{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T11:27:53Z","timestamp":1783423673853,"version":"3.54.6"},"reference-count":33,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2019,12,8]],"date-time":"2019-12-08T00:00:00Z","timestamp":1575763200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scand J Public Health"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:p>Aims: Ageing in place has become a policy priority. Consequently, residential care has been reduced, and more older people with multiple care needs reside at home with the help of informal care and home care services. An increasing share of these people has memory disorders. We examined the extent to which memory problems, in addition to other individual characteristics, are associated with unmet care needs among community-dwelling older people. Methods: The study employed cross-sectional survey data from community-dwelling people aged 75+ collected in 2010 and 2015, analysed using binary logistic regression analysis. The study population consisted of people who had long-term illnesses or disabilities that limited their everyday activities ( N = 1928). Nine per cent reported substantial memory problems. Of these, 35.7% had a proxy respondent. Results: People with memory problems have more care needs than those with other types of disability or illness. They receive more care but still have more unmet needs than others. About a quarter of people with memory problems reported that they did not receive enough help. This result did not change significantly when the proxy responses were excluded. Even a combination of informal and formal home care was insufficient to meet their needs. Conclusions: Insufficient care for people with memory problems implies a serious demand for further development of home care services. The care needs of this population are often complex. Unmet needs represent a serious risk to the well-being of people with memory disorders, and may also create an extensive burden on their informal caregivers.<\/jats:p>","DOI":"10.1177\/1403494819890800","type":"journal-article","created":{"date-parts":[[2019,12,9]],"date-time":"2019-12-09T01:00:42Z","timestamp":1575853242000},"page":"423-432","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":19,"title":["Unmet care needs are common among community-dwelling older people with memory problems in Finland"],"prefix":"10.1177","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6620-4968","authenticated-orcid":false,"given":"Mari S.","family":"Aaltonen","sequence":"first","affiliation":[{"name":"Faculty of Social Sciences (Health Sciences) and Gerontology Research Centre, Tampere University, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lina H.","family":"Van Aerschot","sequence":"additional","affiliation":[{"name":"Faculty of Humanities and Social Sciences, University of Jyv\u00e4skyl\u00e4, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,12,8]]},"reference":[{"key":"bibr1-1403494819890800","volume-title":"Vanhuspalvelulain 980\/2012 toimeenpanon seuranta. Tilanne ennen lain voimaantuloa vuonna 2013","author":"Noro A"},{"key":"bibr2-1403494819890800","unstructured":"Official Statistics Finland (OSF). Service structure and coverage in care and services for older people, 1990\u20132016. Statistical yearbook on social welfare and health 2017, www.julkari.fi\/handle\/10024\/135959 (2017, accessed 10 November 2018)."},{"key":"bibr3-1403494819890800","unstructured":"Ministry of Social Affairs and Health. Laatusuositus hyv\u00e4n ik\u00e4\u00e4ntymisen turvaamiseksi ja palvelujen parantamiseksi 2017\u20132019 [Quality recommendation for securing good ageing and improving services 2017\u20132019]. Finland: Ministry of Social Affairs and Health, https:\/\/stm.fi\/julkaisu?pubid=URN:ISBN:978-952-00-3960-8 (2017, accessed 25 November 2019)."},{"key":"bibr4-1403494819890800","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2524.2011.01047.x"},{"key":"bibr5-1403494819890800","doi-asserted-by":"crossref","unstructured":"Kalliomaa-Puha L. Vanhoille ja sairaille sopivaa? Omaishoitosopimus hoivan instrumenttina. Kela: Sosiaali- ja terveysturvan tutkimuksia 90, http:\/\/hdl.handle.net\/10250\/3306 (2007, accessed 12 January 2019).","DOI":"10.61200\/mikael.129370"},{"key":"bibr6-1403494819890800","first-page":"25","volume-title":"The young, the old and the state. Social care systems in five industrial countries","author":"Kr\u00f6ger T","year":"2003"},{"key":"bibr7-1403494819890800","unstructured":"Vero Skatt. Tax credit for household expenses, www.vero.fi\/en\/individuals\/tax-cards-and-tax-returns\/income-and-deductions\/Tax-credit-for-household-expenses\/ (2018, accessed 11 March 2019)."},{"key":"bibr8-1403494819890800","unstructured":"Kehusmaa S. Hoidon menoja hillitsem\u00e4ss\u00e4. Heikkokuntoisten kotona asuvien ik\u00e4ihmisten palvelujen k\u00e4ytt\u00f6, omaishoito ja kuntoutus [Containing the costs for care. Use of services, informal care and rehabilitation of frail elderly living at home]. PhD Thesis. University of Tampere, Finland, 2014."},{"key":"bibr9-1403494819890800","volume-title":"Vanhuspalvelulain 980\/2012 toimeenpanon seuranta. Tilanne ennen lain voimaantuloa vuonna 2013","author":"Finne-Soveri H","year":"2014"},{"key":"bibr10-1403494819890800","doi-asserted-by":"publisher","DOI":"10.1017\/S104161021600106X"},{"key":"bibr11-1403494819890800","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2377-2-6"},{"key":"bibr12-1403494819890800","doi-asserted-by":"publisher","DOI":"10.1159\/000144027"},{"key":"bibr13-1403494819890800","unstructured":"National Institute for Health and Welfare. Muistisairauksien yleisyys [Prevalence of memory disorders], https:\/\/thl.fi\/fi\/web\/kansantaudit\/muistisairaudet\/muistisairauksien-yleisyys (2018, accessed 8 November 2018)"},{"key":"bibr14-1403494819890800","unstructured":"Official Statistics of Finland (OSF). Social welfare and health services used by clients with memory disorders, 2003\u20132013. 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Vanhuspalvelulain vaikutukset ik\u00e4\u00e4ntyneen v\u00e4est\u00f6n toimintakykyyn ja koettuun palvelutarpeeseen [The influence of law on care services for older people on functional capabilities and subjective care needs of older population], http:\/\/urn.fi\/URN:ISBN:978\u2013952\u2013302\u2013406\u20139 (2014, accessed 8 September 2018)."},{"key":"bibr18-1403494819890800","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.12245"},{"key":"bibr19-1403494819890800","doi-asserted-by":"publisher","DOI":"10.2307\/3349613"},{"key":"bibr20-1403494819890800","doi-asserted-by":"publisher","DOI":"10.1177\/0898264310387132"},{"key":"bibr21-1403494819890800","doi-asserted-by":"publisher","DOI":"10.1177\/1533317513504817"},{"key":"bibr22-1403494819890800","doi-asserted-by":"publisher","DOI":"10.1002\/gps.4879"},{"key":"bibr23-1403494819890800","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.12549"},{"key":"bibr24-1403494819890800","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2017.1390732"},{"key":"bibr25-1403494819890800","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/43.5.712"},{"key":"bibr26-1403494819890800","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610206004716"},{"key":"bibr27-1403494819890800","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/41.6.723"},{"key":"bibr28-1403494819890800","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2018.05.018"},{"key":"bibr29-1403494819890800","doi-asserted-by":"publisher","DOI":"10.3233\/JAD-180531"},{"key":"bibr30-1403494819890800","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2005.00495.x"},{"key":"bibr31-1403494819890800","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-13-317"},{"key":"bibr32-1403494819890800","doi-asserted-by":"publisher","DOI":"10.1332\/239788219X15641291564296"},{"key":"bibr33-1403494819890800","doi-asserted-by":"crossref","unstructured":"Kr\u00f6ger T, Van Aerschot L., Puthenparambil J. 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