Formal and Informal Long-Term Care in the Community: Interlocking or Incoherent Systems?

Burchardt, Tania; Jones, Emily; Obolenskaya, Polina

doi:10.1017/s0047279417000903

Cited by 25 publications

(26 citation statements)

References 20 publications

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“…Feelings of loneliness were positively associated with the risk of having unmet needs, but living alone was not among urban older residents, which is different from prior studies [13,27]. Loneliness is believed to be a common and serious problem for the elderly population [28]; loneliness is defined as a deficiency between an individual"s actual and desired social relationships, resulting in feelings of distress, dissatisfaction or detachment [29][30][31].…”

Section: Rural-urban Differences In the Influencing Factors Of Unmet mentioning

confidence: 63%

“…Loneliness is believed to be a common and serious problem for the elderly population [28]; loneliness is defined as a deficiency between an individual"s actual and desired social relationships, resulting in feelings of distress, dissatisfaction or detachment [29][30][31]. Previous studies have shown that older people who live alone have a higher chance of having unmet needs because they lack the strongest support from family [13,27]. That is, a lack of family support, rather than living alone, leads to unmet needs.…”

Section: Rural-urban Differences In the Influencing Factors Of Unmet mentioning

confidence: 99%

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Rural-urban disparities in unmet long-term care needs and the demand for community care services among elderly people in China

Zeng

Wang

Zhang

et al. 2019

Preprint

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Background: Estimates of unmet needs, as an indicator of future needs for long-term care (LTC) services, have become increasingly crucial policy concerns. This study aimed to examine the urban-rural differences in unmet needs and the demand for community care service among community-dwelling elderly people in China. Methods: The data come from the 2014 Chinese Longitudinal Health Longevity Survey (CLHLS). A total of 1587 community residents aged 65+ with disabilities in the activities of daily living (ADLs) were included in this study. Based on the Andersen theoretical model, binary logistic regression was used to estimate the correlates of unmet needs in LTC. A chi-square test was used to examine the differences in expected needs for community-based LTC services between urban and rural areas. Results: Over half (55.07%) of the participants reported their needs were unmet. Poor economic status and reluctant caregivers seriously affected elderly unmet needs. Among urban older adults, those who were male and lonely reported more unmet needs. Among rural ones, those with severe ADL disability and poor self-rated health reported more unmet needs. In addition, access to medication and home visit services were negatively associated with unmet needs. Living with children (69.12%) was viewed as the most desirable living arrangement among older adults, while living in a LTC facility seemed to be more accepted for rural residents with unmet needs than for other elderly respondents. Residents showed a high demand for community LTC care services, with 82.55% of them expecting to need home visits and 74.29% to healthcare education. Specifically, rural residents had greater expected needs for every community care service than their urban counterparts. However, only 4.66% to 36.42% of the respondents reported that all eight types of services were available, which was far below the demand for these services. Conclusion: The risk of having unmet LTC needs is largely determined by elderly people’s economic status and caregivers’ willingness to provide care for both rural and urban elderly residents. More attention should be paid to psychological consulting services in urban areas, as well as personal care, home visits, psychological consulting and healthcare education services in rural areas.

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Section: Rural-urban Differences In the Influencing Factors Of Unmet mentioning

confidence: 63%

Section: Rural-urban Differences In the Influencing Factors Of Unmet mentioning

confidence: 99%

Rural-urban disparities in unmet long-term care needs and the demand for community care services among elderly people in China

Zeng

Wang

Zhang

et al. 2019

Preprint

View full text Add to dashboard Cite

show abstract

“…Feelings of loneliness were positively associated with the risk of having unmet needs, but living alone was not among urban older residents, which is different from prior studies [13,27]. Loneliness is believed to be a common and serious problem for the elderly population [28]; loneliness is defined as a deficiency between an individual's actual and desired social relationships, resulting in feelings of distress, dissatisfaction or detachment [29][30][31].…”

Section: Rural-urban Differences In the Influencing Factors Of Unmet mentioning

confidence: 79%

“…Loneliness is believed to be a common and serious problem for the elderly population [28]; loneliness is defined as a deficiency between an individual's actual and desired social relationships, resulting in feelings of distress, dissatisfaction or detachment [29][30][31]. Previous studies have shown that older people who live alone have a higher chance of having unmet needs because they lack the strongest support from family [13,27]. That is, a lack of family support, rather than living alone, leads to unmet needs.…”

