{"id":5852,"date":"2018-12-16T14:11:08","date_gmt":"2018-12-16T12:11:08","guid":{"rendered":"https:\/\/gerec.fi\/tutkimus\/elamankulku-elakoityminen-ja-toimijuus\/vanheneminen-ja-sosiaalinen-hyvinvointi-sowell-marja-jylha-ja-outi-jolanki-4\/"},"modified":"2024-06-19T08:42:26","modified_gmt":"2024-06-19T05:42:26","slug":"coctel","status":"publish","type":"page","link":"https:\/\/www.gerec.fi\/en\/research\/services\/coctel\/","title":{"rendered":"New dynamic of longevity and the changing needs for services (COCTEL) \/ Marja Jylh\u00e4","raw":"New dynamic of longevity and the changing needs for services (COCTEL) \/ Marja Jylh\u00e4"},"content":{"rendered":"[vc_row][vc_column][vc_column_text]<span style=\"font-family: 'Open Sans'; font-size: 16px;\">New dynamic of longevity and the changing needs for services (COCTEL)<\/span><\/p>\n<p><span style=\"font-family: 'Open Sans'; font-size: 14px;\">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.<\/span><\/p>\n<p><span style=\"font-family: 'Open Sans'; font-size: 14px;\">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?<\/span><\/p>\n<p><span style=\"font-family: 'Open Sans'; font-size: 14px;\">The data have been derived from multiple national registers. At the present it consist Finnish people died in 1998\u20132008 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.<\/span><\/p>\n<p><span style=\"font-family: 'Open Sans'; font-size: 16px;\"><b>Funding<\/b><\/span><br \/>\n<span style=\"font-family: 'Open Sans'; font-size: 14px;\">Academy of Finland, TASK project, The Foundation for Municipal Development\u00a0and the Social Insurance Institution of Finland<\/span><\/p>\n<p><span style=\"font-family: 'Open Sans'; font-size: 14px;\"><b><span style=\"font-size: 16px;\">Research group<\/span><i><br \/>\n<\/i><\/b><i>Principal investigator<\/i><\/span><br \/>\n<span style=\"font-family: 'Open Sans'; font-size: 14px;\">Professor Marja Jylh\u00e4, marja.jylha@tuni.fi,\u00a0Faculty of Social Sciences (Health Sciences), Tampere University<\/span><\/p>\n<p><span style=\"font-family: 'Open Sans'; font-size: 14px;\"><i>Co-principal investigator<\/i><\/span><br \/>\n<span style=\"font-family: 'Open Sans'; font-size: 14px;\">Mari Aaltonen, mari.aaltonen@tuni.fi, Faculty of Social Sciences (Health Sciences), Tampere University<br \/>\n<\/span><\/p>\n<p><span style=\"font-family: 'Open Sans'; font-size: 14px;\"><i>Postdoctoral researchers<\/i><\/span><br \/>\n<span style=\"font-family: 'Open Sans'; font-size: 14px;\">Leena Forma, leena.forma@tuni.fi,\u00a0Faculty of Social Sciences (Health Sciences), Tampere University<\/span><br \/>\n<span style=\"font-family: 'Open Sans'; font-size: 14px;\">Jutta Pulkki, jutta.pulkki@tuni.fi,\u00a0Faculty of Social Sciences (Health Sciences), Tampere University<\/span><\/p>\n<p><span style=\"font-family: 'Open Sans'; font-size: 14px;\"><i>Statistical advisor<\/i><\/span><br \/>\n<span style=\"font-family: 'Open Sans'; font-size: 14px;\">Jani Raitanen, jani.raitanen@tuni.fi,\u00a0Faculty of Social Sciences (Health Sciences), Tampere University<\/span><\/p>\n<p>Doctoral researcher<br \/>\nSaritha Vargese, saritha.vargese@tuni.fi<i><br \/>\n<\/i>[\/vc_column_text][\/vc_column][\/vc_row]\n","protected":false,"raw":"[vc_row][vc_column][vc_column_text]<span style=\"font-family: 'Open Sans'; font-size: 16px;\">New dynamic of longevity and the changing needs for services (COCTEL)<\/span>\r\n\r\n<span style=\"font-family: 'Open Sans'; font-size: 14px;\">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.