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High quality palliative care requires an evaluation of the different care needs of the nursing home residents.
In the prevalence-based approach patients are distributed into different disease phases according to the disease pathway and according to different care needs [ 7, 8].
Optimal palliative care in long-term care facilities requires a comprehensive evaluation of the different care needs of nursing home residents [ 6, 7].
Participants stated that patients and caregivers want to make decisions and have control, and that this concept goes hand-in-hand with understanding that each patient has different care needs.
Thus, inpatient-day costs may be extrapolated to other hospitals, which have similar investments with the explicit notice that costs of each patient may be different as different care needs exist among patients.
Although it concerns two totally different diseases with different care needs and disease trajectories, they do have a lot in common: they are often unnecessarily hospitalized, [ 5] have a high need for a multidisciplinary approach [ 6] and many suffer from symptoms which are partly the same, like pain [ 7, 8].
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In order to control the influence of care-needs level on the use of VNS, we first checked the distribution of the numbers of VNS users according to different care-need levels.
We categorized 25 health indicators into five MCH groups that represent different areas of interest and different health care needs of the women and children before pregnancy, during pregnancy, and after birth.
We calculated the mean number of visits and the proportion visiting a doctor separately for men and women in different age, education and income groups, and among groups with different health care needs.
Men with different ethnic and or socio-demographic backgrounds are likely to have different supportive care needs 48– 50.
Otherwise there were no significant differences in the change in number of visits between groups with different health care needs and between groups in disadvantaged areas compared to the rest of Stockholm County.
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