scholarly journals RURAL-URBAN DISPARITIES IN UNMET LONG-TERM CARE NEED AND COMMUNITY CARE SERVICES EXPECTATION AMONG ELDERLY IN CHINA

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S159-S159
Author(s):  
Yanbing Zeng ◽  
lixia wang ◽  
Ya Fang
Keyword(s):  
Long Term Care ◽  
Economic Status ◽  
Unmet Need ◽  
Binary Logistic Regression ◽  
Community Dwelling ◽  
Old People ◽  
Term Care ◽  
Care Services ◽  
Rural And Urban

Abstract Objective This study aimed to examine the urban-rural differences of unmet needs and their expected LTC services among community-dwelling old people. Methods The data comes from the Chinese Longitudinal Health Longevity Survey (CLHLS) in 2014. A total of 1587 community residents aged 65+ with disability of activities of daily life (ADL) were included in this study. Binary logistic regression was used to estimate correlates of unmet need in LTC. And chi-square test was used to examine the differences of expected community-based LTC services between urban and rural area. Results Over half (55.07%) of the participants reported their need were unmet. For both rural and urban residents, poorer economic status and reluctant caregivers (ORs>1, P＜0.01) seriously affected the unmet need. Besides, of urban older adults, people who were male and lonely(ORs>1, P＜0.05) reported more unmet need. While of rural old ones, people who were with severe ADL disability and poorer self-rated health(ORs>1, P＜0.01) reported more unmet need. And people with available medication and home visit services(ORs<1, P＜0.01) reported more met need. However, the supplies for community LTC care services were far below the demands. Conclusion The risk of having unmet need associated with ADL disabilities in LTC is largely determined by their economic status and caregivers’ willingness to provide care for both rural and urban old people. There is a need for an overall improvement in the planning, provision and financing of long-term care services for elderly individuals in China.

scholarly journals Long-Term Care Market Trend and Patterns of Caregiving in the United States

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 84-85
Author(s):  
Rashmita Basu
Keyword(s):  
Regression Analysis ◽  
Long Term Care ◽  
Unmet Need ◽  
Adult Child ◽  
Primary Source ◽  
The United States ◽  
Community Dwelling ◽  
Formal Care ◽  
Term Care

Abstract Objectives: The current study aims to: 1) identify patterns of the use of long-term care services and supports (LTSS) among community-dwelling individuals; 2) examine if the changes in supply of formal care predict the use of informal care (IC). Methods: Linking the market supply of formal LTSS to individual level Health and Retirement Survey data from (N=7,781), descriptive and regression analysis were performed. Results: Supply of formal home and residential LTSS indicates a stronger upward trend. More than 90% of people used IC and 40% received both informal and formal help. People aged under 60 years, IC from spouse dominates but then falls sharply and an adult child becomes the primary source. More than 20% reported unmet needs. Regression analysis indicates that the formal home care supply significantly predicts the likelihood of using IC. But the rate and intensity of unpaid IC use among individuals aged 85 or older is low and that of paid formal care use are highest. We find that about 20% of care recipients experienced at least one unmet need with ADL assistance in our sample. The prevalence of an unmet need sharply decreases as individuals receive care from multiple caregivers (including paid professionals) but receiving care from too many caregivers contributes to higher unmet ADL needs. Discussion: The findings suggest opportunities to create a holistic system of care for people needing LTSS.

scholarly journals Rural-urban disparities in unmet long-term care needs and the demand for community care services among elderly people in China

2020 ◽  
Author(s):  
Yanbing Zeng ◽  
Chenxi Lin ◽  
Lixia Wang ◽  
Liangwen Zhang ◽  
Ya Fang
Keyword(s):  
Elderly People ◽  
Unmet Needs ◽  
Community Care ◽  
Economic Status ◽  
Healthcare Education ◽  
Term Care ◽  
Care Services ◽  
Rural And Urban ◽  
Adl Disability

Abstract Objective This study aimed to examine the urban-rural differences in unmet needs and the demand for community long-term care (LTC) services among community-dwelling elderly people in China.Methods The data come from the 2014 Chinese Longitudinal Health Longevity Survey (CLHLS). A total of 1587 community residents aged 65+ with disabilities in the activities of daily living (ADLs) were included in this study. Based on the Andersen theoretical model, binary logistic regression was used to estimate the correlates of unmet needs in LTC. A chi-square test was used to examine the differences in expected needs for community-based LTC services between urban and rural areas.Results Over half (55.07%) of the participants reported their needs were unmet. For both rural and urban residents, poor economic status and reluctant caregivers seriously affected unmet needs. In addition, among urban older adults, those who were male and lonely reported more unmet needs. Among rural elderly people, those with severe ADL disability and poor self-rated health reported more unmet needs. In addition, access to medication and home visit services were negatively associated with unmet needs. Living with children (69.12%) was viewed as the most desirable living arrangement among older people, while living in a LTC facility seemed to be more accepted for rural residents with unmet needs than for other elderly respondents. Residents showed a high demand for community LTC care services, with 82.55% of them expecting to need home visits and 74.29% to healthcare education. Specifically, rural residents had greater expected needs for every community care service than their urban counterparts. However, only 4.66% to 36.42% of the respondents reported that all eight types of services were available, which was far below the demand for these services.Conclusion The risk of having unmet needs associated with ADL disability in LTC is largely determined by elderly people’s economic status and caregivers’ willingness to provide care for both rural and urban elderly residents. More attention should be paid to psychological consulting services in urban areas, as well as personal care, home visits, psychological consulting and healthcare education services in rural areas.

