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Centre for Policy on Ageing | |
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Unmet need for personal assistance services
— estimating the shortfall in hours of help and adverse consequences | | Author(s) | Mitchell P LaPlante, H Stephen Kaye, Taewoon Kang |
| Journal title | Journals of Gerontology: Series B, Psychological Sciences and Social Sciences, vol 59B, no 2, March 2004 |
| Pages | pp S98-S108 |
| Source | http://www.geron.org |
| Keywords | Self care capacity ; Mobility ; Needs [elderly] ; Domiciliary services ; Domestic assistance ; Usage [services] ; Longitudinal surveys ; United States of America. |
| Annotation | The authors use data from the 1994-1997 US National Health Interview Survey on Disability (NHIS) to examine perceived unmet need for personal assistance services (PAS) in activities of daily living (ADLs) and instrumental ADLs (IADLs) and its association with reduced hours of help received and with adverse consequences due to lack of help. A 2-part multivariate regression model of the probability of PAS use and hours of help received was developed to control for need level, living arrangements and other characteristics that may differ between those with met and unmet needs. Individuals with unmet need for personal assistance with two or more of the five basic ADLs have a shortfall of 16.6 hours of help per week, compared to tbose whose needs are met. The relative shortfall is twice as great for those who live with others. Those who live alone and have unmet needs rate worse than those with unmet needs who live with others, and both groups are more likely than those whose needs are met to experience adverse consequences, including discomfort, weight loss, dehydration, falls, burns and dissatisfaction with help received. Overall, just 6.6% of needed hours are unmet among the 3.3 million people needing help in two or more ADLs. The authors estimate the annual cost of eliminating unmet need among those with incomes under 300% of the Supplemental Security Income level between $1.2 and $2.7 billion for those living alone and from $2.2 to $7.1 billion for those living with others. (RH). |
| Accession Number | CPA-040705221 A |
| Classmark | CA: C4: IK: N: NG6: QLD: 3J: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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