Exploring Assistance in Sweden and the United States

Dennis Shea, Adam Davey, Elia E. Femia, Steven H. Zarit, Gerdt Sundström, Stig Berg, Michael A. Smyer

Research output: Contribution to journalReview article

34 Citations (Scopus)

Abstract

Purpose: Few international comparisons of health services are performed using microlevel data. Using such data, this paper compares the need for and receipt of assistance with activities of daily living (ADLs) in comparable samples in the United States and Sweden, a country with a universal system of community-based services. Design and Methods: Data from national surveys of community residents completed at approximately the same time in each nation are used to create comparable measures of need and assistance. Descriptive and logistic regression analyses compare need and assistance patterns across the nations and identify individual factors that explain receipt of assistance and unmet needs. Results: Our results indicate that a simple story of greater use of paid formal services in Sweden and more unpaid informal use in the United States masks a more complex relationship. Assistance with ADLs seems to be more targeted in Sweden; narrow differences in assistance widen considerably when the analysis is limited to those reporting need. Implications: Although these two different health systems result in similar levels of overall ADL assistance, a detailed microlevel comparison reveals key distinctions. Further microlevel comparisons of access, cost, and quality in cross-national data can further aid our understanding of the consequences of health policy.

Original languageEnglish (US)
Pages (from-to)712-721
Number of pages10
JournalGerontologist
Volume43
Issue number5
DOIs
StatePublished - Jan 1 2003

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Activities of Daily Living
Sweden
Social Welfare
Masks
Health Policy
Health Services
Logistic Models
Regression Analysis
Costs and Cost Analysis
Health

All Science Journal Classification (ASJC) codes

  • Gerontology
  • Geriatrics and Gerontology

Cite this

Shea, D., Davey, A., Femia, E. E., Zarit, S. H., Sundström, G., Berg, S., & Smyer, M. A. (2003). Exploring Assistance in Sweden and the United States. Gerontologist, 43(5), 712-721. https://doi.org/10.1093/geront/43.5.712
Shea, Dennis ; Davey, Adam ; Femia, Elia E. ; Zarit, Steven H. ; Sundström, Gerdt ; Berg, Stig ; Smyer, Michael A. / Exploring Assistance in Sweden and the United States. In: Gerontologist. 2003 ; Vol. 43, No. 5. pp. 712-721.
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Shea, D, Davey, A, Femia, EE, Zarit, SH, Sundström, G, Berg, S & Smyer, MA 2003, 'Exploring Assistance in Sweden and the United States', Gerontologist, vol. 43, no. 5, pp. 712-721. https://doi.org/10.1093/geront/43.5.712

Exploring Assistance in Sweden and the United States. / Shea, Dennis; Davey, Adam; Femia, Elia E.; Zarit, Steven H.; Sundström, Gerdt; Berg, Stig; Smyer, Michael A.

In: Gerontologist, Vol. 43, No. 5, 01.01.2003, p. 712-721.

Research output: Contribution to journalReview article

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AU - Zarit, Steven H.

AU - Sundström, Gerdt

AU - Berg, Stig

AU - Smyer, Michael A.

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Shea D, Davey A, Femia EE, Zarit SH, Sundström G, Berg S et al. Exploring Assistance in Sweden and the United States. Gerontologist. 2003 Jan 1;43(5):712-721. https://doi.org/10.1093/geront/43.5.712