Impact of social care supply on healthcare utilisation by older adults: a systematic review and meta-analysis

Spiers, Gemma; Matthews, Fiona E.; Moffatt, Suzanne; Barker, Robert; Jarvis, Helen; Stow, Daniel; Kingston, Andrew; Hanratty, Barbara

doi:10.1093/ageing/afy147

Cited by 40 publications

(47 citation statements)

References 19 publications

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“…The synthesis of evidence from studies of social care availability and supply is reported elsewhere (Spiers et al, ). Studies of social care quality were omitted from the review due to inconsistency in how this was defined.…”

Section: Resultsmentioning

confidence: 99%

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Does older adults’ use of social care influence their healthcare utilisation? A systematic review of international evidence

Spiers

Matthews

Moffatt

et al. 2019

Health Soc Care Community

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Improving our understanding of the complex relationship between health and social care utilisation is vital as populations age. This systematic review aimed to synthesise evidence on the relationship between older adults’ use of social care and their healthcare utilisation. Ten databases were searched for international literature on social care (exposure), healthcare use (outcome) and older adults (population). Searches were carried out in October 2016, and updated May 2018. Studies were eligible if they were published after 2000 in a high income country, examined the relationship between use of social care and healthcare utilisation by older adults (aged ≥60 years), and controlled for an indicator of need. Study quality and bias were rated using the National Institute of Health (NIH) Quality Assessment Tool for Observational Cohort and Cross‐Sectional Studies. Study data were extracted and a narrative synthesis was conducted. Data were not suitable for quantitative synthesis. Thirteen studies were identified from 12,065 citations. Overall, the quality and volume of evidence was low. There was limited evidence to suggest that longer lengths of stay in care homes were associated with a lower risk of inpatient admissions. Residents of care homes with onsite nursing had fewer than expected admissions to hospital, compared to people in care homes without nursing, and adjusting for need. Evidence for other healthcare use outcomes was even more limited and heterogeneous, with notable gaps in primary care. We conclude that older adults’ use of care homes may moderate inpatient admissions. In particular, the presence of registered nurses in care homes may reduce the need to transfer residents to hospital. However, further evidence is needed to add weight to this conclusion. Future research should build on this evidence and address gaps regarding the influence of community based social care on older adults’ healthcare use. A greater focus on primary care outcomes is imperative.

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Section: Resultsmentioning

confidence: 99%

“…Evidence was mapped onto these four domains with separate syntheses intended for each. The synthesis of evidence regarding the availability and supply of social care is reported elsewhere (Spiers et al, ). This paper reports the synthesis of studies examining the influence of social care utilisation .…”

Section: Introductionmentioning

confidence: 99%

Does older adults’ use of social care influence their healthcare utilisation? A systematic review of international evidence

Spiers

Matthews

Moffatt

et al. 2019

Health Soc Care Community

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“…intermediate care and respite usage) and record measures which can help understand the care home population and their needs at a population level. A more comprehensive understanding of this area using real, routinely collected data could help support the case for adequate investment in social care services to improve lives [34].…”

Section: Discussionmentioning

confidence: 99%

The Scottish Social Care Survey (SCS) and the Scottish Care Home Census (SCHC)

Henderson

Burton

Lynch

et al. 2019

IJPDS

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IntroductionLinked health care datasets have been used effectively in Scotland for some time. Use of social care data has been much more limited, partly because responsibility for these services is distributed across multiple local authorities. However, there are substantial interactions between health and social care (also known internationally as long-term care) services, and keen policy interest in better understanding these. We introduce two social care resources that can now be linked to health datasets at a population level across Scotland to study these interdependencies. These data emerge from the Scottish Government’s centralised collation of data from mandatory returns provided by local authorities and care homes. MethodsDeterministic and Probabilistic methods were used to match the Social Care Survey (SCS) and Scottish Care Home Census (SCHC) to the Community Health Index (CHI) number via the National Records of Scotland (NRS) Research Indexing Spine. ResultsFor the years 2010/11 to 2015/16, an overall match rate of 91.2% was achieved for the SCS to CHI from 31 of Scotland’s 32 local authority areas. This rate varied from 76.7% to 98.5% for local authority areas. A match rate of 89.8% to CHI was achieved for the SCHC in years 2012/13 to 2015/16 but only 52.5% for the years 2010/11 to 2011/12. ConclusionIndexing of the SCS and SCHC to CHI offers a new and rich resource of data for health and social care research.

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“…1 A surge in the population of senior citizens who need support is expected by 2050. 2 The demographic structure of the world has deeply changed compared with a hundred years ago; 3 so the population of senior citizens is growing. 4 Currently, more than five million Iranian citizens (7.26%) are in their old age, and it is expected that more than 10% of the population in 20 years will be constituted by the elderly.…”

Section: Introductionmentioning

confidence: 99%

“…6 Studies have shown that people's need for healthcare services increases with age. 2 To improve daily care of the elderly and cut the costs of care, we need to collect data about individual's needs. 7 To guarantee proper distribution and use of services for senior citizen, it is essential to comprehensively assess the needs including physical, mental, and social needs.…”

Section: Introductionmentioning

confidence: 99%

<p>Validation of an Instrument for Assessing Elder Care Needs in Iran</p>

Rashidi

Jalali

Salari

et al. 2020

CIA

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Background: The notable growth of the senior citizens population has caused problems and concerns in areas like healthcare, social care, and participation in society. The present paper is aimed at validating a Farsi version of the "International classification of functioning, disability, and health" for assessing elderly care needs in Kermanshah, Iran. Methods: The original version of the tool was translated into Farsi using forward-backward method. The study group consisted of 301 senior citizens who were selected through cluster sampling. Validity of the tool was examined using Waltz and Basel's content validity index, face validity, and confirmatory factor analysis. The reliability of the tool was examined using Cronbach's alpha and internal correlation. Data analyses were performed in SPSS-25 and Amoss-16. Results: Following confirmatory factor analysis, the number of factors decreased from nine to eight. The R 2 index in the above model was estimated equal to 0.99; this indicates that 99% of the dependent variable changes (total score of ICF) are explained by the independent variables (eight items). All the indices were above 0.9, which indicates significance of the model (χ 2 /DF=2.7, CFI, NFI, GFI, TLI=0.9, REMSEA=0.078, R 2 =0.99). In addition, using internal correlation, the reliability of the tool obtained was equal to 0.77 for the whole tool and 0.7-0.87 for the sub-scales. Conclusion: The Farsi version of ICF had acceptable and applied specifications to assess the care needs of senior citizens and it can be used as a valid tool in different areas of nursing performance and elderly health.

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Impact of social care supply on healthcare utilisation by older adults: a systematic review and meta-analysis

Cited by 40 publications

References 19 publications

Does older adults’ use of social care influence their healthcare utilisation? A systematic review of international evidence

Does older adults’ use of social care influence their healthcare utilisation? A systematic review of international evidence

The Scottish Social Care Survey (SCS) and the Scottish Care Home Census (SCHC)

<p>Validation of an Instrument for Assessing Elder Care Needs in Iran</p>

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