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Exploring Assistance in Sweden and the United States

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Title: Exploring Assistance in Sweden and the United States
Language: English
Authors: Shea, Dennis, Davey, Adam, Femia, Elia E., Zarit, Steven H., Sundstrom, Gerdt, Berg, Stig, Smyer, Michael A.
Source: Gerontologist. Oct 2003 43(5):712-721.
Availability: Gerontological Society of America. 1030 15th Street NW Suite 250, Washington, DC 20005. Tel: 202-842-1275; Fax: 202-842-1150; e-mail: geron@geron.org; Web site: http://www.geron.org/journals/gsapub.htm
Peer Reviewed: Y
Page Count: 10
Publication Date: 2003
Document Type: Journal Articles
Reports - Research
Descriptors: Health Services, National Surveys, Foreign Countries, Comparative Analysis, Daily Living Skills, Older Adults, Community Health Services, Regression (Statistics)
Geographic Terms: Sweden, United States
ISSN: 0016-9013
Abstract: Purpose: Few international comparisons of health services are performed using microlevel data. Using such data, this paper compares the need for and receipt of assistance with activities of daily living (ADLs) in comparable samples in the United States and Sweden, a country with a universal system of community-based services. Design and Methods: Data from national surveys of community residents completed at approximately the same time in each nation are used to create comparable measures of need and assistance. Descriptive and logistic regression analyses compare need and assistance patterns across the nations and identify individual factors that explain receipt of assistance and unmet needs. Results: Our results indicate that a simple story of greater use of paid formal services in Sweden and more unpaid informal use in the United States masks a more complex relationship. Assistance with ADLs seems to be more targeted in Sweden; narrow differences in assistance widen considerably when the analysis is limited to those reporting need. Implications: Although these two different health systems result in similar levels of overall ADL assistance, a detailed microlevel comparison reveals key distinctions. Further microlevel comparisons of access, cost, and quality in cross-national data can further aid our understanding of the consequences of health policy.
Abstractor: As Provided
Entry Date: 2009
Access URL: https://gerontologist.gerontologyjournals.org/cgi/content/abstract/43/5/712
Accession Number: EJ824309
Database: ERIC
FullText Text:
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  Data: Exploring Assistance in Sweden and the United States
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  Data: <searchLink fieldCode="SO" term="%22Gerontologist%22"><i>Gerontologist</i></searchLink>. Oct 2003 43(5):712-721.
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  Data: Gerontological Society of America. 1030 15th Street NW Suite 250, Washington, DC 20005. Tel: 202-842-1275; Fax: 202-842-1150; e-mail: geron@geron.org; Web site: http://www.geron.org/journals/gsapub.htm
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  Data: <searchLink fieldCode="DE" term="%22Sweden%22">Sweden</searchLink><br /><searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
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  Data: Purpose: Few international comparisons of health services are performed using microlevel data. Using such data, this paper compares the need for and receipt of assistance with activities of daily living (ADLs) in comparable samples in the United States and Sweden, a country with a universal system of community-based services. Design and Methods: Data from national surveys of community residents completed at approximately the same time in each nation are used to create comparable measures of need and assistance. Descriptive and logistic regression analyses compare need and assistance patterns across the nations and identify individual factors that explain receipt of assistance and unmet needs. Results: Our results indicate that a simple story of greater use of paid formal services in Sweden and more unpaid informal use in the United States masks a more complex relationship. Assistance with ADLs seems to be more targeted in Sweden; narrow differences in assistance widen considerably when the analysis is limited to those reporting need. Implications: Although these two different health systems result in similar levels of overall ADL assistance, a detailed microlevel comparison reveals key distinctions. Further microlevel comparisons of access, cost, and quality in cross-national data can further aid our understanding of the consequences of health policy.
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  Data: 2009
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      – Text: English
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      Pagination:
        PageCount: 10
        StartPage: 712
    Subjects:
      – SubjectFull: Health Services
        Type: general
      – SubjectFull: National Surveys
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      – SubjectFull: Foreign Countries
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      – SubjectFull: Comparative Analysis
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      – SubjectFull: Daily Living Skills
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      – SubjectFull: Sweden
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      – SubjectFull: United States
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