Centre for Policy on Ageing
 

 

What determines the use of home care services by elderly people?
Author(s)H Stoddart, E Whitley, I Harvey
Journal titleHealth & Social Care in the Community, vol 10, no 5, September 2002
Pagespp 348-360
KeywordsDomiciliary services ; Home care services ; Social Services Departments ; Commercial care ; Usage [services] ; Social surveys ; Bristol.
Annotation1000 men and 1000 women aged 65-74 registered with 11 general practices and living in the community in Bristol were sent questionnaires about their use of statutory or private home care services in the previous 3 months. The response rate was 79%. Logistic regression was used to explore potential determinants of use of these services. Increasing age, not owning a car, and being a widowed were associated with greater use of both types of services, as were worse self-reported overall health, worse physical functioning, worse emotional health, problems with cognition, foot problems, and a greater number of falls. Older age on leaving full-time education was associated with increased use of private home care services. Problems with eyesight were determinants for both types of services for women, but only private services for men. For women, leakage of urine was associated with greater use of private services. After controlling for demographic factors, social networks and social support were not generally associated with use of these services. Purchasers and providers should have some understanding of what determines use of both types of home care services, because of the increasing numbers of older people in the population and the policy to maintain older people in their own homes. (RH).
Accession NumberCPA-020925203 A
ClassmarkN: NH: PF: PI: QLD: 3F: 8AB

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