<\/span>\r\n\r\n<span style=\"font-family: 'Open Sans'; font-size: 14px;\">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?<\/span>\r\n\r\n<span style=\"font-family: 'Open Sans'; font-size: 14px;\">The data have been derived from multiple national registers. At the present it consist Finnish people died in 1998\u20132008 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.<\/span>\r\n\r\n<span style=\"font-family: 'Open Sans'; font-size: 16px;\"><b>Funding<\/b><\/span>\r\n<span style=\"font-family: 'Open Sans'; font-size: 14px;\">Academy of Finland, TASK project, The Foundation for Municipal Development\u00a0and the Social Insurance Institution of Finland<\/span>\r\n\r\n<span style=\"font-family: 'Open Sans'; font-size: 14px;\"><b><span style=\"font-size: 16px;\">Research group<\/span><i>\r\n<\/i><\/b><i>Principal investigator<\/i><\/span>\r\n<span style=\"font-family: 'Open Sans'; font-size: 14px;\">Professor Marja Jylh\u00e4, marja.jylha@tuni.fi,\u00a0Faculty of Social Sciences (Health Sciences), Tampere University<\/span>\r\n\r\n<span style=\"font-family: 'Open Sans'; font-size: 14px;\"><i>Co-principal investigator<\/i><\/span>\r\n<span style=\"font-family: 'Open Sans'; font-size: 14px;\">Mari Aaltonen, mari.aaltonen@tuni.fi, Faculty of Social Sciences (Health Sciences), Tampere University\r\n<\/span>\r\n\r\n<span style=\"font-family: 'Open Sans'; font-size: 14px;\"><i>Postdoctoral researchers<\/i><\/span>\r\n<span style=\"font-family: 'Open Sans'; font-size: 14px;\">Leena Forma, leena.forma@tuni.fi,\u00a0Faculty of Social Sciences (Health Sciences), Tampere University<\/span>\r\n<span style=\"font-family: 'Open Sans'; font-size: 14px;\">Jutta Pulkki, jutta.pulkki@tuni.fi,\u00a0Faculty of Social Sciences (Health Sciences), Tampere University<\/span>\r\n\r\n<span style=\"font-family: 'Open Sans'; font-size: 14px;\"><i>Statistical advisor<\/i><\/span>\r\n<span style=\"font-family: 'Open Sans'; font-size: 14px;\">Jani Raitanen, jani.raitanen@tuni.fi,\u00a0Faculty of Social Sciences (Health Sciences), Tampere University<\/span>\r\n\r\nDoctoral researcher\r\nSaritha Vargese, saritha.vargese@tuni.fi<i>\r\n<\/i>[\/vc_column_text][\/vc_column][\/vc_row]"},"excerpt":{"rendered":"[vc_row column_spacing=\"50\" bg_style=\"stretch\" css=\".vc_custom_1544814296502{padding-top: 30px !important;padding-bottom: 5px !important;}\"][vc_column][vc_column_text font_size=\"14px\"] Tutkimuksen tarkoituksena on tuottaa tietoa vanhojen ihmisten sosiaali- ja terveyspalvelujen k\u00e4yt\u00f6st\u00e4 ja kustannuksista kahtena viimeisen\u00e4 elinvuotena ja niiden joukossa, jotka eliv\u00e4t pidemp\u00e4\u00e4n. T\u00e4h\u00e4n menness\u00e4 on tutkittu, miten ik\u00e4, kuoleman l\u00e4heisyys, kotikunta&hellip;","protected":false,"raw":""},"author":1,"featured_media":0,"parent":5663,"menu_order":7,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_mi_skip_tracking":false,"_fi_post_content":"[vc_row