In the last years of life, burden of disease and disability and need of health- and social care often increase. Social, functional and psychological factors may be important in regard to social- and health care utilization. This study aims to describe use of health- and social care during the last year of life among persons living in ordinary housing or in assisted living facilities. A retrospective study examining health- and social care utilization during their last year of life, using a subsample from the Swedish twin registries individually linked to several Swedish national quality registries (NQR). Persons that died during 2008–2009 and 2011–2012 (n = 1518) were selected. Mean age at death was 85.9 ± 7.3 (range 65.1–109.0). Among the 1518 participants (women n = 888, 58.5%), of which 741 (49%) were living in assisted living facilities and 1061 (69.9%) had at least one hospitalization during last year of life. The most common causes of death were cardiovascular disease (43.8%) and tumors (15.3%). A multivariable logistic regression revealed that living in ordinary housing, younger age and higher numbers of NQR’s increased the likelihood of hospitalization. Persons in their last year of life consumed high amount of health- and social care although 12% did not receive any home care. Married persons received less home care than never married. Persons living in ordinary housing had higher numbers of hospitalizations compared to participants in assisted living facilities. Older persons and persons registered in fewer NQR’s were less hospitalized.

中文翻译：

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瑞典老年人生命最后一年的健康和社会护理。

在生命的最后几年，疾病和残疾的负担以及健康和社会护理的需求往往会增加。社会、功能和心理因素对于社会和医疗保健的利用可能很重要。本研究旨在描述居住在普通住房或辅助生活设施中的人在生命的最后一年中对健康和社会护理的使用情况。一项回顾性研究，使用来自与多个瑞典国家质量登记处 (NQR) 单独关联的瑞典双胞胎登记处的子样本，检查他们生命最后一年的健康和社会护理利用情况。选择了 2008 年至 2009 年和 2011 年至 2012 年期间死亡的人员（n = 1518）。平均死亡年龄为 85.9 ± 7.3 岁（范围 65.1–109.0）。在 1518 名参与者中（女性 n = 888，占 58.5%），其中 741 名（49%）住在辅助生活设施中，1061 名（69.9%）在生命的最后一年至少住院过一次。最常见的死亡原因是心血管疾病（43.8%）和肿瘤（15.3%）。多变量逻辑回归显示，居住在普通住房、年龄较小和 NQR 数量较多会增加住院的可能性。人们在生命的最后一年消耗了大量的健康和社会护理，尽管 12% 的人没有接受任何家庭护理。已婚人士得到的家庭护理比未婚人士少。与生活辅助设施中的参与者相比，居住在普通住房中的人住院治疗的人数更高。老年人和在较少 NQR 中登记的人住院的情况较少。