Improved Housing Accessibility for Older People in Sweden and Germany: Short Term Costs and Long-Term Gains
AbstractThe 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. View Full-Text
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Slaug, B.; Chiatti, C.; Oswald, F.; Kaspar, R.; Schmidt, S.M. Improved Housing Accessibility for Older People in Sweden and Germany: Short Term Costs and Long-Term Gains. Int. J. Environ. Res. Public Health 2017, 14, 964.
Slaug B, Chiatti C, Oswald F, Kaspar R, Schmidt SM. Improved Housing Accessibility for Older People in Sweden and Germany: Short Term Costs and Long-Term Gains. International Journal of Environmental Research and Public Health. 2017; 14(9):964.Chicago/Turabian Style
Slaug, Björn; Chiatti, Carlos; Oswald, Frank; Kaspar, Roman; 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, no. 9: 964.
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