Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Variations in user-oriented elderly care: a multilevel approach

Variations in user-oriented elderly care: a multilevel approach PurposeNational 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/approachAddressing this issue, national survey data from 78,538 older respondents receiving elderly care services in Sweden were analyzed using multilevel modeling (MLM).FindingsThe 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 implicationsDeveloping care quality should start and primarily be discussed at the interpersonal care level, and not, as is customary, at the municipality level.Originality/valueThe present research is the first in its kind to quantitatively investigate the sources of variation in perceived quality of Swedish elderly care using MLM. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png International Journal of Quality and Service Sciences Emerald Publishing

Variations in user-oriented elderly care: a multilevel approach

Loading next page...
 
/lp/emerald-publishing/variations-in-user-oriented-elderly-care-a-multilevel-approach-ECS5vNJvX7
Publisher
Emerald Publishing
Copyright
Copyright © Emerald Group Publishing Limited
ISSN
1756-669X
DOI
10.1108/IJQSS-06-2016-0045
Publisher site
See Article on Publisher Site

Abstract

PurposeNational 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/approachAddressing this issue, national survey data from 78,538 older respondents receiving elderly care services in Sweden were analyzed using multilevel modeling (MLM).FindingsThe 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 implicationsDeveloping care quality should start and primarily be discussed at the interpersonal care level, and not, as is customary, at the municipality level.Originality/valueThe present research is the first in its kind to quantitatively investigate the sources of variation in perceived quality of Swedish elderly care using MLM.

Journal

International Journal of Quality and Service SciencesEmerald Publishing

Published: Jun 19, 2017

References