Determinants of Long-Term Care Services among the Elderly: A Population-Based Study in Taiwan

Wu, Chengyuan; Hu, Hsiao Yun; Huang, Nicole; Fang, Yi; Chou, Yiing Jenq; Li, Chung Pin

doi:10.1371/journal.pone.0089213

Cited by 68 publications

(106 citation statements)

References 30 publications

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“…The research by Wu et al conducted in Taiwan among people at the age of 65 years and older showed, like the presented research, that the essential determinants of long-term care were: age, living alone, stroke, and cognitive impairment [15].…”

Section: Discussionsupporting

confidence: 72%

Determinants of long-term home nursing care among people over 65 years of age

Dziechciaż¹,

Wróblewska²,

Chmielewski³

et al. 2018

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Introduction: With age comes increasing loss of efficiency, and thereby increasing dependence on others and increasing demand for nursing and care services Aim of the research: To determine the factors of demand for long-term home nursing care among people over 65 years old. Material and methods: The research was conducted on 504 subjects aged between 66 and 94 years. The qualified respondents for the long-term home-based nursing care scored no more than 40 points in Barthel's Index. The following research tools were used: Barhel's Index, IADL, GDS, AMTS, and an authorial interview questionnaire. Results: For long-term home-based nursing care 15.67% (n = 79) of subjects were qualified; there were more women (n = 61) than men (n = 18) (p < 0.05). The age of respondents qualified for long-term nursing care was higher than the age of other test subjects (p < 0.001). Among subjects qualified for long-term home-based nursing care there were more people with incomplete primary education (p < 0.01) and a higher number of multi-diseases than with the rest (p < 0.01). Moreover, people qualified for long-term nursing care had worsened agility to perform complex life activities and worsened cognitive and emotional performance (p < 0.001) than people who did not qualify for such services. Conclusions: The need for long-term nursing care was determined by progressing ageing, functional, emotional, and cognitive disorders, more frequent with women, people with low education, and multi-diseases. Streszczenie Wprowadzenie: Z wiekiem postępuje utrata sprawności, a także zwiększa się uzależnienie od innych osób i zapotrzebowanie na świadczenia pielęgnacyjne i opiekuńcze. Cel pracy: Określenie czynników determinujących zapotrzebowanie na długoterminową domową opiekę pielęgniarską u osób po 65. roku życia zamieszkujących na wsi. Materiał i metody: Badaniami objęto 504 osoby w wieku 66-94 lat. Do długoterminowej domowej opieki pielęgniarskiej zakwalifikowano respondentów, którzy w skali Barthel uzyskali nie więcej niż 40 pkt. W pracy zastosowano takie narzędzia badawcze, jak skala Barthel, IADL, GDS, AMTS oraz autorski kwestionariusz wywiadu. Wyniki: Do długoterminowej domowej opieki pielęgniarskiej zakwalifikowano 15,67% (n = 79) badanych, więcej kobiet (n = 61) niż mężczyzn (n = 18) (p < 0,05). Wiek respondentów zakwalifikowanych do długoterminowej opieki pielęgniarskiej był wyższy od wieku pozostałych badanych (p < 0,001). Wśród osób zakwalifikowanych do długoterminowej domowej opieki pielęgniarskiej było więcej osób z wykształceniem niepełnym podstawowym (p < 0,01

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Section: Discussionsupporting

confidence: 72%

Determinants of long-term home nursing care among people over 65 years of age

Dziechciaż¹,

Wróblewska²,

Chmielewski³

et al. 2018

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“…When applying Andersen's model to home care use, the preeminence of need factors was obvious. The association with limitations in ADL/IADL has already been extensively established and, in our case, was further strengthened by taking into account their evolution over the study period [7,8,[17][18][19][20][21][22][23]. In a logistic regression model including this variable, the number of other need factors remaining significantly associated with home care utilization was actually limited.…”

Section: Discussionmentioning

confidence: 69%

Formal home care use by older adults: trajectories and determinants in the Lc65+ cohort

