Nursing homes in 10 nations: A comparison between countries and settings

TitleNursing homes in 10 nations: A comparison between countries and settings
Publication TypeJournal Article
Year of Publication1997
AuthorsRibbe M.W, Ljunggren G., Steel K., Topinkova E., Hawes C., Ikegami N., Henrard J.C, Jonnson P.V
JournalAge & Ageing
Volume26
IssueSUPPL. 2
Pagination3-12
Keywords*developed country, *health care policy, *home for the aged, *nursing home, Aged, aging, article, Demography, Denmark, disabled, financial management, france, government, health care management, health care organization, Hospital Bed Capacity, Human, Iceland, information processing, institutionalization, Italy, Japan, long term care, medical literature, Netherlands, population structure, priority journal, resident, residential home, sweden, switzerland, united kingdom, United States
Abstract

Aim: to illustrate demographic differences and recent trends in the provision and structure of long-term care systems in the 10 countries participating in the Resident Assessment Instrument studies (Denmark, France, Iceland, Italy, Japan, The Netherlands, Sweden, Switzerland, the UK and the USA). Method: data were assembled from government documents, statistical yearbooks and articles from journals; supplemental data on long-term care and nursing homes were solicited from colleagues. Results: All 10 countries are developed nations with high life-expectancies. Sweden has the oldest and Iceland the youngest population in this study, with Japan showing the highest ageing rates over the next three decades. Between 2 and 5% of elderly people reside in nursing homes. Interestingly, Iceland, as the 'youngest country' in this study, has the highest rate of institutionalization (living in residential or nursing homes), while the 'oldest country' (Sweden) has a low rate of institutionalization. In all countries the support ratio (number of elderly people per 100 younger adults) is high and increasing rapidly. Conclusions: no relation appears to exist between the ageing status of a country and the number of nursing home beds. Institutionalization rates among the nations studied differ even more, due at least in part to differences in the organization and financing of long-term care services, in the amount of responsibility assumed in the care for disabled elderly people by each sector and the availability of long-term care beds. Facing a rapid ageing of their population, many countries are in the process of health and social care reforms.