column_spacing=\"50\" bg_style=\"stretch\" css=\".vc_custom_1544814296502{padding-top: 30px !important;padding-bottom: 5px !important;}\"][vc_column][vc_column_text font_size=\"14px\"]\r\n<div id=\"content-core\">\r\n<div id=\"parent-fieldname-text-471151cc5fae4096b0fa7a8a7ca87f04\" class=\"\">\r\n\r\nTutkimuksen tarkoituksena on tuottaa tietoa vanhojen ihmisten sosiaali- ja terveyspalvelujen k\u00e4yt\u00f6st\u00e4 ja kustannuksista kahtena viimeisen\u00e4 elinvuotena ja niiden joukossa, jotka eliv\u00e4t pidemp\u00e4\u00e4n. T\u00e4h\u00e4n menness\u00e4 on tutkittu, miten ik\u00e4, kuoleman l\u00e4heisyys, kotikunta ja dementiadiagnoosi ovat yhteydess\u00e4 palvelujenk\u00e4ytt\u00f6\u00f6n. Toinen keskeinen teema on vanhojen ihmisten hoitopolut el\u00e4m\u00e4n loppuvaiheessa, esim. miten kuolinpaikka ja siirtymien m\u00e4\u00e4r\u00e4 hoitopaikkojen ja\/tai kodin v\u00e4lill\u00e4 eroavat ik\u00e4ryhmitt\u00e4in ja kunnittain.\r\n\r\nTutkimuksen\u00a0viimeisimm\u00e4ss\u00e4 vaiheessa kuvataan ja analysoidaan sosiaali- ja terveyspalvelujen j\u00e4rjest\u00e4mistapojen, k\u00e4yt\u00f6n ja kustannusten kehityst\u00e4 vuosina 1996\u20132013. Tutkimuskysymykset ovat esim.: miten eri palveluja k\u00e4ytt\u00e4neiden osuus, hoitop\u00e4ivien m\u00e4\u00e4r\u00e4, yksil\u00f6lliset hoitopolut, hoitopaikkojen v\u00e4liset siirtym\u00e4t ja kuolinpaikat ovat kehittyneet? Miten pitk\u00e4aikaishoidon ja akuutin sairaalahoidon suhde on kehittynyt? Miten yksityisen ja julkisen tahon j\u00e4rjest\u00e4m\u00e4n pitk\u00e4aikaishoidon roolit ovat kehittyneet? Miten dementiaa sairastaneiden palvelujen k\u00e4ytt\u00f6 ja palvelujen v\u00e4liset siirtym\u00e4t ovat\u00a0muuttuneet tutkimusvuosien aikana?\r\n\r\nAineisto on muodostettu yhdist\u00e4m\u00e4ll\u00e4 tietoja useista kansallisista rekistereist\u00e4. Se sis\u00e4lt\u00e4\u00e4 t\u00e4ll\u00e4 hetkell\u00e4 vuosina 1998\u20132013 70-vuotiaana tai vanhempana kuolleet suomalaiset (N 502 656)\u00a0sek\u00e4 heid\u00e4n v\u00e4hint\u00e4\u00e4n kaksi vuotta pidemp\u00e4\u00e4n el\u00e4neet verrokkinsa (1 987 240).\u00a0Aikasarjaa\u00a0tullaan jatkamaan. Lis\u00e4ksi k\u00e4ytett\u00e4\u00e4n Tervaskannot 90+ -aineistoa, joka sis\u00e4lt\u00e4\u00e4 tietoja 90-vuotiaiden ja sit\u00e4 vanhempien tamperelaisten elinoloista, avun tarpeesta ja l\u00e4hteist\u00e4, sairauksista, terveydest\u00e4 ja toimintakyvyst\u00e4, sosiaalisista suhteista sek\u00e4 yleisest\u00e4 el\u00e4m\u00e4n kokemisesta.\r\n\r\n<span style=\"font-family: Open Sans; font-size: 16px;\"><b>Tutkimuksen rahoittajat<\/b><\/span>\r\nSuomen Akatemia, TASK-hanke, Kunnallisalan kehitt\u00e4miss\u00e4\u00e4ti\u00f6 ja Kela\r\n\r\n<span style=\"font-size: 16px;\"><b><span style=\"font-family: Open Sans;\">Tutkimusryhm\u00e4<\/span><\/b><\/span>\r\n<span style=\"font-size: 14px; font-family: Open Sans;\">Vastuullinen johtaja <\/span>\r\nProfessori Marja Jylh\u00e4, marja.jylha@tuni.fi\r\nYhteiskuntatieteiden tiedekunta (terveystieteet), Tampereen yliopisto\r\n\r\n<span style=\"font-family: Open Sans; font-size: 14px;\">Tutkimuksen toinen johtaja<\/span>\r\nTutkijatohtori Mari Aaltonen, mari.aaltonen@tuni.fi\r\nYhteiskuntatieteiden tiedekunta\u00a0(terveystieteet), Tampereen