Abstract
The aim of this article is to describe the attitude to a change of nursing home residences into private flats and the use of services by elderly persons before and after a major intervention (in 1986) in the service-delivery organization in the Danish Municipality of Skaevinge. In this intervention, the rooms of a nursing home were converted into health care centre flats. Former nursing home residents were again living in private flats. Their pensions, which formerly paid for their upkeep in the nursing home, were now paid directly to them. The study is based on cross-sectional consumer health surveys. A total of 155 elderly persons participated in ‘before and after’ interviews which took place in 1985 and 1987. During the first survey, 52% of the elderly persons were positive towards conversion of the nursing home; in the second survey, this figure rose to 76%. There was a significant increase in provision of home help from 10 to 37%, home nursing from 11 to 30% and health advice in general. Due to the integration of the former nursing home staff with the home care area, staff now work as interdisciplinary teams both inside and outside the new health care centre.
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