Dupraz

Henchoz

Santos-Eggimann

2020

BMC Health Serv Res

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Background: Given the increasing importance of formal home care services in policies dedicated to elder care, there is major interest in studying individuals' characteristics determining their utilization. The main objective of this research was to quantify, during a 6-year timeframe, home care use trajectories followed by community-dwelling participants in a cohort study of older adults. The secondary objective was to identify factors associated with home care utilization using Andersen's Behavioural Model of Health Services Use. Methods: We proceeded to an analysis of data prospectively collected in the setting of the Lc65+ populationbased study conducted in Lausanne (Switzerland). Self-reported utilization of professional home care in 2012 and 2018 was used to define trajectories during this timeframe (i.e. non-users, new users, former users and continuing users). Bivariable analyses were performed to compare new users to non-users regarding the three dimensions of Andersen's model (predisposing, enabling and need factors) measured at baseline. Then, binomial logistic regression was used in a series of two hierarchical models to adjust for need factors first, before adding predisposing and enabling factors in a second model. Results: Of 2155 participants aged between 69 and 78 in 2012, 82.8% remained non-users in 2018, whereas 11.2% started to use professional home care. There were 3.3% of continuing users and 2.7% of former users. New users exhibited a higher burden of physical and psychological complaints, chronic health conditions and functional limitations at baseline. After adjusting for these need factors, odds of home care utilization were higher only in participants reporting a difficult financial situation (OR 1.65, 95% CI 1.12-2.45). Conclusions: In the setting of a Swiss city, incident utilization of formal home care by older adults appeared to be largely determined by need factors. Modifiable factors like personal beliefs and knowledge about home care services did not play a role. After adjusting for need, odds of becoming home care user remained higher in participants reporting a difficult financial situation, suggesting such vulnerability does not hamper access to professional home care in this specific context.

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“…First, the finding of the increased intention to use LTC facilities compared to prior research demonstrates the growing need for LTC facilities. This growing preference for LTC facilities has been taking place in other Asian countries as well, such as China (Zhan et al 2011), Taiwan (Lee et al 2010; Wu et al 2014), and Japan (McCormick et al 2002; Tsutsui and Muramatsu 2005). Despite the pressing need for LTC facilities, the current number of LTC facilities in Korea is not sufficient to respond to such growing LTC needs (Kim and Kim 2004; Kim et al 2012).…”

Section: Discussionmentioning

confidence: 99%

Intention to Use Long-Term Care Facilities: Differences beween Korean Pre-elderly and Korean Baby-boomers

Hong

Kim

et al. 2016

J Cross Cult Gerontol

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With the rapidly increasing number of older adults, dealing with long-term care (LTC) needs becomes an emerging issue in South Korea. This study aims to examine factors affecting the intention to use longtermcare facilities with two groups of young-old adults: (1) Korean pre-elderly (KPE) and (2) Korean babyboomers (KBB). Guided by Andersen’s behavioral model of health service use and prior research, predisposing characters, enabling resources, need factors, availabilities of informal care and self-care activities were used as predictors. In the final analyses, 803 KPE and 966 KBB were included. The results of logistic regression analyses showed different findings in two groups. Age, education, spouse's physicalhealth, and self-care activities for relationship with family and friends are significantly associated with intention to use LTC facilities among KPE. However, income, physical health of respondents, and relationship satisfaction with children are significantly related to intention of use LTC facilities in the group of KBB. This study suggests different LTC needs between KPE and KBB. Health care professionals and policy makers need to consider such differences to provide quality LTC care for them.

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Determinants of Long-Term Care Services among the Elderly: A Population-Based Study in Taiwan

Cited by 68 publications

References 30 publications

Determinants of long-term home nursing care among people over 65 years of age

Determinants of long-term home nursing care among people over 65 years of age

Formal home care use by older adults: trajectories and determinants in the Lc65+ cohort

Intention to Use Long-Term Care Facilities: Differences beween Korean Pre-elderly and Korean Baby-boomers

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