yliopisto\r\n\r\n<span style=\"font-family: Open Sans; font-size: 14px;\">Tutkijatohtorit<\/span>\r\nLeena Forma, leena.forma@tuni.fi\r\nYhteiskuntatieteiden tiedekunta\u00a0(terveystieteet), Tampereen yliopisto\r\nJutta Pulkki, jutta.pulkki@tuni.fi\r\nYhteiskuntatieteiden tiedekunta (terveystieteet), Tampereen yliopisto\r\n\r\n<i>Tilastotieteellinen asiantuntija<\/i>\r\nJani Raitanen, jani.raitanen@tuni.fi\r\nYhteiskuntatieteiden tiedekunta\u00a0(terveystieteet), Tampereen yliopisto\r\n\r\nV\u00e4it\u00f6skirjatutkija\r\nSaritha Vargese, saritha.vargese@tuni.fi\r\n\r\n<span style=\"font-family: Open Sans; font-size: 16px;\">Julkaisut<\/span>\r\n\r\n<\/div>\r\n<\/div>\r\n<div id=\"content-core\">\r\n<div id=\"parent-fieldname-text-471151cc5fae4096b0fa7a8a7ca87f04\" class=\"\">\r\n<div class=\"_3U2q6dcdZCrTrR_42Nxby JWNdg1hee9_Rz6bIGvG1c allowTextSelection\">\r\n<div>\r\n<div>\r\n<div lang=\"fi\">\r\n<div>\r\n\r\nForma, L., Aaltonen, M., Raitanen, J., Anthun, K. S. &amp; Kalseth, J. (2020). <span lang=\"en-US\">Place of death among older people in Finland and Norway. Scandinavian Journal of Public Health. 5 Aug 2020, <\/span>8 p., 1403494820944073.\r\n\r\nAaltonen, M. S., Forma, L. P., Pulkki, J. M., Raitanen, J. A., Rissanen, P., &amp; Jylh\u00e4, M. K. (2019). <span lang=\"en-US\">The Joint Impact of Age at Death and Dementia on Long-Term Care Use in the Last Years of Life: Changes From 1996 to 2013 in Finland. Gerontology and Geriatric Medicine. https:\/\/doi.org\/10.1177\/2333721419870629<\/span>\r\n\r\n<span lang=\"en-US\">Pulkki J,\u00a0Aaltonen M, Raitanen J, Rissanen P, Jylh\u00e4 M, Forma L. (2019). <\/span><span lang=\"en\">Purchases of medicines among community-dwelling older people: comparing people in the last 2\u00a0years of life and those who lived at least 2\u00a0years longer. European Journal of Ageing. <\/span><span lang=\"en-US\">First Online 14 November 2019. pp. 1-9. https:\/\/doi.org\/10.1007\/s10433-019-00543-9<\/span>\r\n\r\nForma Leena, Aaltonen Mari, Pulkki Jutta, Raitanen Jani, Rissanen Pekka, Seinel\u00e4 Lauri, Valvanne Jaakko, Jylh\u00e4 Marja. (2018). Pitk\u00e4aikaishoito viimeisen\u00e4 elinvuotena: Vertailussa suuret kaupungit ja muu Suomi 2002-2013. Suomen L\u00e4\u00e4k\u00e4rilehti 73 (38), 2086-2091.\r\n\r\nForma Leena, Rissanen Pekka, Aaltonen Mari, Pulkki Jutta, Raitanen Jani, Jylh\u00e4 Marja. (2018). Vanhuusi\u00e4n ymp\u00e4rivuorokautinen pitk\u00e4aikaishoito keskittyy yh\u00e4 selvemmin viimeisiin elinvuosiin: Vuosien 2001-2003 ja 2009-2011 vertailu. Yhteiskuntapolitiikka 83 (4), 399-411.\r\n\r\nAaltonen M, Forma L, Pulkki J, Raitanen J, Rissanen P, Jylh\u00e4 M.(2017). <span lang=\"en-US\">Changes in older people\u2019s care profiles during the last two years of life, 1996-1998 and 2011-2013: a retrospective nationwide study in Finland. <\/span>BMJ Open 7(11):e015130. http:\/\/dx.doi.org\/10.1136\/bmjopen-2016-015130\r\n\r\nForma L, Jylh\u00e4 M, Pulkki J, Aaltonen M, Raitanen J, Rissanen P. (2017). <span lang=\"en-US\">Trends in the use and costs of round-the-clock long-term care in the last two years of life among old people between 2002 and 2013 in Finland. BMC Health Services Research 17: 668.