Dementia care and service systems – a mapping system tested in nine Swedish municipalities

Lethin, Connie; Giertz, Lottie; Vingare, Emme-Li; Hallberg, Ingalill Rahm

doi:10.1186/s12913-018-3592-x

BMC Health Services Research

Table 5 Availability and utilization of care activities in the category Institutional care

From: Dementia care and service systems – a mapping system tested in nine Swedish municipalities

Definition	Municipality^a	Early stage		Intermediate stage		Late stage		End of life stage
Definition	Municipality^a	Available for	Utilized by	Available for	Utilized by	Available for	Utilized by	Available for	Utilized by
Rehabilitation in institution: Training in residential home/nursing home/group dwelling by Occupational therapist, Physiotherapist and/or registered nurse and/or Licensed practical nurse/Auxiliary nurse to improve or maintain functional ability.	1	All	Few	All	Most	All	Most	All	Most
	2	All	Few	All	Few	All	Few	All	Few
	3	All	Few	All	Few	All	Most	All	Most
	4	All	Few	All	Few	All	Few	All	Few
	5	All	Few	All	Few	All	Few	All	Few
	6	All	Few	All	Few	All	Few	All	Few
	7	All	Most	All	Most	All	Most	All	Most
	8	All	Most	All	Most	All	Most	All	Most
	9	All	Most	All	Most	All	Most	All	Most
Safety Accommodation: Accommodation for people 70+, not specifically for people with dementia. The accommodation is staffed specific hours every day to offer joint meals and activities.	1	All	Few	All	Few	All	Few	All	No one
	2	No one	No one	No one	No one	No one	No one	No one	No one
	3	All	Few	All	Few	All	Few	All	Few
	4	No one	No one	No one	No one	No one	No one	No one	No one
	5	No one	No one	No one	No one	No one	No one	No one	No one
	6	No one	No one	No one	No one	No one	No one	No one	No one
	7	No one	No one	No one	No one	No one	No one	No one	No one
	8	Most	Few	Most	Most	Most	Most	Few	Few
	9	No one	No one	No one	No one	No one	No one	No one	No one
Residential home/Sheltered home/Assisted living. For older people not specific for those with dementia disease or mixed with other older people: Housing with care and service, i.e. home help services or the like for people who do not need daily attention from registered nurses or 24 h surveillance.	1	All	Few	All	Few	All	Few	All	Few
	2	All	Few	All	Most	All	Most	All	Most
	3	All	Few	All	Few	All	Most	All	Most
	4	All	Few	All	Few	All	Most	All	All
	5	All	No one	All	Few	All	Most	All	Most
	6	All	No one	All	Few	All	Most	All	Most
	7	All	Few	All	Few	All	Most	All	Most
	8	All	Few	All	Few	All	Most	All	Most
	9	All	Few	All	Most	All	All	All	Few
Nursing home. Not specific for those with dementia disease or mixed with other older people: Nursing care available 24/7 provided by employed staff. May include short-term rehab as well as long-term care for people with chronic impairments or disabilities requiring daily attention of registered nurses to help with personal care or mobility.	1	All	Few	All	Most	All	Most	All	Most
	2	All	No one	All	Few	All	Most	All	Most
	3	All	Few	All	Few	All	Most	All	Most
	4	No one	No one	Few	Few	All	Most	All	Most
	5	No one	No one	No one	No one	No one	No one	No one	No one
	6	No one	No one	No one	No one	No one	No one	No one	No one
	7	All	No one	All	Few	All	Most	All	Most
	8	No one	No one	No one	No one	No one	No one	No one	No one
	9	No one	No one	All	Few	All	Few	No one	No one
Nursing home with dementia care units: Nursing homes especially designed and adapted environment to meet the needs of people with dementia. Nursing care available 24/7 provided by employed staff. Units with staff specialized in dementia.	1	All	Few	All	Most	All	Most	All	Most
	2	No one	No one	No one	No one	No one	No one	No one	No one
	3	No one	No one	No one	No one	No one	No one	No one	No one
	4	No one	No one	No one	No one	All	Most	All	Most
	5	No one	No one	No one	No one	No one	No one	No one	No one
	6	No one	No one	No one	No one	No one	No one	No one	No one
	7	All	No one	All	Few	All	Most	All	Most
	8	No one	No one	No one	No one	No one	No one	No one	No one
	9	No one	No one	No one	No one	No one	No one	No one	No one
Community Dwelling / Small housing for people with dementia: Housing especially designed and adapted environment to meet the needs of people with dementia. Staff specifically trained in dementia care. Only for people with dementia (≤10 people)	1	All	Few	All	Most	All	Most	All	All
	2	All	No one	All	Few	All	Most	All	Most
	3	No one	No one	No one	No one	No one	No one	No one	No one
	4	No one	No one	No one	No one	No one	No one	No one	No one
	5	No one	No one	Few	Few	Few	Few	Few	Few
	6	All	No one	All	No one	All	Few	All	Few
	7	No one	No one	No one	No one	No one	No one	No one	No one
	8	No one	No one	No one	No one	No one	No one	No one	No one
	9	No one	No one	No one	No one	No one	No one	No one	No one
Psychogeriatric unit/Geriatric psychiatry inpatient unit: Units where patients are provided inpatient care during a short-intermediate period (weeks to some months), with the aim of controlling acute BPSD. Staff specialized in dementia management. Only people with dementia is signed in.	1	No one	No one	No one	No one	No one	No one	No one	No one
	2	No one	No one	Few	No one	Few	No one	No one	No one
	3	No one	No one	No one	No one	No one	No one	No one	No one
	4	–	–	–	–	–	–	–	–
	5	No one	No one	Few	Few	Few	Few	No one	No one
	6	No one	No one	No one	No one	No one	No one	No one	No one
	7	No one	No one	No one	No one	No one	No one	No one	No one
	8	Few	Few	Few	Few	Most	Most	Most	Most
	9	Few	No one	Few	Few	Few	No one	No one	No one

^a1–9 = represents the municipalities in two counties in Sweden

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ISSN: 1472-6963

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