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Why do elderly people seek professional home care? Methodologies compared.

C M Frederiks1, M J te Wierik, H J van Rossum

  • 1Department of Epidemiology and Health Care Research, University of Limburg, Maastricht, The Netherlands.

Journal of Community Health
|June 1, 1992
PubMed
Summary

Elderly individuals utilizing professional home care are often older, female, and live alone, with fewer social connections. Functional status and informal care significantly predict professional home care use.

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Area of Science:

  • Gerontology
  • Sociology of Health
  • Public Health

Background:

  • Professional home care utilization among the elderly is influenced by various factors beyond physical limitations.
  • Understanding these determinants is crucial for effective healthcare planning and resource allocation for aging populations.

Purpose of the Study:

  • To identify characteristics associated with the use of professional home care services by elderly individuals living independently.
  • To differentiate between users and non-users of professional home care based on demographic, social, mental, and housing factors.

Main Methods:

  • A study involving 450 elderly individuals (55+) living at home, with 123 users and 327 non-users of professional home care.
  • Data collection included postal questionnaires on functional status and care utilization, followed by in-depth interviews assessing mental status, social network, socio-economic status, and housing conditions.

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  • Statistical analyses comprised bivariate analysis, logistic regression, and discriminant analysis.

    • Main Results:

    • Bivariate analysis indicated users were older, more often female, unmarried, lived alone, had less extensive social networks, received less informal care, and reported more mental and financial problems.
    • Logistic regression revealed that functional status, amount of informal care, and household composition independently predicted professional home care utilization.
    • Other inventoried characteristics showed no independent association with professional care use.

    Conclusions:

    • Functional status and the extent of informal care are key predictors of professional home care needs in the elderly.
    • While in-depth interviews provided rich data, postal questionnaires effectively identified significant predictors, suggesting potential for streamlined data collection in future studies.