• norsk
    • English
  • English 
    • norsk
    • English
  • Login
View Item 
  •   Home
  • Fakultet for medisin og helsevitenskap (MH)
  • Institutt for samfunnsmedisin og sykepleie
  • View Item
  •   Home
  • Fakultet for medisin og helsevitenskap (MH)
  • Institutt for samfunnsmedisin og sykepleie
  • View Item
JavaScript is disabled for your browser. Some features of this site may not work without it.

The use of primary care services among senior citizens with somatic illnesses in rural areas of Norway - One year follow up

Skancke, Randi Helene
Master thesis
Thumbnail
View/Open
Masteroppgave_Randi Helene Skancke.pdf (691.8Kb)
URI
http://hdl.handle.net/11250/281622
Date
2014
Metadata
Show full item record
Collections
  • Institutt for samfunnsmedisin og sykepleie [2415]
Abstract
Bacground: Few studies are published focusing on older people, their health, functioning

and use of primary health services in different areas of Norway.

Purpose: To investigate use of primary health services in a rural area, explained by

municipality belonging, adjusted for socio-demographic variables, degree of morbidity,

level of functioning and mental health among somatic ill senior citizens.

Material and methods: In a cross sectional study 484 hospitalized patients (≥ 65 year)

were included, of whom 451 (226 women) participated in a year follow up, registering use

of primary health care (the outcome). Estimated unit health services costs by SINTEF

Health Research were used in the mean cost calculation. The risk of using more primary

health care than the mean cost pr. patient (or not) compared to the reference municipality,

was analyzed by logistic regression. The independent variables were assessed by MiniMental State Examination, Hospital Anxiety and Depression scale, Lawton and Brody's

scales of self-maintaining and instrumental activities and Charlson Comorbidity Index.

Results: The risk of nursing home service use above mean cost pr. patient was

significantly less for the participants in Rendalen (OR 0.23, 95% CI = 0.08-0.63), Folldal

(OR 0.25, 95%CI 0.07-0.89) and Røros (OR 0.25, 95% CI = 0.10-0.60) compared to

Tynset. No significant association in municipality belonging and in-home nursing or

General Practitioner costs were found. Compared to Tynset, the odds for using more than

mean total health costs was significantly reduced in Rendalen (OR 0.31, 95% CI 0.13-0.74), Folldal (OR 0.35, 95% CI 0.12- 1.00) and Tolga (OR 0.22, 95% CI 0.07- 0.68).

Conclusion: The cost of nursing home service and total health care service pr patient

varied in the municipalities of residence among recently hospitalized senior citizens in a

rural area. Even if it was adjusted for age, gender and health, functional and social

variables, confounding factors may exist, making further research necessary.

Relevance

The society is facing an aging population in need of customized and effective health

services. Factors possibly associated with differences in use and provided health care as

required among older people should be identified and studied.
Publisher
NTNU

Contact Us | Send Feedback

Privacy policy
DSpace software copyright © 2002-2019  DuraSpace

Service from  Unit
 

 

Browse

ArchiveCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsDocument TypesJournalsThis CollectionBy Issue DateAuthorsTitlesSubjectsDocument TypesJournals

My Account

Login

Statistics

View Usage Statistics

Contact Us | Send Feedback

Privacy policy
DSpace software copyright © 2002-2019  DuraSpace

Service from  Unit