Centre for Policy on Ageing
 

 
Geographic access and service use in a community-based sample of cognitively impaired elders
Author(s)John Fortney, Neale Chumbler, Marisue Cody
Journal titleJournal of Applied Gerontology, vol 21, no 3, September 2002
Pagespp 352-367
KeywordsCognitive impairment ; Living in the community ; Usage [services] ; Geographical distance ; Accessibility ; United States of America.
AnnotationThe hypothesis is tested that geographic access is a significant predictor of service use for urban and rural older people with mild to moderate cognitive impairment and living in the community. A telephone screen of 9,100 Arkansans with caregivers resulted in a sample with 317 elder/caregiver dyads. Their self-reported service use was collected for three sectors: home health, physical health and mental health. Whereas travel time significantly predicted home health service use, perceived awareness of service significantly predicted mental health service use. Neither measure of geographic access predicted use of physical health services. Rural older people with poorer access to services may be at greater risk of admission to hospital or nursing home. (KJ/RH).
Accession NumberCPA-020924205 A
ClassmarkE4: K4: QLD: RJ: 5CA: 7T

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