How equitable is Sweden's changing care-mix? Linking individual and regional characteristics over time

Adam Davey, Jyoti Savla, Gerdt Sundström, Steven H. Zarit, Bo Malmberg

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Given its relative ethnic and socio-economic homogeneity, Sweden is an ideal nation for the study of variations in formal and informal care as a function of gender, disability and advanced age. This paper reports an analysis of the relationships between gender, disability and age and the formal care delivered to more than 1,200 people aged 75 or more years in Sweden in 1994 and 2000. In municipalities that provided above-average home-help hours per recipient, and that had high institutional placement rates, women were relatively less likely to have been receiving informal assistance alone, those with greater disability were more likely to have been receiving all forms of assistance, the oldest-old were less likely to have been receiving either informal or formal help alone, and rates of formal assistance and of no informal care were relatively low. In municipalities with high rates of institutional placement, the oldest-old were relatively more likely to have been receiving both formal and informal assistance. Sweden's system of old-age care appears broadly equitable although the quality of care could not be fully assessed. Although home and community-based service provision (HCBS) has recently decreased, variations in the volume and mix of delivered formal services reflect differences in need.

Original languageEnglish (US)
Pages (from-to)511-532
Number of pages22
JournalAgeing and Society
Volume27
Issue number4
DOIs
StatePublished - Jul 1 2007

Keywords

  • Care-mix
  • Community-based services
  • Formal care
  • Home-based services
  • Informal care
  • Sweden

ASJC Scopus subject areas

  • Social Psychology
  • Health(social science)
  • Arts and Humanities (miscellaneous)
  • Geriatrics and Gerontology
  • Public Health, Environmental and Occupational Health

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