Section: Rural-urban Differences In the Influencing Factors Of Unmet mentioning

confidence: 99%

Rural-urban disparities in unmet long-term care needs and the demand for community care services among elderly people in China

Zeng¹,

Lin²,

L³

et al. 2020

Preprint

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Objective This study aimed to examine the urban-rural differences in unmet needs and the demand for community long-term care (LTC) services among community-dwelling elderly people in China.Methods The data come from the 2014 Chinese Longitudinal Health Longevity Survey (CLHLS). A total of 1587 community residents aged 65+ with disabilities in the activities of daily living (ADLs) were included in this study. Based on the Andersen theoretical model, binary logistic regression was used to estimate the correlates of unmet needs in LTC. A chi-square test was used to examine the differences in expected needs for community-based LTC services between urban and rural areas.Results Over half (55.07%) of the participants reported their needs were unmet. For both rural and urban residents, poor economic status and reluctant caregivers seriously affected unmet needs. In addition, among urban older adults, those who were male and lonely reported more unmet needs. Among rural elderly people, those with severe ADL disability and poor self-rated health reported more unmet needs. In addition, access to medication and home visit services were negatively associated with unmet needs. Living with children (69.12%) was viewed as the most desirable living arrangement among older people, while living in a LTC facility seemed to be more accepted for rural residents with unmet needs than for other elderly respondents. Residents showed a high demand for community LTC care services, with 82.55% of them expecting to need home visits and 74.29% to healthcare education. Specifically, rural residents had greater expected needs for every community care service than their urban counterparts. However, only 4.66% to 36.42% of the respondents reported that all eight types of services were available, which was far below the demand for these services.Conclusion The risk of having unmet needs associated with ADL disability in LTC is largely determined by elderly people’s economic status and caregivers’ willingness to provide care for both rural and urban elderly residents. More attention should be paid to psychological consulting services in urban areas, as well as personal care, home visits, psychological consulting and healthcare education services in rural areas.

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“…Home visit and health education services should be given priority for the development of HCBS, and ensure to meet the older adult's health care demands. Previous studies indicated that elderly people who were socially isolated were at greater risk of experiencing poor health outcomes [46], while feelings of loneliness were positively associated with the risk of having unmet care needs [47,48]. Loneliness is believed to be a common and serious problem for the older adult population [49].…”

Section: Need Factorsmentioning

confidence: 99%

Analysis of The Demand for Older Adult Care Services and Related Influencing Factors Among Older Adults Living Alone in China

Zeng

Lin

Fang

2020

Preprint

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Background: The number of older adults living alone in China is rising sharply and their care needs have become an increasing public health concern. This study aimed to explore the anticipated living arrangements and demand for home and community-based care services (HCBS) of older adults living alone and examine the related influencing factors.Methods: The data of 2217 participants living alone were extracted from the 2018 Chinese Longitudinal Health Longevity Survey (CLHLS). A chi-square test was used to examine the differences in older adult care services between respondents with different characteristics. Using the Andersen model as the analysis framework, multinomial and binary logistic regressions were used to analyze the influencing factors of anticipated living arrangements and HCBS, respectively. Results: 75.4% of the respondents hoped to maintain living alone when considering the future. Those who were older, had more children, income source was family members, always felt lonely and isolated and had limitation in activities of daily living (ADL) were inclined to choose the arrangement of “co-residence with children”. Childless and loneliness had significant impact on older adults’ willingness to live in institution. There were significant differences between urban and rural areas for provision of HCBS and the demand exceeds supply in all service types. Those who were younger, lived in urban areas, farmers, income source was family members, had poor economic status, had access to social services, with higher sense of loneliness and chronic diseases tend to show anticipated demands for various HCBS.Conclusions: The demand for older adult care services were affected by predisposing, enabling and need variables. There is a need for an overall improvement of the community care system to create a supportive environment for older adults living alone.

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Formal and Informal Long-Term Care in the Community: Interlocking or Incoherent Systems?

Cited by 25 publications

References 20 publications

Rural-urban disparities in unmet long-term care needs and the demand for community care services among elderly people in China

Rural-urban disparities in unmet long-term care needs and the demand for community care services among elderly people in China

Rural-urban disparities in unmet long-term care needs and the demand for community care services among elderly people in China

Analysis of The Demand for Older Adult Care Services and Related Influencing Factors Among Older Adults Living Alone in China

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