Variation in Older Americans Act Caregiver Service Use, Unmet Hours of Care, and Independence Among Hispanics, African Americans, and Whites

Herrera, Angelica P.; George, Rebecca L; Angel, Jacqueline L.; Markides, Kyriakos; Torres-Gil, Fernando

doi:10.1080/01621424.2012.755143

Cited by 25 publications

(10 citation statements)

References 43 publications

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“…We suspect the difference between our findings and those of earlier studies is partially a result of the older age of our study sample compared to survey research samples. Consistent with previous evaluations of caregivers using social support services, the caregivers in our sample were older than caregivers from national survey studies (Herrera, George, Angel, Markides, & Torres-Gil, 2013). Whereas one-quarter of caregivers are Millennials (Flinn, 2018), just 5.6% of caregivers the study sample were under age 40 ( n = 28).…”

Section: Discussionsupporting

confidence: 84%

What Are the Characteristics of Caregivers Logging in for Support Services?

Meyer

Gassoumis

Kelly³

et al. 2019

Innovation in Aging

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Background and Objectives Online service delivery options have the potential to increase access to informational resources among caregivers to older adults. However, it is unknown which caregivers will use online-delivered services over usual service delivery modes (e.g., by phone) when both options are available in social service settings. This is important for service providers to know when making decisions that best serve their communities. Research Design and Methods Guided by Andersen’s model of health service utilization, we used step-wise logistic regression models to compare the characteristics of caregivers who used an online information service called FCA CareJourney (FCA CJ) with those who accessed the same services using the usual mode of service delivery ( N = 540). Online and usual-care services were available through two social service organizations in California. Results In all, 13.7% of clients used FCA CJ to receive services online. Enabling characteristics were the main predictors of using online-delivered services. Caregivers employed part-time had 3.82 times the odds of using online-delivered services compared to those employed full-time (odds ratio [OR] = 3.82; 95% confidence interval [CI]: 1.58–9.22). Caregivers who learned about services from health care providers had 2.91 times the odds of using FCA CJ as those who learned about services through social services (OR = 2.91; 95% CI: 1.28–6.62). Even among those who learned about services online, 62.2% still accessed services using usual delivery modes. Discussion and Implications Based on differences in the characteristics of caregivers using different service delivery modes and the low uptake of online-delivered services, we suggest online service delivery should supplement, not replace, usual delivery modes in social service settings. At the same time, user rates of online service delivery are likely modifiable. Given the potential for online-delivered programming to expand access to information services for caregivers, we recommend further examination into the effects of marketing online service delivery options to caregivers in novel ways.

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Section: Discussionsupporting

confidence: 84%

What Are the Characteristics of Caregivers Logging in for Support Services?

Meyer

Gassoumis

Kelly³

et al. 2019

Innovation in Aging

View full text Add to dashboard Cite

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“…Transitional care also features prominently in the ACA through the Community-Based Care Transitions Program (Section 3026) and other Medicare and Medicaid initiatives that are aimed at improving care coordination and transitional care as well as decreasing the risk of readmission into formal care (Burton, 2012; Naylor, Aiken, Kurtzman, Olds, & Hirschman, 2011). Women at the tail end of the life course in particular will benefit from these programs because they tend to turn to community-based formal care organizations in the event of poor health and infirmity (Herrera, George, Angel, Markides, & Torres-Gil, 2013). …”

Section: Implications For Policy And/or Practicementioning

confidence: 99%

Gender Differences in Institutional Long-Term Care Transitions

Mudražija

Thomeer

Angel

2015

Women's Health Issues

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Introduction This study investigates the relationship between gender, the likelihood of discharge from institutional long-term care (LTC) facilities, and post-discharge living arrangements, highlighting sociodemographic, health, socioeconomic, and family characteristics. Methods We use the Health and Retirement Study to examine individuals age 65 and older admitted to LTC facilities between 2000 and 2010 (N=3,351). We examine discharge patterns using survival analyses that account for the competing risk of death and estimate the probabilities of post-discharge living arrangements using multinomial logistic regression models. Results Women are more likely than men to be discharged from LTC facilities during the first year of stay. Women are more likely to live alone or with kin after discharge, whereas men are more likely to live with a spouse or transfer to another institution. Gender differences in the availability and use of family support may partly account for the gender disparity of LTC discharge and post-discharge living arrangements. Conclusion Our findings suggest that women and men follow distinct pathways after LTC discharge. As local and federal efforts begin to place more emphasis on the transition from LTC facilities to prior communities (e.g., transitional care initiatives under the Patient Protection and Affordable Care Act), policymakers should take these gender differences into account in the design of community-transition programs.

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“…However, in some cases, this reluctance extended to accessing publicly funded services as well. Some studies have shown that care-givers from different cultural backgrounds vary in their use of and requests for services, perhaps attributable to differing care-giving beliefs and practices (Asai and Kameoka, 2005; Hsueh et al , 2008; Herrera et al , 2013).…”

Section: Discussionmentioning

confidence: 99%

Understanding the educational and support needs of informal care-givers of people with dementia attending an outpatient geriatric assessment clinic

et al. 2018

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Informal (unpaid) care-givers of older people with dementia experience stress and isolation, causing physical and psychiatric morbidity. Comprehensive geriatric assessment clinics represent an important geriatrician-led model of dementia care. Our qualitative study examined the educational and support needs of care-givers of people diagnosed with dementia at a geriatric assessment clinic, resources used to address those needs and challenges experienced in doing so. We conducted structured thematic analysis of interviews with 18 informal care-givers. Participants’ narratives reflected four themes. First, care-givers sought information from varied sources, including the Alzheimer Society, the internet and clinic staff. Responsive behaviours, the expected progression of dementia and system navigation were topics of particular interest. Second, care-givers obtained assistance from public, for-profit and voluntary sources. Third, care-givers received little assistance. Two-thirds received fewer than four hours of help weekly from all sources combined, and none more than 15. Several received no assistance whatsoever. Publicly funded support workers’ tasks, and their timing, were often unhelpful. Finally, while numerous care-givers felt physical and emotional strain, and worried about how poor health impaired their care-giving, many hesitated to seek help. The needs of this unique population of informal care-givers can be met by improved home-care service flexibility, and access to trustworthy information about the expected progression of dementia and skills for managing behavioural and psychological symptoms.

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Variation in Older Americans Act Caregiver Service Use, Unmet Hours of Care, and Independence Among Hispanics, African Americans, and Whites

Cited by 25 publications

References 43 publications

What Are the Characteristics of Caregivers Logging in for Support Services?

What Are the Characteristics of Caregivers Logging in for Support Services?

Gender Differences in Institutional Long-Term Care Transitions

Understanding the educational and support needs of informal care-givers of people with dementia attending an outpatient geriatric assessment clinic

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