Factors Associated With Preferences for Institutionalized Care in Elderly Persons

Werner, Perla; Segel-Karpas, Dikla

doi:10.1177/0733464814546041

Cited by 12 publications

(5 citation statements)

References 37 publications

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“…Our observations indicate that the cognitive functioning of the older people living in professional pension institutions was generally poor. This finding is consistent with the assertions of Werner and Segel-Karpas (2016), who noted that signs of dementia caused older people to worry about dementia and adopt this uneconomical behaviour. Other possible explanations for this are that a residential shift from familiar surroundings to an unfamiliar place might have a negative impact on cognitive functioning (Fong et al, 2012).…”

Section: Discussionsupporting

confidence: 92%

“…However, we learned through dialogue that avoiding becoming a burden to their children, rather than economic efficiency, was the primary reason governing older people's decision to choose institutional care. Concern over cognitive decline is the leading reason behind older people choosing institutional care (Werner & Segel-Karpas, 2016). Our observations indicate that the cognitive functioning of the older people living in professional pension institutions was generally poor.…”

Section: Discussionmentioning

confidence: 68%

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Synergistic influence of education and marriage on the risk for cognition loss among the older people in China

et al. 2021

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 68%

Synergistic influence of education and marriage on the risk for cognition loss among the older people in China

et al. 2021

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“…Andersen’s Behavioral Model of Health Services Use (ABM) is widely used in studies on health service utilization. 20-30 It provides a framework for describing and understanding individuals’ decision to use health care services. We consider the dependent variables in this study, contracted with GP services and willingness to contract, as health care utilization, which is similar to other published studies.…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing Residents’ Willingness to Contract With General Practitioners in Guangzhou, China, During the GP Policy Trial Phase: A Cross-Sectional Study Based on Andersen’s Behavioral Model of Health Services Use

Liu

Tan

et al. 2019

INQUIRY

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This study aimed to investigate the current contract rate and residents’ willingness to contract with general practitioner (GP) services in Guangzhou, China, during the policy trial phase, and also to explore the association of behavior contract and contract willingness with variables based on Andersen’s Behavioral Model of Health Services Use (ABM). In total, 160 residents from community health centers (CHCs) and 202 residents from hospitals were recruited in this study. The outcome variables were behavior contract and contract willingness. Based on the framework of ABM, independent variables were categorized as predisposing factors, enabling factors, need factors, and CHC service utilization experiences. Univariate and multivariate logistic regression analysis models were applied to explore the associated factors. Out of 362 participants, 14.4% had contracted with GP services. For those who had not contracted with GP services, only 16.4% (51 out of 310) claimed they were willing to do so. The contract rate for community-based participants was significantly higher than that for hospital-based participants. Major reasons for not choosing to contract were perceiving no benefit from the service and concerns about the quality of CHCs. Community health center experiences and satisfaction were significantly associated with contracting among hospital-based participants. A need factor (diagnosed with hypertension or diabetes) and CHC service utilization experiences (have gotten services from the same doctor in CHCs) were significantly associated with contract willingness among CHC-based participants. Intervention to improve awareness of GP services may help to promote this service. Different intervention strategies should be used for varying resident populations.

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“…Moreover, care preferences are not uniform. Preferences are shaped by attitudes towards institutional LTC, cultural values towards care in general, and the personal valuation of autonomy and independence (Min 2005;Werner and Segel-Karpas 2016).…”

Section: Long-term Care Choice Modelmentioning

confidence: 99%

“…Older persons prefer to receive care in the community by informal caregivers (WOC arrangement) if care needs are low. As care needs become more extensive, care preferences shift gradually to formal caregivers (OC arrangement) and institutional LTC (IC arrangement) (Caro et al 2012;Guo et al 2015;Keysor et al 1999;Min 2005;Nieboer et al 2010;Santos-Eggimann and Meylan 2017;Werner and Segel-Karpas 2016;Wielink et al 1997).…”

Section: Bridge Assumptionsmentioning

confidence: 99%

Effect of Regional Long-Term Care Service Supply on Choice of Care Arrangement in Old Age

Kuppler

Wagner

2020

Population Ageing

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Depending on their place of residence, older persons have unequal access to long-term care (LTC) services. This article investigates how the county-level supply of inpatient and outpatient LTC services influences individual-level LTC choices of older persons. Administrative data on LTC service supply from the German Care Statistic are combined with representative survey data on the LTC choices of N = 1303 persons aged 80+ from the German Federal State North Rhine-Westphalia. Random utility models are applied to model the choice among three care arrangements: receiving inpatient care in an institutional setting (e.g., nursing home), receiving outpatient care in the community, and living in the community without receiving inpatient or outpatient care. The main findings are: Higher inpatient service supply increases the probability that older persons leave the community and enter institutional LTC. Higher outpatient service supply increases the probability that older persons choose to receive outpatient care in the community instead of entering institutional LTC. The results suggest that policy makers must consider the county-level LTC service supply when designing equitable LTC systems that meet the needs of older persons in a costeffective way.

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Factors Associated With Preferences for Institutionalized Care in Elderly Persons

Abstract: Although some similarities exist between the correlates for care preferences in the two distinct situations, there are noticeable differences. These are discussed and implications for practice are suggested.

Cited by 12 publications

References 37 publications

Synergistic influence of education and marriage on the risk for cognition loss among the older people in China

Synergistic influence of education and marriage on the risk for cognition loss among the older people in China

Factors Influencing Residents’ Willingness to Contract With General Practitioners in Guangzhou, China, During the GP Policy Trial Phase: A Cross-Sectional Study Based on Andersen’s Behavioral Model of Health Services Use

Effect of Regional Long-Term Care Service Supply on Choice of Care Arrangement in Old Age

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