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Published on: September 30, 2020
Resource Use in Swedish Nursing Homes: A Repeated Cross-Sectional Follow-Up Study
Liza Privosnik1, Rebecca Baxter1, Laura Corneliusson1
1Department of Nursing, Umeå University, Umeå, Sweden.
International Journal of Geriatric Psychiatry
|June 6, 2026
Summary
Resource use in Swedish nursing homes increased over five years, driven by more residents with cognitive decline. Higher resource needs were linked to dementia care and neuropsychiatric symptoms, impacting care provision.
Area of Science:
- Gerontology
- Healthcare Management
- Public Health
Background:
- Swedish nursing homes serve individuals aged 65+ requiring daily living assistance.
- A growing number of residents exhibit cognitive and functional decline, increasing care demands.
- Understanding resource utilization is crucial for effective elder care planning.
Purpose of the Study:
- To investigate changes in resource use within Swedish nursing homes over a five-year period.
- To identify factors associated with these changes in resource utilization.
- To inform policy and resource allocation in aged care.
Main Methods:
- A repeated cross-sectional study design was employed.
- Data from 4599 participants (2013-2014 and 2018-2019) from the Swedish National Inventory of Care and Health in Residential Aged Care study were analyzed.
- Resource Use in Dementia scale, descriptive statistics, t-tests, chi-square tests, and multiple linear regressions were utilized.
Main Results:
- Total resource use per resident increased from 7.15 to 7.83 hours/day.
- The proportion of residents in dementia units rose from 34.6% to 43%.
- Increased resource use correlated with dementia unit residency and specific neuropsychiatric symptoms, while higher independence in daily activities was linked to lower resource use.
Conclusions:
- Resource utilization in Swedish nursing homes has demonstrably increased.
- Findings highlight the impact of cognitive decline and dementia on care needs.
- The study provides evidence to guide future policy and financial decisions for nursing home resource management.
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