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      <r:Content xml:lang="sv">Den nationella äldrestudien SNAC - The Swedish National Study on Aging and Care, innefattar fyra deltagande områden: SNAC-Blekinge, SNAC-Kungsholmen, SNAC-Nordanstig och SNAC-Skåne (GÅS). Vid samtliga fyra områden finns ett forskningscentrum som bedriver en befolkningsstudie och dels en vårdsystemstudie. Under 'Relaterade studier' finns beskrivning om huvudstudien SNAC, samt specifik studiebeskrivning för respektive delstudie inom SNAC. 

SNAC-K Kungsholmen
I Stockholm svarar Äldrecentrum för studien SNAC-K. Den genomförs i Kungsholmens stadsdel som omfattar Kungsholmen och Essingeöarna. Arbetet bedrivs tillsammans med Aging Research Center (ARC).

Befolkningsdel: 
Datainsamlingen i befolkningsdelen avser uppföljning av hälsa, sjukdom, funktionsförmåga, sociala förhållanden och vårdbehov genom upprepade undersökningar, intervjuer, enkäter etc. Denna information kompletteras med olika slag av register data. Datainsamlingen sker genom att deltagarna får träffa en sjuksköterska, en läkare och en psykolog.

Vårdsystemdel: 
Datainsamlingen i vårdsystemdelen består av en fortlöpande kartläggning av biståndsbedömda behov och beviljade insatser från äldreomsorgen för personer över 65 år. För åren 2004-2020 omfattas samtliga omsorgstagare boende på Kungsholmen. Fr.o.m. 2015 omfattas samtliga omsorgstagare i hela Stockholms kommun. För specifika frågeställningar kompletteras data med uppgifter från Region Stockholms patientregister (VAL-databasen). 


Vårdsystemdelen och befolkningsdelen förenas genom de personer som deltar i båda delarna av SNAC-studien.

Syfte:

Inom ramen för SNAC har befolkningsdelen i  delstudien SNAC-K speciellt inriktats på demens, multisjuklighet samt fysisk och mental funktionsförmåga. Syftet med studien är bland annat att studera övergången från normalt åldrande till sjuklighet och nedsatt funktionsförmåga genom att kartlägga hur sociala och biologiska faktorer, samt miljön, inverkar på de äldres hälsa och funktionsförmåga och förväntad livslängd. Avsikten är att studera negativa och positiva händelser under livet som kan ha betydelse för åldrandet.

Syftet med SNAC-K vårdsystemdelen är att över tid studera olika perspektiv på jämlik och behovsstyrd äldreomsorg för personer 65 år och äldre. Detta sker geom att beskriva och analysera hur behov av bistånd bedöms och beviljas enligt Socialtjänstlagen (SoL) bland personer 65 år och äldre. Syftet innefattar även att analysera hur äldreomsorgens insatser samvarierar med konsumtion av hälso- och sjukvård och med stöd och hjälp från anhöriga (informell omsorg), och hur detta förändras över tid. Insam­lade data kan användas som underlag för planering, resursfördelning och utvärdering av vård­en och omsorgen av de äldre. Tillgängliga data kan också användas i forsknings- och utvecklings­arbete kring frågor om vård och omsorg. Genom att kombinera data från befolkningsdelen och vårdsystemdelen ges unika möjligheter att göra jämförelser mellan dem som har och dem som inte har insatser från kommunens äldreomsorg.

En ny population med 81-åringar undersöktes mellan åren 2007-2009, då 194 individer deltog. Populationen har därefter följts upp mellan åren 2010-2012, då 148 individer deltog. Ytterligare uppföljning pågår 2013 - 2015.

För mer information vänligen se: 
https://www.snac-k.se/for-researchers/data-description/
och https://www.snac-k.se/for-researchers/code-books/</r:Content>
      <r:Content xml:lang="en">The national study SNAC - The Swedish National Study on Aging and Care, includes four participating areas: SNAC-Blekinge,  SNAC Kungsholmen, SNAC Nordanstig and SNAC Skåne (GÅS). In all four areas, a research centre conducts a population study and a health care system study. (Metadata related to the main study SNAC and the other participating areas can be found under the Related studies tab).

SNAC-K Kungsholmen
SNAC-K is conducted by the Stockholm Gerontology Research Center in collaboration with Aging Research Center (ARC), Karolinska Institutet. 

SNAC-K population study:
The population study consists of a clinical examination of persons over 60 years, who live in the area of Kungsholmen/Essingeöarna. The baseline data collection includes information on present status and past events. The information has been collected through interviews, clinical examinations, and testing. All staff (nurses, psychologists, and physicians) has been trained for data collection. Each subject has been examined for six hours on average; two hours for the social interview and the assessment of physical functioning (performed by a nurse); two hours for clinical examination, including geriatric, neurological and psychiatric assessment (performed by a physician); and two hours for cognitive assessment (performed by a psychologist). 

SNAC-K care system study:
The care system data collection consists of continuous recording of the provision of public eldercare for persons over 65 years. For 2004-2020, data comprise all recipients of municipal eldercare in the district of Kungsholmen. Starting in 2015, data comprise all recipients of municipal eldercare in the whole municipality of Stockholm. Data are based on individual assessments made by the municipal need assessors for each decicison regarding the provision of eldercare services. Data include information about the type and amount of care and services granted, as well as information on need indicators (e.g., disability,physical function, cognitive impairment, mental health, living situation, housing). For specific research questions, data from the care system study can be complemented with register data on health care consumption provided by the Region of Stockholm (VAL-databas). The care system perspective and the population perspective are joined through those elderly persons who participate in both parts of the study.

Purpose:

Population study: The purpose is to study the transition from normal aging to morbidity and impaired functional ability by identify how social and biological factors, and the environment, affect older people's health, functional ability and life expectancy. The intention is to study the positive and negative events in life that may be relevant to aging.

Care system study: The aim of SNAC-K care system study is to continuously monitor the allocation of public eldercare in relation to need indicators. Collected data can be used as a basis for planning, resource allocation and evaluation of the provision of eldercare services and health care among older adults. Available data can also be used in research and development around the issues of the provision of social and heath care. The connection to the SNAC-K population study gives a unique opportunity for comparisons between care recipients and non-recipients.

A new population 81-year olds was examined in 2007-2009, when 194 individuals participated. The population was followed up in 2010-2012, when 148 individuals participated. Further follow-up is ongoing in 2013-2015.

For more information please visit: 
https://www.snac-k.se/for-researchers/data-description/ 
https://www.snac-k.se/for-researchers/code-books/</r:Content>
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