The use of social services by community-dwelling older persons who are at risk of institutionalization: a survey

Bilsen, P.M.A. van; Hamers, J.P.H.; Don, A.A.M.; Groot, Wim; Spreeuwenberg, Cor

doi:10.1007/s10433-010-0150-8

Cited by 5 publications

(3 citation statements)

References 25 publications

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“…However, when the interactions were incorporated into the analysis, only women with the most advantaged deprivation index (Q1-Q3) were more likely to live in institutions, whereas that characteristic appeared in men with the lowest socioeconomic status (Q4-Q5). The demand for institutionalization arises when the needs of patients and their caregivers are not solved due to the severity of symptoms and the lack of resources at home 22. Despite the development of the Dependency Law in Spain that has boosted social services, most of the care for patients with dementia is delivered by informal caregivers at home 23,24…”

Section: Discussionmentioning

confidence: 99%

<p>Dementia-related neuropsychiatric symptoms: inequalities in pharmacological treatment and institutionalization</p>

Mar

Arrospide

Soto-Gordoa

et al. 2019

NDT

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Background Dementia-related neuropsychiatric symptoms (NPS) are the main determinant of family stress and institutionalization of patients. This study aimed to identify inequalities by gender and socioeconomic status in the management of NPS in patients diagnosed with dementia. Methods An observational study was carried out to study all the cases of dementia in the corporate database of the Basque Health Service (29,864 patients). The prescription of antipsychotics and antidepressants and admission to a nursing home were used to establish the presence of NPS. The socioeconomic status of individuals was classified by a deprivation index. Logistic regressions were used to identify drivers for drug prescriptions and institutionalization. Results NPS are poorly recorded in the clinical databases (12%). Neuropsychiatric symptoms were severe enough in two thirds of patients with dementia to be treated with psychoactive medication. Institutionalization showed an increase from those who did not receive medication to those who had been prescribed antidepressants (OR: 1.546), antipsychotics (OR: 2.075) or both (OR: 2.741). The resulting inequalities were the increased prescription of antidepressant drugs in women and more nursing-home admissions for women who were the least socioeconomically deprived and men who were the most deprived. Conclusions In large clinical databases, psychoactive drugs prescriptions can be useful to underscore the considerable burden of dementia-related NPS. Specific tools are needed to monitor social and health care programs targeted to dementia-related NPS from a population perspective. Programs aimed at reducing the family burden of care of dementia patients at home become the key elements in reducing inequalities in these patients’ care. Socioeconomic status is the most important driver of inequality, and gender inequality may simply be hidden within the social environment. Integrated programs boosting the continuity of care are an objective for which compliance could be measured according to the NPS coding in the electronic health record.

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Section: Discussionmentioning

confidence: 99%

<p>Dementia-related neuropsychiatric symptoms: inequalities in pharmacological treatment and institutionalization</p>

Mar

Arrospide

Soto-Gordoa

et al. 2019

NDT

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“…In terms of overall community older adults service utilization, the factors that in uence the utilization of older adults services are mainly gender, age, residence style, nancial status, receipt of Medicaid, and health status [10][11][12][13] [14]. Meanwhile, related studies show that older adults who receive support from informal caregivers such as children are more likely to use community older adults care services [15]; the more adequate social capital (social participation, volunteering, sense of belonging, social trust, etc. ), the more likely older adults are to use older adults care services [16]; perceived service need and service knowledge/perception are important factors in uencing older adults care service utilization [17][18]; service supply and service quality are the practical constraints for the elderly to use elderly care services [19]; socio-cultural factors may lead to urban-rural differences in the utilization of older adults care services, such as the perceptions of older adults towards communitybased older adults care services and formal support [20].…”

Section: Literature Reviewmentioning

confidence: 99%

Factors Influencing the Utilization of Community Cultural and Leisure Services for the Older Adults From The Perspective of Supply and Demand: Based on the Case of Shaanxi Province

Niu

Zhang

Zhao

et al. 2021

Preprint

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Background Along with the increasing number of older adults in China, the demand for older adults services of China's aging population has been transformed and upgraded, and the demand for community cultural and leisure services of the older adults has become increasingly prominent. The research on the influencing factors of the utilization of community cultural and leisure services of the older adults can help improve the service effect and enhance the quality of life of the older adults. Based on Anderson's model, we constructed an analytical framework of the influencing factors of the utilization of community cultural and leisure services for the older adults from both the supply and demand sides, and then used Poisson regression method to empirically test the analytical framework based on the survey data of three cities in Shaanxi Province in 2019. Results The results found that supply-side factors significantly influenced the utilization of community cultural and leisure services by the older adults, mainly including service facility supply, service content supply, and service location accessibility; demand-side factors significantly influenced the utilization of community cultural and leisure services by the older adults, mainly including service acceptability, service satisfaction, and service need. The study also found that, unlike the results of previous studies, the use of community cultural and leisure services by older adults was not constrained by economic level. Conclusions Both supply-side factors and demand-side factors significantly affect the utilization of community spiritual culture services by the older adults. In strengthening and improving the supply of community cultural and leisure services, the previous "top-down" and "service-centered" approach should be changed to a "bottom-up" and "demand-centered" approach. In the past, the supply of community spiritual culture services should be changed from a "top-down" and "service-centered" approach to a "bottom-up" and "demand-centered" approach, and attention should be paid to the urban-rural differences in supply.

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“…For example, elderly people at risk of institutionalization who prefer to stay at home will use social services at different frequencies, with only cultural and dining facilities being frequently used [35]. Another study on similar individuals found that only personal care, social-cultural activities, and dining facilities are frequently used [36].…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing the Usage Frequency of Community Elderly Care Facilities and Their Functional Spaces: A Multilevel Based Study

Wen,

Zhang,

et al. 2024

Buildings

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The construction of community elderly care facilities (CECF) is pivotal for promoting healthy aging and “aging in place” for older people. This study focuses on the low utilization rates of community elderly care facilities in the Dongcheng and Xicheng Districts, core areas of Beijing. The explainable machine learning method is used to analyze data across three dimensions: the elderly’s individual attributes, characteristics of the community elderly care station (CECS), and features of the built environment around CECS and subdistrict, to identify the important factors that influence the usage frequency of overall CECS and its different functional spaces, and also the correlation between factors and usage frequency of CECS. It shows that the most important factors are the features of CSCF, including the degree of space acceptance and satisfaction with services provided, which influence the usage frequency of nine functional spaces (R2 ≥ 0.68) and overall (R2 = 0.56). In addition, older people’s individual factors, such as age and physical condition, significantly influence the usage of specific spaces such as rehabilitation therapy rooms and assistive bathing rooms. The influence of built environment characteristics is relatively low, with factors such as the density of bus stations and housing prices within the subdistrict and the mean distance from CECF to the nearest subway stations being more important. These findings provide a reference for the construction of indoor environments, management of service quality, and optimal site selection for future community elderly care facilities.

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The use of social services by community-dwelling older persons who are at risk of institutionalization: a survey

Cited by 5 publications

References 25 publications

<p>Dementia-related neuropsychiatric symptoms: inequalities in pharmacological treatment and institutionalization</p>

<p>Dementia-related neuropsychiatric symptoms: inequalities in pharmacological treatment and institutionalization</p>

Factors Influencing the Utilization of Community Cultural and Leisure Services for the Older Adults From The Perspective of Supply and Demand: Based on the Case of Shaanxi Province

Factors Influencing the Usage Frequency of Community Elderly Care Facilities and Their Functional Spaces: A Multilevel Based Study

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