Universität zu Köln

Slaug, Bjorn ORCID: 0000-0001-7386-2224, Chiatti, Carlos ORCID: 0000-0003-4810-9630, Oswald, Frank, Kaspar, Roman and Schmidt, Steven M. (2017). Improved Housing Accessibility for Older People in Sweden and Germany: Short Term Costs and Long-Term Gains. Int. J. Environ. Res. Public Health, 14 (9). BASEL: MDPI. ISSN 1660-4601

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Abstract

The physical housing environment is important to facilitate activities of daily living (ADL) for older people. A hindering environment may lead to ADL dependence and thus increase the need for home services, which is individually restricting and a growing societal burden. This study presents simulations of policy changes with regard to housing accessibility that estimates the potential impact specifically on instrumental activities of daily living (I-ADL), usage of home services, and related costs. The models integrate empirical data to test the hypothesis that a policy providing funding to remove the five most severe environmental barriers in the homes of older people who are at risk of developing dependence in I-ADL, can maintain independence and reduce the need for home services. In addition to official statistics from state agencies in Sweden and Germany, we utilized published results from the ENABLE-AGE and other scientific studies to generate the simulations. The simulations predicted that new policies that remove potentially hindering housing features would improve I-ADL performance among older people and reduce the need for home services. Our findings suggest that a policy change can contribute to positive effects with regard to I-ADL independence among older people and to a reduction of societal burden.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Slaug, Bjorn UNSPECIFIED orcid.org/0000-0001-7386-2224 UNSPECIFIED Chiatti, Carlos UNSPECIFIED orcid.org/0000-0003-4810-9630 UNSPECIFIED Oswald, Frank UNSPECIFIED UNSPECIFIED UNSPECIFIED Kaspar, Roman UNSPECIFIED UNSPECIFIED UNSPECIFIED Schmidt, Steven M. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-218664
DOI:	10.3390/ijerph14090964
Journal or Publication Title:	Int. J. Environ. Res. Public Health
Volume:	14
Number:	9
Date:	2017
Publisher:	MDPI
Place of Publication:	BASEL
ISSN:	1660-4601
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language HOME-ENVIRONMENT; CARE; AGE Multiple languages Environmental Sciences; Public, Environmental & Occupational Health Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/21866