Which need characteristics influence healthcare service utilization in home care arrangements in Germany?

详细信息    查看全文

• 作者：Lena Dorin (7) (8)
  Suzi C Turner (9)
  Lea Beckmann (7) (8)
  J枚rg gro脽e Schlarmann (7) (8)
  Andreas Faatz (10)
  Sabine Metzing (7) (8)
  Andreas B眉scher (11) (8)
  
  7. Graduate School Family Health in the Lifecourse ; Faculty of Business Administration and Social Sciences ; University of Applied Sciences Osnabr眉ck ; Caprivistra脽e 30a ; 49076 ; Osnabr眉ck ; Germany
  8. Department of Nursing Science ; Witten/Herdecke University ; Stockumer Str. 10 ; 58453 ; Witten ; Germany
  9. Master of Public Health in Epidemiology Student ; Georgia Southern University ; 1332 Southern Dr ; Statesboro ; GA ; 30460 ; USA
  10. Quantitative Methods ; Faculty of Business Administration and Social Sciences ; University of Applied Sciences Osnabr眉ck ; Caprivistra脽e 30a ; 49076 ; Osnabr眉ck ; Germany
  11. Nursing Science ; Faculty of Business Administration and Social Sciences ; German Network for Quality Development in Nursing (DNQP) ; University of Applied Sciences Osnabr眉ck ; Caprivistra脽e 30a ; 49076 ; Osnabr眉ck ; Germany
  
