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dc.contributor.authorvan Hout, Hein Pj
dc.contributor.authorvan Lier, Lisanne
dc.contributor.authorDraisma, Stasja
dc.contributor.authorSmit, Jan
dc.contributor.authorFinne-Soveri, Harriet
dc.contributor.authorGarms-Homolová, Vjenka
dc.contributor.authorBosmans, Judith E
dc.contributor.authorDeclercq, Anja
dc.contributor.authorJónsson, Pálmi
dc.contributor.authorOnder, Graziano
dc.contributor.authorvan der Roest, Henriëtte G
dc.date.accessioned2019-06-18T15:39:12Z
dc.date.available2019-06-18T15:39:12Z
dc.date.issued2019-04-18
dc.date.submitted2019-06
dc.identifier.citationSigns of Inequality? Variations in Providing Home Health Care Across Care Organizations and Across European Countries in the IBenC Study. 2019, 12:1178632919837632. doi: 10.1177/1178632919837632 Health Serv Insightsen_US
dc.identifier.issn1178-6329
dc.identifier.pmid31037031
dc.identifier.doi10.1177/1178632919837632
dc.identifier.urihttp://hdl.handle.net/2336/620942
dc.descriptionTo access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked Downloaden_US
dc.description.abstractMost countries aim to allocate home health care to those in need in a fair and equal way. Equal allocation implies that the amount of home care a person receives would reflect the level of health impairment and the need for resources. It is not clear whether countries succeed in attaining this. Our objective was to explore signs of (un)equal home health care provisioning across care organizations and across European health countries. We used data of the IBenC study collected from 2718 older community care recipients from 33 organizations in 6 Western European countries (www.ibenc.eu). We benchmarked differences of provided and expected formal care time across organizations and countries. Expected formal care hours were estimated by multiplying the overall sample's mean formal hours with recipients' case mix weights from interRAI's resources utilization group profiles. We found substantial variations in provided formal care time among organizations both within and across countries that could not be explained by the case mix differences of recipients. This implied presence of inequality of home care provisioning. These findings may alert professionals and policy makers striving for equal home health care provisioning for dependent older persons.en_US
dc.description.sponsorship7th Framework Program of the European Commissionen_US
dc.language.isoenen_US
dc.publisherSAGE Publicationsen_US
dc.relation.urlhttps://journals.sagepub.com/doi/10.1177/1178632919837632en_US
dc.subjectEqualityen_US
dc.subjectbenchmarkingen_US
dc.subjectexpected careen_US
dc.subjectformal careen_US
dc.subjecthome health careen_US
dc.subjectresource utilizationen_US
dc.subjectHeimaþjónustaen_US
dc.subjectJafnréttismálen_US
dc.subject.meshHome Care Servicesen_US
dc.subject.meshPatient Rightsen_US
dc.titleSigns of Inequality? Variations in Providing Home Health Care Across Care Organizations and Across European Countries in the IBenC Study.en_US
dc.typeArticleen_US
dc.contributor.department1 Department of General Practice and Elderly Care Medicine, Amsterdam UMC, Vrije Universiteit, Amsterdam Public Health, Amsterdam, The Netherlands. 2 GGZ InGeest Mental Health Organization, Amsterdam, The Netherlands. 3 National Institute for Health and Welfare, Helsinki, Finland. 4 Department of Economics and Law, HTW Berlin University of Applied Sciences, Berlin, Germany. 5 Department of Health Sciences, Faculty Science, Vrije Universiteit Amsterdam, Amsterdam Public Health, Amsterdam, The Netherlands. 6 Centre for Sociological Research, LUCAS-KU Leuven, Leuven, Belgium. 7 Department of Geriatrics, Landspitali University Hospital, University of Iceland, Reykjavík, Iceland. 8 Department of Gerontology, Neuroscience and Orthopedics, Università Cattolica del Sacro Cuore, Rome, Italy.en_US
dc.identifier.journalHealth services insightsen_US
dc.rights.accessOpen Access - Opinn aðganguren_US
dc.departmentcodeGER12
dc.source.journaltitleHealth services insights
refterms.dateFOA2019-06-18T15:39:13Z


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