PMID: 8961415Dec 1, 1996Paper

Determinants of the use of ambulant social care by the elderly

Social Science & Medicine
S Crets

Abstract

Policy makers and scientists are increasingly concerned with the use of formal care services by the elderly. This article demonstrates that there are three different care systems: the informal, the commercial and the formal (public) system. In terms of prevalence, the formal system is the least important one. By means of a cross-sectional sample of the elderly population of Antwerp, an Andersen model is estimated to explain the use of formal services. This model shows that the level of functional capacity of the elderly is a crucial factor. Yet, the effect this has on the use of care varies according to the different living arrangements. "Need" as such, therefore, does not determine the use of formal services, since its effect is modified by the different alternatives that are at the disposal of the elderly person (living arrangements, informal care, income, availability of commercial alternatives). In the conclusion it is argued that the Andersen model, in a cross-sectional design, is inadequate to construct a theory concerning the use of care services.

References

Jun 1, 1991·Journal of Health and Social Behavior·B Miller, S McFall
Jan 1, 1991·Social Science & Medicine·A BowlingP Browne
Mar 1, 1989·Journal of Gerontology·L S Noelker, D M Bass
Mar 1, 1984·Journal of Health and Social Behavior·W J McAuley, G Arling
Apr 1, 1994·Social Science & Medicine·S TennstedtL Kasten

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Citations

Mar 29, 2006·BMC Health Services Research·P M A van BilsenC Spreeuwenberg
Jul 29, 2005·Health & Social Care in the Community·Marianne KlinkenbergDick L Willems
Jan 24, 2009·Medical Care·Louise LafortuneJoël Ankri
Apr 26, 2013·The Journal of Behavioral Health Services & Research·Darlene TylerLillian Gelberg
Feb 23, 2018·American Journal of Public Health·Nicole K ValtortaBarbara Hanratty
May 21, 2008·European Journal of Ageing·Teija HammarMarja-Leena Perälä
Jun 3, 2021·International Journal of Environmental Research and Public Health·Masashige SaitoKatsunori Kondo

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