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Journal Article

Socioeconomic differences in service use, payment and receipt of illness-related benefits in the last year of life: findings from the British Household Panel Survey


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Terminal illness presents a financial challenge to many households, but in Britain the situation should be eased by state benefits, such as attendance allowance, which is available to everyone in the last six months of life without means testing. Aim: To investigate the use of health and social services, payments and benefit receipt by individuals in differing financial circumstances in the year before death. Methods: Analysis of individual level panel data for 1652 community-dwelling decedents from 12 waves of the British Household Panel Study (1991-2003). Results: In the year before death, over 90% of decedents saw their GP, and around one-third spent some time in hospital. More than 80% paid no fees for any services. Over a third of decedents aged over 65 reported financial strain, but only 13.9% of these were receiving attendance allowance. People who felt that they were having financial difficulties were more likely to be frequent attenders in primary care, taking age, health status and other factors into account (adjusted OR�=�1.9, 95% CI�=�1.3-2.6, P

Published in

Palliative Medicine


22 (3):248-255



Older People, Welfare Benefits, Health, and Social Policy



NCBI/PubMed alert; Albert Sloman Library Periodicals *restricted to Univ. Essex registered users*


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