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Variations in user-oriented elderly care: a multilevel approach
School of Health and Education, University of Skövde, Skövde, Sweden.
Högskolan Väst, Institutionen för individ och samhälle, Avdelningen för psykologi, pedagogik och sociologi. School of Health and Education, University of Skövde, Skövde, Sweden.ORCID-id: 0000-0003-0629-353X
2017 (engelsk)Inngår i: International Journal of Quality and Service Sciences, ISSN 1756-669X, E-ISSN 1756-6703, Vol. 9, nr 2, s. 138-147Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Purpose – National Board of Health and Welfare claims that the quality of elderly care services differ considerably between municipalities in Sweden. This study aims to analyze to what extent these variations can be accounted for by the older person's municipality affiliation (i.e. receiving elderly care in a certain municipality). Design/methodology/approach – Addressing this issue, national survey data from 78,538 older respondents receiving elderly care services in Sweden were analyzed using multilevel modeling (MLM). Findings – The results showed that municipality affiliation only marginally explained the variance in satisfaction with care, i.e. its variations were larger within than between municipalities. Instead, user-oriented care accounted for the variation in satisfaction with care. Specifically, the way the care workers behave toward the older person proved to be much more crucial for satisfaction with care than municipality affiliation. Moreover, random effects analyses revealed that the effects of user-oriented care on satisfaction with care varied across municipalities. Care setting (i.e. home care or nursing home) only marginally accounted for its variance.Practical implications – Developing care quality should start and primarily be discussed at the interpersonal care level, and not, as is customary, at the municipality level. Originality/value – The present research is the first in its kind to quantitatively investigate the sources of variation in perceived quality of Swedish elderly care using MLM.

sted, utgiver, år, opplag, sider
2017. Vol. 9, nr 2, s. 138-147
Emneord [en]
Quality of care, Home care, Client satisfaction, Nursing home, Elderly care, User-oriented care, Person-centred care, Individualized care
HSV kategori
Forskningsprogram
SAMHÄLLSVETENSKAP, Psykologi
Identifikatorer
URN: urn:nbn:se:hv:diva-11873DOI: 10.1108/IJQSS-06-2016-0045OAI: oai:DiVA.org:hv-11873DiVA, id: diva2:1161911
Tilgjengelig fra: 2017-12-01 Laget: 2017-12-01 Sist oppdatert: 2019-05-21bibliografisk kontrollert

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