<\/span>\r\n\r\n<span lang=\"en-US\">Forma L, Aaltonen M, Pulkki J, Raitanen J, Rissanen P, Jylh\u00e4 M (2017). Long-term care is increasingly concentrated in the last years of life: a change from 2000 to 2011. Eur J Public Health. 2017 Feb 23. doi: 10.1093\/eurpub\/ckw260<\/span>\r\n\r\n<span lang=\"en-US\">Forma L, Aaltonen M, Pulkki J, Raitanen J, Rissanen P, Jylh\u00e4 M (2017): Care service use in two years preceding suicide among older adults \u2013 comparison with those who died a \u00a0natural\u00a0\u00a0 death and those who lived longer. <\/span>European Journal of Ageing 14 (2):143\u2013153\r\n\r\nMasuchi Y, Jylh\u00e4 M, Raitanen J, Aaltonen M. (2017). <span lang=\"en-US\">The place of death among people with dementia in Finland \u2013 the change from 1998 to 2013. Alzheimer\u2019s &amp; Dementia: Diagnosis, Assessment &amp; Disease Monitoring 10: 86\u201393. Published online 2017 Nov 6. https:\/\/doi.org\/10.1016\/j.dadm.2017.10.006<\/span>\r\n\r\nAaltonen M, Pulkki J, Forma L, Raitanen J, Rissanen P, Jylh\u00e4 M (2016). <span lang=\"en-US\">Demential\u00e4\u00e4kkeiden kustannukset ja Kela-korvaukset moninkertaistuivat viimeisin\u00e4 elinvuosina. L\u00e4\u00e4k\u00e4rilehti, 71 (43): 2723-2729.<\/span>\r\n\r\n<span lang=\"en-US\">Forma L, Aaltonen M, Pulkki J, Raitanen J, Rissanen P, Jylh\u00e4 M (2016): Care service use in two years preceding suicide among older adults \u2013 comparison with those who died a natural death and those who lived longer. European Journal of Ageing, online 0410.2016.\u00a0doi:10.1007\/s10433-016-0397-9<\/span>\r\n\r\n<span lang=\"en-US\">Pulkki Jutta, Jylh\u00e4 Marja, Forma Leena, Aaltonen Mari, Raitanen Jani, Rissanen Pekka (2015) Long-term care use among old people in their last 2 years of life: variations across Finland. Health and Social Care in the Community 24 (4); 439-49.<\/span>\r\n\r\n<span lang=\"en-US\">Forma Leena, Raitanen Jani, Jylh\u00e4 Marja. <\/span>(2015). I\u00e4kk\u00e4iden sotainvalidien sosiaali- ja terveyspalvelujen k\u00e4ytt\u00f6 kahtena viimeisen\u00e4 elinvuotena. Teoksessa Sotainvalidien Veljesliitto (toim.) Tutkijafoorumi. Sotainvalidien Veljesliitto 75 vuotta, 24-41.\r\n\r\nJylh\u00e4 Marja, Aaltonen Mari, Forma Leena, Rissanen Pekka. (2015)\u00a0Hoitoketjut ja kuolinpaikat. Vanhusten palliatiivinen hoito. Teoksessa Palliatiivinen hoito, sivut 554-558. Toim. Saarto Tiina, H\u00e4nninen Juha, Antikainen Riitta, Vainio Anneli. <span lang=\"en-US\">Duodecim. Livonia Print. Riika 2015.<\/span>\r\n\r\n<span lang=\"en-US\">Aaltonen Mari (2015) Patterns of care in the last two years of life. Care transitions and places\u00a0of death of old people. Acta Universitatis Tamperensis 2094. <\/span>V\u00e4it\u00f6skirja.\r\n\r\nAaltonen Mari, Raitanen Jani, Forma Leena, Pulkki Jutta, Rissanen Pekka, Jylh\u00e4 Marja. <span lang=\"en-US\">(2014) Burdensome transitions at the end of life among long-term care residents with dementia. <\/span>Journal of the American Medical Directors Association. 15:643-648.\r\n\r\nPulkki Jutta, Aaltonen Mari, Forma Leena, Jylh\u00e4 Marja, Raitanen Jani, Rissanen Pekka.\u00a0(2014) Pitk\u00e4aikaishoito kunnissa vanhuuden viimeisin\u00e4 vuosina. Palvelujen k\u00e4yt\u00f6n erot ja muutokset vuosina 2002\u22122008. Kunnallistieteellinen aikakauslehti vol 42 (1): 27-43.