Elders' preferences for care setting in short- and long-term disability scenarios

被引:30
作者
Keysor, JJ
Desai, T
Mutran, EJ
机构
[1] Univ N Carolina, Thurston Arthrit Res Ctr, Chapel Hill, NC 27599 USA
[2] Univ N Carolina, Sch Publ Hlth, Dept Biostat, Chapel Hill, NC 27599 USA
[3] Univ N Carolina, Sch Publ Hlth, Dept Hlth Behav & Hlth Educ, Chapel Hill, NC 27599 USA
关键词
aging; rest homes; home care; long-term care;
D O I
10.1093/geront/39.3.334
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
Preference for long-term care (LTC) location among community-dwelling elders was assessed using short- and long-term disability scenarios (N = 537). Using Wilcoxon rank sum tests, we assessed differences in perceptions of financial difficulty, family strain, and personal stress by predisposing, enabling, and need factors. Using logistic regression we determined which factors were predictive of preference for LTC location. Frail and poor elders and those who lived alone had more financial and familial concerns; elders of higher social class anticipated more personal stress; elders with negative attitudes toward LTC facilities, who had fewer financial, familial and personal concerns, and who were married were more likely to prefer home care.
引用
收藏
页码:334 / 344
页数:11
相关论文
共 34 条
[1]   SOCIETAL AND INDIVIDUAL DETERMINANTS OF MEDICAL CARE UTILIZATION IN UNITED-STATES [J].
ANDERSEN, R ;
NEWMAN, JF .
MILBANK MEMORIAL FUND QUARTERLY-HEALTH AND SOCIETY, 1973, 51 (01) :95-124
[2]   REVISITING THE BEHAVIORAL-MODEL AND ACCESS TO MEDICAL-CARE - DOES IT MATTER [J].
ANDERSEN, RM .
JOURNAL OF HEALTH AND SOCIAL BEHAVIOR, 1995, 36 (01) :1-10
[3]  
[Anonymous], AGING HLTH CARE
[4]  
[Anonymous], 1997, SOFTWARE STAT ANAL C
[5]  
[Anonymous], 1968, RES SERIES U CHICAGO
[6]   HEALTH, DOUBLE JEOPARDY, AND CULTURE - THE USE OF INSTITUTIONALIZATION BY AFRICAN-AMERICANS [J].
BELGRAVE, LL ;
WYKLE, ML ;
CHOI, JM .
GERONTOLOGIST, 1993, 33 (03) :379-385
[7]   ELDERLY COMMUNITY RESIDENTS REACTIONS TO THE NURSING-HOME - AN ANALYSIS OF NURSING HOME-RELATED BELIEFS [J].
BIEDENHARN, PJ ;
NORMOYLE, JB .
GERONTOLOGIST, 1991, 31 (01) :107-115
[8]   A PROSPECTIVE-STUDY OF LONG-TERM CARE INSTITUTIONALIZATION AMONG THE AGED [J].
BRANCH, LG ;
JETTE, AM .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1982, 72 (12) :1373-1379
[9]  
BUTLER RN, 1982, AGING MENTAL HLTH
[10]   DEMAND FOR NURSING-HOME CARE - ANALYSIS OF SUBSTITUTION BETWEEN INSTITUTIONAL AND NONINSTITUTIONAL CARE [J].
CHISWICK, BR .
JOURNAL OF HUMAN RESOURCES, 1976, 11 (03) :295-316