Availability of family care resources, type of primary caregiving and home death among the oldest-old: A population-based retrospective cohort study in China

Xiong, Zihui; Feng, Weiyan; Li, Zhong

doi:10.1016/j.ssmph.2022.101308

Cited by 7 publications

(2 citation statements)

References 60 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…15 Home visiting services have been proven effective in reducing the occurrence of medication errors, avoiding hospitalisation or institutionalisation and reducing costs in older adults. [16][17][18] Home visiting services are also associated with decreased depression and anxiety among older adults 19 20 and are effective in supporting family caregivers to address unforeseen problems that occur in patients discharged from hospitals. 21 In addition, previous research has indicated that social support could lower the risk of prolonged nursing home stay, 4 and social activities could help maintain cognitive function.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

“…Home visiting services, which usually include preventive-promotive care, medications, long-term maintenance care, hospice care and rehabilitative services provided in the patients’ home, offer an opportunity to reach patients with healthcare needs, those lacking transportation or those with limited mobility 15. Home visiting services have been proven effective in reducing the occurrence of medication errors, avoiding hospitalisation or institutionalisation and reducing costs in older adults 16–18. Home visiting services are also associated with decreased depression and anxiety among older adults19 20 and are effective in supporting family caregivers to address unforeseen problems that occur in patients discharged from hospitals 21.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Trends in the availability of community-based home visiting services for oldest-old in China, 2005–2018

Xuan

Gao

et al. 2023

BMJ Open

Self Cite

View full text Add to dashboard Cite

ObjectivesThis study aims to examine trends in neighbourhood availability of community-based home visiting services (CHVS) (ie, coverage by local primary healthcare providers) over time and disparities in service availability according to individual characteristics using nationwide data of oldest-old individuals (age >80) in China.DesignRepeated, cross-sectional study.SettingThis study derived nationally representative data from the 2005–2018 Chinese Longitudinal Health Longevity Survey.ParticipantsA final analytical sample of 38 032 oldest-old individuals.Primary outcome measuresAvailability of CHVS was defined as having home visiting services in one’s neighbourhood. Cochran-Armitage tests were used to test linear trends in the proportions of oldest-old with service availability. Weighted logistic regression models were used to examine variations in service availability across individual characteristics.ResultsOf 38 032 oldest-old individuals, availability of CHVS decreased from 9.7% in 2005 to 7.8% in 2008/2009, followed by continual increases to 33.7% in 2017/2018. These changes were similar between rural and urban oldest-old. After accounting for individual characteristics, in 2017/2018, compared with their counterparts, urban residents who had white-collar jobs before retirement and those residing in Western and Northeast China were less likely to have service availability. Oldest-old with disabilities, those living alone and those with low incomes did not report having greater availability of CHVS in either 2005 or 2017/2018.ConclusionsDespite the increasing service availability over the past 13 years, persistent geographical disparities in the availability of CHVS remain. As of 2017/2018, only one in three oldest-old in China reported having service availability, which raises concerns regarding continuity of care across different settings of services for those most in need, especially those living alone or with disabilities. National policies and targeting efforts are necessary to improve the availability of CHVS and reduce inequity in service availability for optimal long-term care to the oldest-old population in China.

show abstract