\r\n\r\nAaltonen Mari, Forma Leena, Rissanen Pekka, Raitanen Jani, Jylh\u00e4 Marja. <span lang=\"en-US\">(2013). Effects of\u00a0municipality factors on care transitions. Scandinavian Journal of Public Health 41 (6), 604-615.<\/span>\r\n\r\nForma Leena, Jylh\u00e4 Marja, Aaltonen Mari, Raitanen Jani, Rissanen Pekka. (2012).\u00a0 Vanhuuden viimeiset vuodet \u2013 pitk\u00e4aikaishoito ja siirtym\u00e4t hoitopaikkojen v\u00e4lill\u00e4. Sastamala: Kunnallisalan kehitt\u00e4miss\u00e4\u00e4ti\u00f6. (Kunnallisalan kehitt\u00e4miss\u00e4\u00e4ti\u00f6n Tutkimusjulkaisusarja 69).\r\n\r\nAaltonen Mari, Rissanen Pekka, Forma Leena, Raitanen Jani, Jylh\u00e4 Marja. <span lang=\"en-US\">(2012). The\u00a0 impact of dementia on care transitions during the last two years of life. Age and Ageing 41 (1), 52-57.<\/span>\r\n\r\n<span lang=\"en-US\">Forma Leena. (2011) Health and Social Service Use Among Older People. The last two years of life. Acta Universitatis Tamperensis 1673. Tampere University Press. <\/span>V\u00e4it\u00f6skirja.\r\n\r\nForma Leena, Jylh\u00e4 Marja, Aaltonen Mari, Raitanen Jani, Rissanen Pekka. <span lang=\"en-US\">(2011). Municipal variation in health and social service use in the last 2 years of life among old people. <\/span>Scandinavian Journal of Public Health 39 (4), 361-370.\r\n\r\nForma Leena, Rissanen Pekka, Aaltonen Mari, Raitanen Jani, Jylh\u00e4 Marja. <span lang=\"en-US\">(2011). Dementia as a determinant of social and health service use in the last two years of life 1996-2003. <\/span>BMC Geriatrics 11 (14).\r\n\r\nAaltonen Mari. (2011). El\u00e4m\u00e4n loppuvaiheen monimuotoiset hoitopolut. Hoivapalvelut 3 (2), 20-22.\r\n\r\nAaltonen Mari, Forma Leena, Rissanen Pekka, Raitanen Jani, Jylh\u00e4 Marja. <span lang=\"en-US\">(2010). Transitions in health and social service system at the end of life. <\/span>European Journal of Ageing 7 (2), 91-100.\r\n\r\nForma Leena, Rissanen Pekka, Aaltonen Mari, Raitanen Jani, Jylh\u00e4 Marja. <span lang=\"en-US\">(2009). Age and closeness of death as determinants of health and social care utilization: a case-control study. <\/span>European Journal of Public Health 19 (3), 313-318.\r\n\r\nJylh\u00e4 M, Forma L, Aaltonen M, Raitanen J, Rissanen P. (2008). Pidentyv\u00e4 vanhuusik\u00e4 ja palvelujen uudet haasteet. In Ulla Ashorn, Juhani Lehto (toim.) Tutkijapuheenvuoroja terveydenhuollosta. Helsinki: Stakes, 116-128.\r\n\r\n<span lang=\"en-US\">Forma L, Rissanen P, Noro A, Raitanen J, Jylh\u00e4 M. (2007) Health and social service use among old people in the last 2 years of life. <\/span>European Journal of Ageing 4 (3), 145-154.\r\n\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n[\/vc_column_text][\/vc_column][\/vc_row]","_fi_post_name":"yleistyva-pitkaikaisyys-ja-sosiaali-ja-terveyspalvelujen-uudet-haasteet-coctel-marja-jylha","_fi_post_excerpt":"","_fi_post_title":"Yleistyv\u00e4 pitk\u00e4ik\u00e4isyys ja sosiaali- ja terveyspalvelujen uudet haasteet (COCTEL) \/ Marja Jylh\u00e4","_en_post_content":"[vc_row][vc_column][vc_column_text]<span style=\"font-family: 'Open Sans'; font-size: 16px;\">New dynamic of longevity and the changing needs for services (COCTEL)<\/span>\r\n\r\n<span style=\"font-family: 'Open Sans'; font-size: 14px;\">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.