Facilitators and Barriers to Accepting Long Term Care at Home: An Analysis of Licensed Home Care Service Agency Websites

Abstract

Most people prefer to age in place. However, there is a growing body of literature to suggest a reluctance to accept supportive services in the home due to concerns about trust, privacy, cost, and fear of being a burden. The purpose of this study was to examine potential facilitators and barriers to accepting home care services in the website content of Licensed Home Care Service Agencies (LHSCA). In this linguistic analysis study, the written content from 88 randomly selected LHCSA websites was examined. We used LIWC2015 and Microsoft® Word software to analyze websites for relevant word categories that reflect older adult identified facilitators and barriers to the acceptance of home care services. Results revealed that the summary score for clout (i.e., confidence and leadership reflected in the writing) was high. Some of the most commonly used word categories were positive emotions, present focused, and affiliation. The word category money was included, but to a lesser degree. However, Burden and related words were highly prevalent in the writing sample. In summary, LHCSA website content contains both facilitators and barriers to the acceptance of home care services. Given the importance of home care services in promoting the ability of older adults to age in place, greater attention may be needed regarding the way services are presented and advertised to consumers.

Linguistic markers for major depressive disorder: a cross-sectional study using an automated procedure

“…LIWC 2015 “all fields” search key criteria indicates 54 studies, 16 of which with specific focus on LIWC-2015. From these, 7 are of interest for health and education ( Stanton et al, 2017 ; Chippendale and Gentile, 2021 ; Monzani et al, 2021 ; Ansari and Du, 2022 ; Yang et al, 2022 ; Sengun et al, 2023 ; Wu et al, 2023 ). Moreover, 7 studies ( Toma and D’Angelo, 2015 ; Coello-Guilarte et al, 2019 ; Kimball et al, 2019 ; Berkout et al, 2020 ; McDonnell et al, 2020 ; Dudău and Sava, 2022 ; Meyerhoff et al, 2023 ) focus on the use of LIWC in connection with depression, all of them relevant for the topic of this study.…”

Problems in the home and community‐based long‐term care for the elderly in China: A content analysis of news coverage

“…Home and communitybased LTC can reduce hospitalization and delay the time of entering institutions, 15 improve the ability of aging in place of the elderly. 16 Almost all OECD countries had adopted policies over the past few decades to promote the development of home and community-based LTC for the elderly, encourage direct supply expansion, establish regulatory measures and provide financial incentives. 8 In addition, the COVID-19 crisis highlights the safety of home and community-based LTC, 17 leading to a further increased need.…”

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Examining Characteristics and Service Utilization of South Korean Home Health Care Patients: Secondary Analysis of 10-Year Data From a Tertiary Hospital

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