scholarly journals Rural-urban disparities in unmet long-term care needs and the demand for community care services among elderly people in China

2019 ◽  
Author(s):  
Yanbing Zeng ◽  
Lixia Wang ◽  
Liangwen Zhang ◽  
Ya Fang
Keyword(s):  
Rural Areas ◽  
Long Term Care ◽  
Unmet Needs ◽  
Community Care ◽  
Care Service ◽  
Economic Status ◽  
Healthcare Education ◽  
Term Care ◽  
Care Services

Abstract Background: Estimates of unmet needs, as an indicator of future needs for long-term care (LTC) services, have become increasingly crucial policy concerns. This study aimed to examine the urban-rural differences in unmet needs and the demand for community care service among community-dwelling elderly people in China. Methods: The data come from the 2014 Chinese Longitudinal Health Longevity Survey (CLHLS). A total of 1587 community residents aged 65+ with disabilities in the activities of daily living (ADLs) were included in this study. Based on the Andersen theoretical model, binary logistic regression was used to estimate the correlates of unmet needs in LTC. A chi-square test was used to examine the differences in expected needs for community-based LTC services between urban and rural areas. Results: Over half (55.07%) of the participants reported their needs were unmet. Poor economic status and reluctant caregivers seriously affected elderly unmet needs. Among urban older adults, those who were male and lonely reported more unmet needs. Among rural ones, those with severe ADL disability and poor self-rated health reported more unmet needs. In addition, access to medication and home visit services were negatively associated with unmet needs. Living with children (69.12%) was viewed as the most desirable living arrangement among older adults, while living in a LTC facility seemed to be more accepted for rural residents with unmet needs than for other elderly respondents. Residents showed a high demand for community LTC care services, with 82.55% of them expecting to need home visits and 74.29% to healthcare education. Specifically, rural residents had greater expected needs for every community care service than their urban counterparts. However, only 4.66% to 36.42% of the respondents reported that all eight types of services were available, which was far below the demand for these services. Conclusion: The risk of having unmet LTC needs is largely determined by elderly people’s economic status and caregivers’ willingness to provide care for both rural and urban elderly residents. More attention should be paid to psychological consulting services in urban areas, as well as personal care, home visits, psychological consulting and healthcare education services in rural areas.

scholarly journals Effects of Reablement on the Independence of Community-Dwelling Older Adults with Mild Disability: A Randomized Controlled Trial

2019 ◽  
Vol 16 (20) ◽  
pp. 3954 ◽  
Author(s):  
Shinji Hattori ◽  
Toshiyuki Yoshida ◽  
Yasuyuki Okumura ◽  
Katsunori Kondo
Keyword(s):  
Older Adults ◽  
Standard Care ◽  
Long Term Care ◽  
Community Dwelling ◽  
Absolute Difference ◽  
Term Care ◽  
Randomized Controlled ◽  
Care Services ◽  
Mild Disability

We aimed to assess the efficacy of a reablement program in improving the independence from long-term care services of older adults with mild disability. This parallel, two-arm, randomized controlled, superiority trial was conducted in Neyagawa, a local government area in Osaka, Japan. Eligible participants were community-dwelling individuals aged ≥65 years certified as support-required level. They were assigned in a 1:1 ratio to receive either a community-based, multicomponent, multidisciplinary, individualized goal-directed, and time-limited intervention (the CoMMIT program) plus standard care or standard care alone. The primary outcome was independence, that is, the nonuse of long-term care services during the three-month follow-up period. The study was terminated early due to slow enrollment. A total of 375 participants were enrolled and randomized to either the intervention (n = 190) or control (n = 185) group. The proportions of independence were 11.1% and 3.8% in the intervention and control groups, respectively (absolute difference: 7.3; 95% confidence interval: 2.0–12.5). There was no difference in the risk of serious adverse events between the groups. The CoMMIT program plus standard care was found superior to standard care alone in enhancing the independence from long-term care services of older adults with mild disability.

Sign in / Sign up

Export Citation Format

Share Document