Awareness and Use of Health Services by the Elderly

Snider, Earle L.

doi:10.1097/00005650-198012000-00003

Cited by 54 publications

(33 citation statements)

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“…To date, the research regarding the use and non‐use of formal community services by caregivers of persons with dementia has focused on a number of recipient, caregiver and contextual variables. Most of the research on recipient variables has focused on changes in cognitive, behavioural and emotional status (Caserta et al 1987; Montgomery et al 1990; Penning 1995; Shapiro & Tate 1997; Hawranik 1998), changes in level of functioning (Biegel et al 1993; Kosloski & Montgomery 1993; Penning 1995; Gill et al 1998; Hawranik 1998), level of general health (Snider 1980; Office of Technology Assessment 1987) and sociodemographic variables (age, living arrangement, locale) (Caserta et al 1987; Lawton et al 1989; Penning 1995). Locale is a sociodemographic variable that relates to whether or not the caregiver and recipient live in an urban or rural setting.…”

Section: Present State Of the Knowledge: A Critical Evaluationmentioning

confidence: 99%

“…The role of contextual or environmental variables is a key policy issue, since researchers and policy‐makers are often interested in understanding the influence of health policies, or the organization of health services, on the use of formal services (Phillips et al 1998). The majority of studies that were found, with the exception of four (Snider 1980; Penning 1995; Shapiro & Tate 1997; Hawranik 1998), were conducted in an American context. Despite the valuable contribution of these study findings, the fundamental differences in both the structure and financing of formal community services between the American and the Canadian health care system limit their applicability.…”

Section: Present State Of the Knowledge: A Critical Evaluationmentioning

confidence: 99%

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Explaining the use and non‐use of community‐based long‐term care services by caregivers of persons with dementia

Markle‐Reid

Browne

2001

Evaluation Clinical Practice

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The purpose of this paper is to synthesize and critically evaluate the current literature that explains the use and non-use of formal community-based long-term care services by caregivers of persons with dementia. There are four issues related to formal community service use by caregivers: reluctance to initiate formal services; under-utilization of available services; delayed utilization of services; and inappropriate utilization of services. Despite substantial research efforts to understand these issues, the reasons for low rates of community service use by this population remains unclear. Common methodological problems and limitations in the underlying theoretical assumptions in the literature, as they relate to caregivers of persons with dementia, have limited the usefulness of the current research for informing practice and policy. A conflict-theory model of decision-making is proposed as an alternative theoretical framework for understanding the particularity and complexity of the decision-making process leading up to the initiation of formal service use. Utilization of formal services is a result of a complex and subjective decision-making process that is unrelated to objective circumstances. The proposed conflict theory model of decision-making can inform policy and practice regarding the development of appropriate, timely and individualized interventions to facilitate the use of formal services by caregivers of persons with dementia.

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Section: Present State Of the Knowledge: A Critical Evaluationmentioning

confidence: 99%

Section: Present State Of the Knowledge: A Critical Evaluationmentioning

confidence: 99%

Explaining the use and non‐use of community‐based long‐term care services by caregivers of persons with dementia

Markle‐Reid

Browne

2001

Evaluation Clinical Practice

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“…In our review, we found few multivariate studies of elders' utilization behavior. [17][18][19] The Andersen and Aday model conceptualizes utilization behavior as a consequence of characteristics of the health delivery system and of characteristics of the population at risk. The population at risk in turn is characterized as having Predisposing, Enabling, and Need characteristics.…”

mentioning

confidence: 99%

Toward understanding elders' health service utilization

Branch¹,

Jette²,

Evashwick³

et al. 1981

J Community Health

127

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Providing appropriate health services to the elderly is emerging as one of the major challenges of this decade. Using the theoretical framework developed by Andersen and Aday, this study attempts to improve our understanding of those factors which inhibit or facilitate elders' use of health services. The data come from a 1974 statewide random probability sample of 1,625 noninstitutionalized elders 65 years of age or older living in Massachusetts. Regression analysis is used to study the effects of predisposing, enabling, and need characteristics on the use of five health services: hospitals, physicians, dentists, home care, and ambulatory care. The model explains from 5% to 27% of the variance in health service utilization. Need characteristics, in general, account for most of the explained variance.

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“…Affiliative tendencies have been reported as associated with usage of senior centers (Demko, 1979;Taietz, 1976). Knowledge of available services has also been identified as an important variable (Bild and Havighurst, 1976;Fowler, 1970;Krout, 1984;Snider, 1980). Data for many early studies came from program evaluations and were constrained by limited resources and the necessity of focusing on a particular program.…”

Section: Journal Of Gerontological Soclal Workmentioning

confidence: 99%

Service Utilization by the Elderly

McCaslin¹

1989

Journal of Gerontological Social Work

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Past research has produced contradictory findings on characteristics that differentiate elderly users of formal assistance from non-users. This article describes a study designed to clarify influences on service utilization by (a) examining an inclusive set of independent variables within a mult~variate framework, and (b) sy'stematically assessin use by pe of service pro ram. Findings indicate that traditional P y studle 2 demographic an f . funct~onal capacity variables have ve little predictive power in relation to service use.Knowledge of an 7 orientation to the formal service system, in contrast, stand out as important determinants of use, especially in programs for the well elderly. Implications for both research and program development are discussed.It is widely recognized that factors other than objective need influence utilization of health and social services. Debate continues, however, as to which additional influences are important under what circumstances.A fairly extensive body of research exists on correlates of service use among the elderly. One group of early studies focused on medical services and/or income supplementation programs (Bell,

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Awareness and Use of Health Services by the Elderly

Cited by 54 publications

References 0 publications

Explaining the use and non‐use of community‐based long‐term care services by caregivers of persons with dementia

Explaining the use and non‐use of community‐based long‐term care services by caregivers of persons with dementia

Toward understanding elders' health service utilization

Service Utilization by the Elderly

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