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New dynamic of longevity and the changing needs for services (COCTEL)

The purpose is to produce information about use and costs of health and social services among old people in the last two years of life and among those who lived longer. It has been studied, how age, closeness of death, municipality of residence and dementia diagnosis are associated with use of services. Another main theme is pathways of care in the end of life, e.g. how place of death and the amount of transitions between home and/or care facilities vary between age groups and between municipalities.

In a new phase of study we describe and analyze how the organizing patterns, use and costs of health and social services have changed from 1996 to 2014. The research questions are e.g.: how the proportion of those who used different services, the amount of days in care, individual pathways of care, transitions between care facilities and places of death have changed? How the relations of long-term care and acute hospital care have changed? How the roles of publicly and privately provided long-term care have changed?

The data have been derived from multiple national registers. At the present it consist Finnish people died in 1998–2008 at the age of 70 years or over and their control persons who lived at least two years longer. Time series will be continued until 2014. In addition we will use Vitality 90+ -data, which include information about living conditions, need and sources for help, diseases, health and functional ability and social relations of people at the age of 90 years or over living in Tampere.

Funding
Academy of Finland, TASK project, The Foundation for Municipal Development and the Social Insurance Institution of Finland

Research group
Principal investigator

Professor Marja Jylhä, marja.jylha@tuni.fi, Faculty of Social Sciences (Health Sciences), Tampere University

Co-principal investigator
Professor Pekka Rissanen, pekka.rissanen@tuni.fi

Postdoctoral researchers
Leena Forma, leena.forma@tuni.fi, Faculty of Social Sciences (Health Sciences), Tampere University
Jutta Pulkki, jutta.pulkki@tuni.fi, Faculty of Social Sciences (Health Sciences), Tampere University
Mari Aaltonen, mari.s.aaltonen@tuni.fi, Faculty of Social Sciences (Health Sciences), Tampere University

Statistical advisor
Jani Raitanen, jani.raitanen@tuni.fi, Faculty of Social Sciences (Health Sciences), Tampere University

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