Central
Keyword: Care
Published in: BMC Geriatrics / Issue 1/2023
Electronic ISSN: 1471-2318
DOI: https://doi.org/10.1186/s12877-023-04216-2

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Keynote webinar | Spotlight on medication adherence

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Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin

Prof. Florian Limbourg

Prof. Anoop Chauhan

Developed by: Springer Medicine

Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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Other articles of this Issue 1/2023

Dementia subtypes, cognitive decline and survival among older adults attending a memory clinic in Cape Town, South Africa: a retrospective study

The impact of COVID-19 on the mental health of older sexual minority Canadians in the CLSA

Incidence and risk factors for polypharmacy among elderly people assisted by primary health care in Brazil

The factors associated with cognitive function among community-dwelling older adults in Taiwan

Infective endocarditis in octogenarians. A retrospective study in a single, high-volume surgical centre

Implications of the medication regimen complexity index score on hospital readmissions in elderly patients with heart failure: a retrospective cohort study

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

At a glance: The STEP trials