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Use of health services and home care before and after conversion of nursing home residences into private flats: Cross sectional consumer health surveys
Authors:WAGNER   LIS
Abstract:The aim of this article is to describe the attitude to a changeof nursing home residences into private flats and the use ofservices by elderly persons before and after a major intervention(in 1986) in the service-delivery organization in the DanishMunicipality of Skaevinge. In this intervention, the rooms ofa nursing home were converted into health care centre flats.Former nursing home residents were again living in private flats.Their pensions, which formerly paid for their upkeep in thenursing home, were now paid directly to them. The study is basedon cross-sectional consumer health surveys. A total of 155 elderlypersons participated in ‘before and after’ interviewswhich took place in 1985 and 1987. During the first survey,52% of the elderly persons were positive towards conversionof the nursing home; in the second survey, this figure roseto 76%. There was a significant increase in provision of homehelp from 10 to 37%, home nursing from 11 to 30% and healthadvice in general. Due to the integration of the former nursinghome staff with the home care area, staff now work as interdisciplinaryteams both inside and outside the new health care centre.
Keywords:elderly   organizational intervention   nursing home   home care
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