Determinants of Use of Community‐Based Long‐Term Care Services

Determinants of Long‐Term Care Needs of Community‐Dwelling Older People in Singapore

“…It is not surprising that older community‐dwelling adults with chronic diseases, ADL and instrumental ADL deficits, or depressive symptoms were more likely to indicate that they had more needs, but more wanted social‐emotional and financial support than pratical healthcare and social support services. Use of community LTC services in Singapore are lower than in Western countries, possibly because of the preference for informal care assistance with ADLs. However, there is a demand for community support, support groups, and self‐care and management to better support older people who are informal caregivers or, as the current study suggests, as beneficiaries themselves.…”

“…Use of community LTC services in Singapore are lower than in Western countries, possibly because of the preference for informal care assistance with ADLs. However, there is a demand for community support, support groups, and self‐care and management to better support older people who are informal caregivers or, as the current study suggests, as beneficiaries themselves. A critical factor in the development of urban solutions for aging is to make it easy to nurture strong family and local communities that sustain elderly adults and nurture younger individuals.…”

“…Community‐dwelling older people with higher education and socioeconomic status or living with family were less likely to have care needs than those who lived in rental housing or alone. Another study in Singapore found that enabling factors including education, household income levels of care recipient, residence, and value of caregiver housing influenced use of formal community‐based LTC services . Individuals who need care and support may be less likely to use formal care services.…”

“…Singapore initiated a national project to develop urban solutions for aging, including integration of health and social services within the built environment. Frail older people often have complex, long‐term care (LTC) needs and experience frequent rehospitalizations . Community care needs assessments identify needs and service gaps not previously known to health professionals .…”

Effect of caregiving relationship and formal long‐term care service use on caregiver well‐being

“…The study population consisted of patient-caregiver dyads who participated in a longitudinal survey examining attitudes towards LTC services in Singapore. 19 A random sample of 4402 Singaporean citizens or permanent residents who were discharged from tertiary hospitals between December 2011 and July 2012 with referrals to LTC services made by the hospital's multidisciplinary discharge team were identified within the AIC referral database and contacted. We termed this initial referral made at discharge as the "referred service," which included referrals to a nursing home, center-based services (i.e.…”