Unmet Needs for Home and Community-Based Services Among Frail Older Americans and Their Caregivers

@article{Casado2011UnmetNF,
  title={Unmet Needs for Home and Community-Based Services Among Frail Older Americans and Their Caregivers},
  author={Banghwa Lee Casado and Kimberly S van Vulpen and Stacey L. Davis},
  journal={Journal of Aging and Health},
  year={2011},
  volume={23},
  pages={529 - 553}
}
Objective: This study examined unmet needs for home- and community-based services (HCBS) among frail older Americans. Method: Using population-based sample from the National Long-Term Care Survey, a hierarchical logistic regression analysis was conducted to examine the predictors of unmet needs for seven types of HCBS. Results: Lack of awareness, reluctance, unavailability, and affordability of services were the main reasons for unmet needs for HCBS. Factors that were associated with unmet… 

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References

SHOWING 1-10 OF 61 REFERENCES
Assessing Unmet Needs of Older Adults Receiving Home and Community-Based Services: Conceptualization and Measurement
TLDR
The findings suggest that measures of unmet needs varied in terms of their focus and sources of information and underscore the need to further refine the conceptualization and measurement of un met service needs to assure the proper use of existing measures by social service providers.
Understanding Factors That Influence Success of Home- and Community-Based Services in Keeping Older Adults in Community Settings
TLDR
The findings suggest the importance of encouraging older adults to acknowledge their unmet needs and to seek community-based support services early, rather than wait until they have developed more serious needs, such as difficulties in activities of daily living.
Unmet Needs and Depressive Symptoms Among Low-Income Older Adults
TLDR
The number of unmet needs was significantly positively associated with these older adults' depressive symptoms, although it explained only a small proportion of the variance of the GDS scores.
Elder disability as an explanation for racial differences in informal home care.
TLDR
Findings suggest that Blacks are not better off than Whites in the receipt of informal care and calls for heightened awareness of disability among low-income Blacks and the potential burden experienced by their caregivers.
Early community-based service utilization and its effects on institutionalization in dementia caregiving.
TLDR
The findings suggest the practical importance and cost-effectiveness implications of early community-based service use, and the role of timing when one is conceptualizing the proliferation of stress in the dementia caregiving career.
Predictors of elders' and family caregivers' use of formal home services.
  • S. Houde
  • Medicine
    Research in nursing & health
  • 1998
TLDR
The findings from this study support the consideration of both care recipient and caregiver characteristics when predicting the utilization of formal service use in the home and support the development of interventions to promote the caregiving process.
Rural Older Adults' Access Barriers to In-Home and Community-Based Services
TLDR
Findings showed that predisposing, enabling, and need factors had differential influence on access barriers to individual services, and the main access barriers were unavailability, unawareness, and affordability of HCBS.
Caregivers of frail elders: updating a national profile.
TLDR
The proportion of chronically disabled community-dwelling older adults who were receiving informal assistance from family or friends declined over the period of interest, whereas the proportion receiving no human help increased.
Investigating Patterns of Service Use by Families Providing Care for Dependent Elders
TLDR
Investigation of patterns of support service use by families caring for dependent elders indicated that, among caregiving families, it is important to consider not only the type of service, but who is assessing the need for that service.
...
1
2
3
4
5
...