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    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Davey, A. Malmberg, B. and Sundstrom, G. 2014. Aging in Sweden: Local Variation, Local Control. The Gerontologist, Vol. 54, Issue. 4, p. 525.


    Savla, Jyoti Davey, Adam Sundström, Gerdt Zarit, Steven H. and Malmberg, Bo 2008. Home help services in Sweden: responsiveness to changing demographics and needs. European Journal of Ageing, Vol. 5, Issue. 1, p. 47.


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

  • ADAM DAVEY (a1), JYOTI SAVLA (a2), GERDT SUNDSTRÖM (a3), STEVEN H. ZARIT (a2) and BO MALMBERG (a3)
  • DOI: http://dx.doi.org/10.1017/S0144686X07005946
  • Published online: 01 June 2007
Abstract
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.

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Corresponding author
Address for correspondence: Adam Davey, College of Health Professions, 1700 N. Broad Street, Suite 313, Temple University, Philadelphia, PA 19122, USA. E-mail: adavey@temple.edu
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S. Berg , L. G. Branch , A. Doyle and G. Sundström 1993. Local variations in old-age care in the welfare-state: the case of Sweden. Health Policy, 24, 2, 175–86.

Å. Bergmark , M. G. Parker and M. Thorslund 2000. Priorities in care and services for elderly people: a path without guidelines? Journal of Medical Ethics, 26, 5, 312–8.

N. L. Chappell and A. Blandford 1991. Informal and formal care: exploring the complementarity. Ageing & Society, 11, 3, 299315.

S. O. Daatland 1997. Welfare policies for older people in transition? Emerging trends and comparative perspectives. Scandinavian Journal of Social Welfare, 6, 2, 153–61.

A. Davey , L. Johansson , B. Malmberg and G. Sundström 2006. Unequal but equitable: an analysis of variations in old-age care in Sweden. European Journal of Ageing, 3, 1, 3440.

P. Edelman and S. Hughes 1990. The impact of community care on provision of informal care to homebound elderly persons. Journal of Gerontology: Social Sciences, 45, 1, S7484.

G. Esping-Andersen 1999. Social Foundations of Post-industrial Economies. Oxford University Press, Oxford.

V. L. Greene 1983. Substitution between formally and informally provided care for the impaired elderly in the community. Medical Care, 21, 6, 609–19.

R. Hanley , J. M. Wiener and K. M. Harris 1991. Will paid home care erode informal support? Journal of Health Politics, Policy, and Law, 16, 3, 507–21.

A.v.d.B. Jeths and M. Thorslund 1994. Will resources for elder care be scarce? Hastings Center Report, 24, 1, 610.

L. Johansson , G. Sundström and L. B. Hassing 2003. State provision down, offspring's up: the reverse substitution of old-age care in Sweden. Ageing & Society, 23, 3, 269–80.

K. Larsson 2006. Care needs and home-help services for older people in Sweden: does improved functioning account for the reduction in public care? Ageing & Society, 26, 3, 413–29.

K. Larsson and M. Thorslund 2002. Does gender matter? Differences in patterns of informal support and formal services in a Swedish urban elderly population. Research on Aging, 24, 3, 308–36.

M. P. Lawton and E. M. Brody 1969. Assessment of older people: Self-maintaining and instrumental activities of daily living. The Gerontologist, 9, 3, 179–86.

E. Litwak and I. Szelenyi 1969. Primary group structures and their functions. American Sociological Review, 34, 2, 465–81.

P. Messeri , M. Silverman and E. Litwak 1993. Choosing optimal support groups: a review and formulation. Journal of Health and Social Behaviour, 34, 2, 122–37.

I. Moscovice , G. Davidson and D. McCaffrey 1988. Substitution of formal and informal care for the community-based elderly. Medical Care, 26, 10, 971–81.

N. Muramatsu and R. T. Campbell 2002. State expenditures on home and community based services and use of formal and informal personal assistance: a multilevel analysis. Journal of Health and Social Behavior, 43, 1, 107–24.

L. S. Noelker and D. M. Bass 1989. Home care for elderly persons: linkages between formal and informal caregivers. Journal of Gerontology: Social Sciences, 44, 1, S6370.

J. S. O'Connor 1993. Gender, class and citizenship in the comparative analysis of welfare state regimes: theoretical and methodological issues. British Journal of Sociology, 44, 3, 501–18.

A. S. Orloff 1993. Gender and the social rights of citizenship: the comparative analysis of gender relations and welfare states. American Sociological Review, 58, 3, 303–28.

D. Patsios and A. Davey 2005. Formal and informal community care for older adults. In M. Johnson , V. L. Bengtson , P. Coleman and T. Kirkwood (eds) The Cambridge Handbook of Age and Ageing. Cambridge University Press, Cambridge, 597604.

D. G. Shea , A. Davey , E. E. Femia , S. H. Zarit , G. Sundstrom , S. Berg and M. A. Smyer 2003. Exploring Assistance in Sweden and the United States. The Gerontologist, 43, 5, 712721.

E. P. Stoller and K. L. Pugliesi 1988. Informal networks of community based elderly: changes in composition over time. Research on Aging, 10, 4, 499516.

M. Stuart and M. Weinrich 2001. Home- and community-based long-term care: lessons from Denmark. The Gerontologist, 41, 4, 474–80.

G. Sundström , L. Johansson and L. B. Hassing 2002. The shifting balance of long-term care in Sweden. The Gerontologist, 42, 3, 350–5.

G. Sundström and B. Malmberg 1996. The long arm of the welfare state shortened. Scandinavian Journal of Social Welfare, 5, 1, 6975.

G. Sundström , B. Malmberg and L. Johannson 2006. Balancing family and state care: neither, either or both? The case of Sweden. Ageing & Society, 26, 5, 767–82.

S. L. Tennstedt , S. L. Crawford and J. B. McKinlay 1993. Is family care on the decline? A longitudinal investigation of the substitution of formal long-term care services for informal care. Milbank Quarterly, 71, 4, 601–24.

S. Tennstedt , B. Harrow and S. Crawford 1996. Informal care vs. formal services: changes in patterns of care over time. Journal of Aging and Social Policy, 7, 1, 7191.

S. Tennstedt , L. Sullivan , J. McKinlay and R. D'Agostino 1990. How important is functional status as a predictor of service use by older people. Journal of Aging and Health, 2, 4, 439–61.

M. Thorslund , Å. Bergmark and M. G. Parker 1997. Difficult decisions on care and services for elderly people: the dilemma of setting priorities in the welfare state. Scandinavian Journal of Social Welfare, 6, 3, 197206.

G.-B. Trydegård and M. Thorslund 2001. Inequality in the welfare state? Local variation in the care of the elderly: the case of Sweden. International Journal of Social Welfare, 10, 3, 174–84.

S. H. Zarit , B. Johansson and B. Malmberg 1995. Changes in functional competency in the oldest old: a longitudinal study. Journal of Aging and Health, 7, 1, 323.

S. H. Zarit , B. Johansson and S. Berg 1993. Functional impairment and co-disability in the oldest old: a multidimensional approach. Journal of Aging and Health, 5, 3, 291305.

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