• 关键词：Service utilization ; Long ; term care ; Home care arrangements ; Needs ; Elderly ; Family caregivers ; Family caregiving ; Long ; term care services
• 刊名：BMC Health Services Research
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：14
• 期：1
• 全文大小：256 KB
• 参考文献：1. European Commission: The 2012 ageing report. http://ec.europa.eu/economy_finance/publications/european_economy/2012/pdf/ee-2012-2_en.pdf
  Ageing.
  2. Rosenfeld, P, Russell, D (2012) A review of factors influencing utilization of home and community-based long-term care: trends and implications to the nursing workforce. Policy Polit Nurs Pract 12: pp. 72-80 CrossRef
  3. Wallace, SP, Levy-Storms, L, Kington, RS, Andersen, RM (1998) The persistence of race and ethnicity in the use of long-term care. J Gerontol B Psychol Sci Soc Sci 53: pp. 104-112 CrossRef
  4. B眉scher, A, Wingenfeld, K, Schaeffer, D (2011) Determining eligibility for long-term care 鈥?lessons from Germany. Int J Integr Care 11: pp. 1-9
  Levels of care.
  5. Schwarzkopf, L, Menn, P, Leidl, R, Graessel, E, Holle, R (2013) Are community-living and institutionalized dementia patients cared for differently? Evidence on service utilization and costs of care from German insurance claims data. BMC Health Serv Res 13: pp. 1-11
  Comparative tables database.
  6. Hoover, M, Rotermann, M (2012) Seniors鈥?use of and unmet needs for home care. Component of Statistics Canada Catalogue. Health Rep 23: pp. 3-8
  German Nursing statistics.
  7. Herrera, A, Font, J, Gori, C, Maio, A, Patxot, C, Pickard, L, Pozzi, A, Rothgang, H, Wittenberg, R (2003) European Study of Long-Term Care Expenditure.
  8. Chung, MH, Hsu, N, Wang, YC, Lin, HC, Huang, YL, Amidon, RL, Kao, S (2008) Factors affecting the long-term care preferences of the elderly in Taiwan. Geriatr Nurs 29: pp. 293-301 CrossRef
  9. Kane, R (2001) Long-term care and a good quality of life: bringing them closer together. Gerontologist 41: pp. 293-304 CrossRef
  10. Dorin, L, B眉scher, A (2012) Home care arrangements for people with severe care needs: preferences, expectations, and decision. Bertelsmann Foundation.
  11. Babitsch, B, Gohl, D, von Lengerke, T (2012) Re-visiting Andersen鈥檚 behavioral model of health services Use: a systematic review of studies from 1998鈥?011. Psychosoc Med 9: pp. 1-15
  12. Andersen, R (1995) Revisiting the behavioral model and access to medical care: Does it matter?. J Health Soc Behav 36: pp. 1-10 CrossRef
  13. Schomerus, G, Appel, K, Meffert, JP, Luppa, M, Andersen, MR, Grabe, JH, Baumeister, ES (2013) Personality-related factors as predictors of help-seeking for depression: a population-based study applying the behavioral model of health services use. Soc Psychiatry Psychiatr Epidemiol 48: pp. 1809-1817 CrossRef
  14. Andersen, R, Newman, J (1973) Societal and individual determinants of medical care utilization in the United States. Milbank Mem Fund Q Health Soc 51: pp. 1-28 CrossRef
  15. Bradley, EH, McGraw, SA, Curry, L, Buckser, A, King, KL, Kasl, SV, Andersen, R (2002) Expanding the Andersen model: the role of psychosocial factors in long-term care Use. Health Serv Res 37: pp. 1221-1242 CrossRef
  16. Condelius, A, Edberg, AK, Hallberg, IR, Jakobsson, U (2010) Utilization of medical healthcare among people receiving long-term care at home or in special accommodation. Scand J Caring Sci 24: pp. 404-413 CrossRef
  17. Chang, HT, Lin, MH, Hwang, I, Lai, HY, Ho, MM, Lin, CH, Chen, CK, Hwang, SJ (2013) Utilization and patterns of community healthcare services for senior residents in long-term care facilities in Tawain: A nationwide study. J Chin Med Assoc 76: pp. 42-47 CrossRef
  18. Genet, N, GW Boerma, W, Kringos, D, Bouman, A, Francke, A, Fagerstrom, C, Melchiorre, M, Greco, C, Deville, W (2011) Home care in Europe: a systematic literature review. BMC Health Serv Res 11: pp. 207-214 CrossRef
  19. Scharlach, EA, Giunta, N, Chow, J, Lehning, A (2008) Racial and ethnic variations in caregiver service use. J Aging Health 20: pp. 326-346 CrossRef
  20. Rose, E, Mallinson, K, Gerson, L (2006) Mastery, burden, and areas of concern among family caregivers of mentally ill persons. Arch Psychiatr Nurs 20: pp. 41-51 CrossRef
  21. Casado, BL, van Vulpen, KS, Davis, SL (2011) Unmet needs for home and community-based services among frail older americans and their caregivers. J Aging Health 23: pp. 529-553 CrossRef
  22. Hong, S (2010) Understanding Patterns of Service Utilization among Informal Caregivers of Community Older Adults. Gerontologist 50: pp. 87-99 CrossRef
  23. Corbin, J, Strauss, A Making arrangements. The key to home care. In: Sage, Publications, Gubrium, JF, Sankar, A eds. (1990) The Home Care Experience. Ethnography and Policy, Newbury Park, London, New Dehli, pp. 59-74
  24. B眉scher, A (2007) Negotiating helpful action. A substantive theory on the relationship between formal and informal care.
  25. van Exel, J, de Graaf, G, Brouwer, W (2008) Give me a break! Informal caregiver attitudes towards respite care. Health Policy 88: pp. 73-87 CrossRef
  26. Schneekloth, U (2006) Entwicklungstrends und Perspektiven in der h盲uslichen Pflege. Zentrale Ergebnisse der Studie M枚glichkeiten und Grenzen selbst盲ndiger Lebensf眉hrung (MuG III). Z Gerontol Geriat 39: pp. 405-412 CrossRef
  27. Lee, T, Kovner, CT, Mezey, MD, Ko, IS (2001) Factors influencing long-term home care utilization by the older population: implications for targeting. Public Health Nurs 18: pp. 443-449 CrossRef
  28. Rothgang, H, M眉ller, R, Unger, R, Wei脽, C, Wolter, A (2012) BARMER GEK Pflegereport 2012. Schwerpunktthema: Kosten bei Pflegebed眉rftigkeit. BARMER GEK, Siegburg
  29. The pre-publication history for this paper can be accessed here: http://www.biomedcentral.com/1472-6963/14/233/prepub
  
• 刊物主题：Public Health; Health Administration; Health Informatics; Nursing Management/Nursing Research;
• 出版者：BioMed Central
• ISSN：1472-6963

文摘

Background We see a growing number of older adults receiving long-term care in industrialized countries. The Healthcare Utilization Model by Andersen suggests that individual need characteristics influence utilization. The purpose of this study is to analyze correlations between need characteristics and service utilization in home care arrangements. Methods 1,152 respondents answered the questionnaire regarding their integration of services in their current and future care arrangements. Care recipients with high long-term care needs answered the questionnaire on their own, the family caregiver assisted the care recipient in answering the questions, or the family caregiver responded to the questionnaire on behalf of the care recipient. They were asked to rank specific needs according to their situation. We used descriptive statistics and regression analysis. Results Respondents are widely informed about services. Nursing services and counseling are the most used services. Short-term care and guidance and training have a high potential for future use. Day care, self-help groups, and mobile services were the most frequently rejected services in our survey. Women use more services than men and with rising age utilization increases. Long waiting times and bad health of the primary caregiver increases the chance of integrating services into the home care arrangements. Conclusion The primary family caregiver has a high impact on service utilization. This indicates that the whole family should be approached when offering services. Professionals should react upon the specific needs of care dependents and their families.