<\/span>\r\n\r\n<span style=\"font-family: 'Open Sans'; font-size: 14px;\">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?<\/span>\r\n\r\n<span style=\"font-family: 'Open Sans'; font-size: 14px;\">The data have been derived from multiple national registers. At the present it consist Finnish people died in 1998\u20132008 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.<\/span>\r\n\r\n<span style=\"font-family: 'Open Sans'; font-size: 16px;\"><b>Funding<\/b><\/span>\r\n<span style=\"font-family: 'Open Sans'; font-size: 14px;\">Academy of Finland, TASK project, The Foundation for Municipal Development\u00a0and the Social Insurance Institution of Finland<\/span>\r\n\r\n<span style=\"font-family: 'Open Sans'; font-size: 14px;\"><b><span style=\"font-size: 16px;\">Research group<\/span><i>\r\n<\/i><\/b><i>Principal investigator<\/i><\/span>\r\n<span style=\"font-family: 'Open Sans'; font-size: 14px;\">Professor Marja Jylh\u00e4, marja.jylha@tuni.fi,\u00a0Faculty of Social Sciences (Health Sciences), Tampere University<\/span>\r\n\r\n<span style=\"font-family: 'Open Sans'; font-size: 14px;\"><i>Co-principal investigator<\/i><\/span>\r\n<span style=\"font-family: 'Open Sans'; font-size: 14px;\">Mari Aaltonen, mari.aaltonen@tuni.fi, Faculty of Social Sciences (Health Sciences), Tampere University\r\n<\/span>\r\n\r\n<span style=\"font-family: 'Open Sans'; font-size: 14px;\"><i>Postdoctoral researchers<\/i><\/span>\r\n<span style=\"font-family: 'Open Sans'; font-size: 14px;\">Leena Forma, leena.forma@tuni.fi,\u00a0Faculty of Social Sciences (Health Sciences), Tampere University<\/span>\r\n<span style=\"font-family: 'Open Sans'; font-size: 14px;\">Jutta Pulkki, jutta.pulkki@tuni.fi,\u00a0Faculty of Social Sciences (Health Sciences), Tampere University<\/span>\r\n\r\n<span style=\"font-family: 'Open Sans'; font-size: 14px;\"><i>Statistical advisor<\/i><\/span>\r\n<span style=\"font-family: 'Open Sans'; font-size: 14px;\">Jani Raitanen, jani.raitanen@tuni.fi,\u00a0Faculty of Social Sciences (Health Sciences), Tampere University<\/span>\r\n\r\nDoctoral researcher\r\nSaritha Vargese, saritha.vargese@tuni.fi<i>\r\n<\/i>[\/vc_column_text][\/vc_column][\/vc_row]","_en_post_name":"coctel","_en_post_excerpt":"","_en_post_title":"New dynamic of longevity and the changing needs for services (COCTEL) \/ Marja Jylh\u00e4","edit_language":"en","footnotes":""},"class_list":["post-5852","page","type-page","status-publish","hentry","entry","no-media"],"_links":{"self":[{"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/pages\/5852","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/comments?post=5852"}],"version-history":[{"count":9,"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/pages\/5852\/revisions"}],"predecessor-version":[{"id":7679,"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/pages\/5852\/revisions\/7679"}],"up":[{"embeddable":true,"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/pages\/5663"}],"wp:attachment":[{"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/media?parent=5852"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}