Published online by Cambridge University Press: 14 November 2008
The Swedish population is one of the oldest in the world with the consequence that the country has a very high proportion of long-term institutional beds to meet the care needs of elderly people. Studies of the pathways to institutional care showed that alternative home care options had been given too little consideration and that a quarter of residents could have been satisfactorily supported in the community. The Sundsvall Intervention Programme was based upon a distribution of these research findings to institutions and practitioners, followed by a joint training programme on assessment and resource allocation. The first phase of the intervention yielded an unrealised potential for elderly people to remain at home; but it met continuing resistance from professionals and kin. The exercise indicates the need to combine service innovation with locally relevant systems which engage all of the interested parties – elderly people, their relatives, care providers, service managers and politicians.
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