Search

Baserat på en explorativ studie behandlar denna artikel frågan om utrikesfödd bakgrund, kön och ålder har någon betydelse för behovsbedömningsdokumentation inom svensk äldreomsorg. Med hjälp av kvantitativ innehållsanalys och multipel logistisk regressionsanalys av akter (n=202) innehållande utredningar (n=489) av ansökningar om välfärdstjänster, undersöker denna studie om identifikationsgrunder för äldre har någon betydelse för dokumentationspraktiker. Innehållsanalysen visade att beskrivningar i akterna av utlandsfödda äldre är mer omfattande än beskrivningarna av svenskfödda. Den multipla logistiska regressionsanalysen tyder på att kön och bakgrund verkar vara relevant för hur beslut motiverades i akterna. Ålder är inte lika relevant som de andra kategorierna. Det väsentligaste fyndet är att utlandsfödda äldre i detta material beviljas hemvårdsbidrag i större utsträckning än svenskfödda. Resultaten stöder delvis den kritiska debatten om hur klienter konstrueras i dokumentation av socialt arbete eftersom de indikerar att bakgrund, kön och ålder kan spela roll för hur äldre människors ansökningar om omsorgsinsatser behandlas i akter.

Based on an exploratory study, this article asks whether foreign-born background, gender, and age have any relevance for needs assessment documentation in Swedish elderly care. Using quantitative content analysis and multiple logistic regression analysis of case files (n=202) containing investigations (n=489) into requests for welfare services, this study explores whether the identification grounds of older people matter for documentation practices. The content analysis unveiled that case file descriptions of foreign-born older people are more extensive than the descriptions of Swedish-born. The multiple logistic regression analysis suggests also that gender and background seem to be relevant for how decisions are justified in case files. Age is not as relevant as the other categories. The most substantial finding is that foreign-born older people in this material are granted home care allowance to greater extent than Swedish born. The results partially support the critical debate about how clients are constructed in social work documentation since they give some indication that background, gender and age can play a role in how older people's applications for care are processed in case files. [ABSTRACT FROM AUTHOR]

This is a retrospective, pilot study of patients suffering from severe heart failure. The participants (n=43) were living in their own homes and treated by a multidisciplinary, home-based team for palliative care. Patients suffering from severe heart failure were a new group connected to this care organisation. The aims were to examine how the diagnosis was verified and to scrutinize the underlining cardiovascular disorders and the medical treatment. Furthermore to investigate the frequency of hospital readmission after vs. before the patients´ connection to the homecare team. The majority (81 %) of the patients had had their diagnoses verified with echocardiography. Most of the patients (88 %) were treated with an ACE-inhibitor or an angiotensin-II -receptor blocker, while 44 % of the patients were prescribed a betareceptor-blocker. We found that patients were readmitted to the hospital significantly less often, after connection to the palliative homecare team. The hospital readmission decreased during 0-90 days by -63 % and in 0-180 days by -58 %. [ABSTRACT FROM AUTHOR]