Perceived unmet needs for community-based long-term care services among urban older adults: A cross sectional study

De-sheng, Meng; Xu, Guihua; Davidson, Patricia M.

doi:10.1016/j.gerinurse.2021.03.013

Cited by 20 publications

(25 citation statements)

References 46 publications

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“…With regard to home-based elderly care, current research revolves around whether the need has been met but has concentrated less on the quality of care [ 20 , 21 , 22 , 23 , 24 ]. However, the quality of care provided by the worker is key to guaranteeing older people’s wellbeing and the quality of their daily life.…”

Section: Introductionmentioning

confidence: 99%

Factors Affecting the Job Satisfaction of Caregivers in a Home-Based Elderly Care Program

Rong

Zhou

2022

IJERPH

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Population aging has increased the demand for elderly care worldwide. The home-based elderly care system plays an important role in meeting this demand in developing countries. The quality of home-based elderly care is associated with the job satisfaction of caregivers in home-based elderly care programs, which has rarely been studied. This paper explores the factors that affect the job satisfaction of these elderly caregivers, including personal characteristics, working conditions, employment status, training, caregiver–client relationships, welfare, work experience, and burnout. It utilizes data from the Shanghai Domestic-work Professionalization Survey (SDPS), which was conducted among four types of in-home caregivers (n = 1000) in Shanghai over the period from May to September 2021. This paper selected a sample of elderly caregivers (n = 285) to examine their job satisfaction. The results show that gender, age, marital status, how they earned the job, relation with clients, social insurance, and work experience are significantly associated with the job satisfaction of in-home elderly caregivers, and their job satisfaction is negatively associated with their burnout levels. However, training and working conditions have no significant effect on the job satisfaction of in-home elderly caregivers, which is different from previous studies on formal care workers, such as nurses, in the institutional care system.

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Section: Introductionmentioning

confidence: 99%

Factors Affecting the Job Satisfaction of Caregivers in a Home-Based Elderly Care Program

Rong

Zhou

2022

IJERPH

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“…In Japan, the main reasons for the requirement of LTC include cerebrovascular disease (17.2%), dementia (16.4%), age-related frailty (13.9%), falls and fractures (12.2%) and joint disease (11.0%) 11. It has been demonstrated that the unmet LTC needs were associated with negative outcomes such as falling, and the increasing use of primary, emergency, and acute healthcare services 12 13. And most of the older adults with frail require some form of long-term care 9 14.…”

Section: Introductionmentioning

confidence: 99%

Relationship between frailty and long-term care needs in Chinese community-dwelling older adults: a cross-sectional study

et al. 2022

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ObjectivesOur study aimed to investigate the relationship between the severity of frailty and the long-term care (LTC) needs of older adults from Chinese communities.DesignA cross-sectional study.SettingThree Chinese community health centres. All data were collected by trained researchers through face-to-face collection.ParticipantsWe surveyed a total of 540 older residents who aged 60 or older from community in Guangzhou, China.MeasuresThe Chinese version of the Tilburg frailty indicator was used to assess the frailty status of participants. LTC needs was evaluated by Integrated Home Care Services Questionnaire. Using non-adjusted and multivariate adjusted logistic regression analysis to evaluate frailty and LTC needs, then smoothed plots, threshold effect analysis and P for trend were used to further investigate the relationship between them.ResultsThe prevalence of frailty was 45.2% among the 540 older adults enrolled (aged 70.4±8.3 years; 65.7% females). 27% had higher LTC needs, which increased to 65.1% for individuals with frailty. Logistic regression analysis showed that frailty was strongly associated with LTC needs (OR 3.06, 95% CI 2.06 to 4.55, p<0.01). In the multivariate model, after adjusting for demographic characteristics, economic situation, activities of daily living and comorbidities, frailty remained significantly associated with LTC needs (OR 2.32, 95% CI 1.39 to 3.88, p<0.01). The smoothed plots showed a nearly linear relationship between frailty and LTC needs. Threshold effect analysis showed that every point increase in frailty, the score of LTC needs increased 1.3 points. The IQR to regroup individuals with frailty. Compared with the first quartile (scores ≤2), the incidence of LTC needs increased with the frailty status (p value for trend <0.01).ConclusionThere is a linear relationship between frailty and LTC needs. With the increasing degree of frailty, the LTC needs of older adults dramatically increases.

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“…However, most older people prefer living in their own homes for the rest of their lives, even if they face functional limitations, such as physical, cognitive, and social. 4 …”

Section: Introductionmentioning

confidence: 99%

“…However, most older people prefer living in their own homes for the rest of their lives, even if they face functional limitations, such as physical, cognitive, and social. 4 Accordingly, in November 2018, the government of South Korea announced the "Master Plan for the Integrated Local Community Care", making efforts to universally introduce "Community Care" by 2026 under the "Integrated Local Community Care" banner. 5 Community care is an important component of the comprehensive primary medical care system based in a local area.…”

Section: Introductionmentioning

confidence: 99%

Analyzing Community Care Research Trends Using Text Mining

Park¹,

Park²,

Lee³

2022

JMDH

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Purpose This study utilized text mining to analyze research trends around community care, which focuses on improving patients’ quality of life by lessening the financial burden on caregivers and relieving patient discomfort. Methods To examine research trends by community care stage, Section 1 is set from 2017 to 2019, when the community care was implemented, and Section 2 from 2020 to 2021, after the end of the community care. Papers used for the analysis were extracted using the Korea Citation Index (KCI); a total of 132 articles were selected and subjected to text mining analysis. Results First, the main community care research areas included work, housing, economy, disability, and mind. Second, from 2017 to 2019, there was considerable interest in community care centered on households, and main keywords, such as nursing, family, and experience, appeared. Third, from 2020 to the present, there was high interest in community care centered on disabilities, and keywords, such as space, business, and Seoul City, appeared. Conclusion The results reveal the changing issues, with the implementation of community care. Overall, research has tended to focus on social and welfare systems, rather than health and medical systems. In the future, local, community-integrated health and medical care systems should be restructured and regional delivery systems established to make them more accessible.

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Perceived unmet needs for community-based long-term care services among urban older adults: A cross sectional study

Cited by 20 publications

References 46 publications

Factors Affecting the Job Satisfaction of Caregivers in a Home-Based Elderly Care Program

Factors Affecting the Job Satisfaction of Caregivers in a Home-Based Elderly Care Program

Relationship between frailty and long-term care needs in Chinese community-dwelling older adults: a cross-sectional study

Analyzing Community Care Research Trends Using Text Mining

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