Centre for Policy on Ageing
 

 

Use of community-based long-term care services by older adults
Author(s)Robert J Johnson, Fredric D Wolinsky
Journal titleJournal of Aging and Health, vol 8, no 4,, November 1996
Pagespp 512-537
KeywordsServices ; Domiciliary services ; Long term ; Usage [services] ; White people ; Black people ; United States of America.
AnnotationThis study used a previously validated model of disease, disability, functional limitations, and perceived health to predict the use of long-term care (LTC) services in and out of the home. The focus was on the direct effects of the structure of health status on the use of LTC services; how the use of LTC services differs by race and sex; and how the use of LTC services varies by in-home and out-of-home location. The findings indicate that different dimensions of health status affect in-home health services for white men and women, compared to black women. Basic activities of daily living (ADLs) were significant predictor among white people but not among black women. Sociodemographic and socioeconomic factors were found to be more important influences on the use of out-of-home services than were health status variables. Some of these effects indicate that LTC services are being used by the special groups to which they are targeted, such as those living alone. The failure to find other effects indicates that the LTC services are not being used more by some targeted groups, such as poor people. These findings suggest that simply expanding the supply of LTC services could exacerbate the existing disparities in service use. (AKM).
Accession NumberCPA-980407204 A
ClassmarkI: N: 4Q: QLD: TKA: TKE: 7T

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