DOI: 10.5279/dk-sa-dda-1655
title: Socialmedicinsk undersøgelse blandt ældre i 10 EF-lande, 1986-1995
title: Socio-Medical Survey Among Elderly in Ten EC-Countries, Denmark

description: Nærværende undersøgelse beskriver helbredsforholdene i en population af privatboende ældre. Undersøgelsen adskiller sig fra tidligere undersøgelser vedr. ældres helbredsforhold ved at rapportere et bredere spektrum af selvrapporterede helbredsproblemer og ved at have et andet sigte, nemlig:
            
        1) at beskrive ulighederne i helbredsforhold, herunder hvor store
        
        grupper, der er helbredsmæssigt meget belastede, og hvor store
        
        grupper, der er helt raske, dvs. uden kroniske sygdomme,
        
        symptomer og funktionsevneindskrænkninger,
        
        2) at beskrive sammenhængen mellem helbredsforhold og et bredt
        
        spektrum af livsomstændigheder og personlige ressourcer,
        
        3) at beskrive sammenhængen mellem helbredsproblemer og ydelser
        
        fra sundheds- og socialvæsenet, herunder identificere grupper,
        
        som tilsyneladende får for få, for mange eller forkerte
        
        ydelser,
        
        4) at vurdere, hvad helbredsforhold betyder for eventuelt senere
        
        opståede belastninger og kriser og for den måde, hvorpå de
        
        ældre og deres omgivelser mestrer disse belastninger.
      
            Undersøgelsen er det første af en serie danske bidrag til det af EF''s Lægevidenskabelige Forskningsråd igangsatte europæiske forskningsprogram ''Age Care Research Europe''. Ti europæiske lande deltager i dette forskningssamarbejde, og hvert land gennemfører ideelt tre undersøgelser:
            
        a) En survey-undersøgelse af helbred, forbrug af sundhedsydelser,
        
        levekår og personlige ressourcer m.v. i en normalpopulation af
        
        privatboende ældre; populationen genundersøges et eller få år
        
        efter m.h.p. beskrivelse af senere tilkomne belastninger og den
        
        måde, de mestres på, og prædiktorer for god og dårlig aldring.
        
        Formålet med dette delprojekt er at få mere viden om det
        
        forebyggende aspekt: Hvilke faktorer fremmer uafhængighed og
        
        selvstændighed i alderdommen? Hvilke faktorer truer den
        
        uafhængige livsførelse? Survey-undersøgelsen er i Danmark
        
        gennemført i oktober-december 1986 med follow-up undersøgelse i
        
        oktober-december 1990. Det i 1986 anvendte spørgeskema
        
        indeholdt 228 spørgsmål om demografiske og sociale forhold,
        
        levekår, helbred og funktionsevne, socialt netværk og social
        
        støtte, psykologiske ressourcer, livsstil, brug af ydelser fra
        
        social- og sundhedsvæsenet samt forventning om fremtidigt behov
        
        for sådanne ydelser.
        
        b) Detailundersøgelse af samordning og beslutningsprocesser i
        
        sundheds- og socialvæsenet vedrørende tildeling af ydelser til
        
        ældre. Formålet er at studere ældrepolitikken i praksis. Man
        
        anlægger et ''nedefra og op'' perspektiv og beskriver nogle af
        
        ældrepolitikkens virkemidler set med brugernes og
        
        ''markarbejdernes'' øjne.
        
        c) Analyser af idealer i sundheds- og socialpolitikken for de
        
        ældre. Dette delprojekt baseres på kildematerialer om
        
        ældrepolitikken samt gennemgang af undersøgelser, som evaluerer
        
        den.
      
            De to førstnævnte projekter gennemføres ideelt - og i det danske delprojekt - i tre geografiske områder: Et storbyområde, et byområde og et landområde
description: This survey deals with health, functional ability, drug use, and living situation of a population of non-institutionalized persons aged 70 to 95 years in four Danish municipalities. The survey differs from earlier surveys dealing with the health of old people in that it includes a wide range of self-reported health problems, and also in that it has a different purpose, viz.:     #     #1) To describe the differences in health, including the size     #   of the group of elderly persons whose health situation     #   and functional ability is very poor and the size of the     #   group of elderly persons who are in good health, i.e.     #   who do not suffer from any chronic diseases, physical and     #   mental symptoms, or reduced functional ability.     #2) To describe the correlation between health and various     #   aspects of living situation and personal resources.     #3) To describe the correlation between health problems and the     #   use of health and social services, including an     #   identification of groups which apparently receive too little,     #   too much or the wrong type of help.     #4) To evaluate what health conditions mean to health problems     #   and crises which occur later on, and to the way in which     #   the elderly and their surroundings manage these problems.     #     #The survey is the first of a series of Danish contributions to the European research programme, 'Age Care Research Europe', which was initiated by the Medical Research Council of the EC. Ten European countries take part in this project, and each country is supposed to carry out three surveys:     #     #a) A survey dealing with health, use of health services,     #   living situation and personal resources, etc. of a normal     #   population of non-institutionalized elderly people. The     #   respondents are to be re-interviewed one or a few years     #   later in order to describe additional health problems and     #   the way in which these are managed, as well as factors     #   predicting good or bad ageing. The purpose of this is     #   to obtain more detailed knowledge of preventive factors:     #   Which factors promote independence in old age? Which     #   factors are a threat to an independent conduct of life?     #   This survey was carried out in Denmark in October-November     #   1986 with a follow-up in October-December 1990. The     #   questionnaire used in the 1986 survey contained 228     #   questions about demographic and social conditions, living     #   conditions, health and functional ability, social network     #   and social support, mental resources, life style, use of     #   health and social services, and expectations as regards     #   future need for such services.     #b) A detailed survey of the co-ordination and decision-making     #   processes in the health and social services concerning     #   the administration of services rendered to the elderly.     #   The purpose is to study old age policy in practice. The     #   survey adapts an 'upwards' perspective and describes some     #   of the consequences of this policy seen from the point     #   of view of the users and the 'field workers'.     #c) Analyses of ideals in health and social policies for     #   elderly people. This part-project is based on source     #   material on old age policy as well as on a detailed     #   study of surveys which evaluate this policy.     #     #The first two projects should preferably - as in the Danish part - be carried out in three geographical areas: one capital area, one urban area, and one rural area
description: Se abstract
description: See abstract