Search results for ‘Subject term:"long term care"’ Sort:
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Stated preferences for long-term care: a literature review
- Authors:
- LEHNERT Thomas, et al
- Journal article citation:
- Ageing and Society, 39(9), 2019, pp.1873-1913.
- Publisher:
- Cambridge University Press
An explorative, scoping review was conducted to provide a thorough methodological description and results synthesis of studies that empirically investigated LTC preference outcomes based on respondents’ statements. A wide search strategy, with 18 key terms relating to ‘LTC’ and 31 to ‘preferences’, was developed. Database searches in PubMed, Ovid and ScienceDirect were conducted in February 2016. The 59 studies meeting the inclusion criteria were grouped and methodically described based on preference elicitation techniques and methods. Despite substantial methodological heterogeneity between studies, certain findings consistently emerged for the investigated LTC preference outcomes. The large majority of respondents preferred to receive LTC in their known physical and social environment when care needs were moderate, but residential care when care needs were extensive. Preferences were found to depend on a variety of personal, environmental, social and cultural aspects. Dependent individuals aspired to preserve their personal and social identity, self-image, independence, autonomy, control and dignity, which suggests that LTC preferences are a function of the perceived ability of a specific LTC arrangement to satisfy peoples’ basic physiological and mental/social needs. Research on LTC preferences would greatly profit from a standardisation of respective concepts and methods. (Edited publisher abstract)
Individual decision making in the non-purchase of long-term care insurance
- Authors:
- CURRY Leslie A., et al
- Journal article citation:
- Gerontologist, 49(4), August 2009, pp.560-569.
- Publisher:
- Oxford University Press
Although prior research suggests that economic, behavioural, and psychosocial factors influence decisions not to purchase long-term care insurance, few studies have examined the interplay among these factors in depth and from the consumer's point of view. This US study intended to further illuminate these considerations, generate hypotheses about non-purchasing decisions, and inform the design of policies that are responsive to concerns and preferences of potential purchasers. The qualitative study used 32 in-depth interviews and 6 focus groups, following a grounded theory approach. Five themes characterize decisions not to purchase long-term care insurance: (a) the determination that a policy is "too costly" reflects highly individualized and complex trade-offs not solely economic in nature, (b) non-purchasers are sceptical about the viability and integrity of private insurance companies and seek an unbiased source of information, (c) family dynamics play an important role in insurance decisions, (d) contemplating personal risk for long-term care triggers psychological responses that have implications for decision making, and (e) non-purchasers feel inadequately informed and overwhelmed by the process of deciding whether to purchase long-term care insurance. States in the US are seeking to offset escalating Medicaid long-term care expenditures through a variety of policy mechanisms, including stimulating individual purchase of long-term care insurance. Findings suggest that economic incentives such as lowering premiums will be necessary but not sufficient to attract appropriate candidates. Attention to behavioural and psychosocial factors is essential to designing incentives that are responsive to concerns and preferences of potential purchasers.
Willingness to use formal long-term care services by Korean elders and their primary caregivers
- Authors:
- KIM Hyungsoo, CHOI Won-Young
- Journal article citation:
- Journal of Aging and Social Policy, 20(4), 2008, pp.474-492.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
Logistic regression models were estimated using 2001 national survey data on 1,168 Korean adults aged 65 or older, and their primary caregivers. More than 70% of the older people were female, mostly with very low levels of formal education, and the majority lived with adult children or spouses. The attitudes of both older people and primary caregivers towards care responsibility were the dominant predictor of willingness to use formal long term care services. These attitudes need to be taken into account as policy makers attempt to normalise the use of formal care (home-based or institutional) and reduce the burden on informal carers. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Attitudes towards long-term care for elderly people: evidence submitted to the health committee
- Authors:
- PARKER Gillian, CLARKE Harriet
- Publisher:
- University of Leicester. Nuffield Community Care Studies Unit
- Publication year:
- 1996
- Pagination:
- 50p
- Place of publication:
- Leicester
Much of the debate about the provision of long-term care for elderly people and who should be responsible for it has taken place in a vacuum of information about the options for different forms of provision, their costs, and their feasibility. Most importantly, reearchers know neither what the public at large believes to be the correct balance between the state, the family and the individual in relation to providing or paying for care for older people, nor if and how those beliefs are translated into action. It is this gap that this research is attempting to fill. This paper presents preliminary analysis of data collected during a national survey of attitudes and beliefs about long-term care in old age. This survey is the first stage of the project; the second stage will involve detailed interviews with a smaller sample of people and will explore their actual behaviour against the attitudes they expressed in the first stage.
How politico-economic systems shape individuals’ value of elderly care: evidence from the German reunification
- Authors:
- DIEDERICH Freya, KONIG Hans-Helmut, BRETTSCHNEIDER Christian
- Journal article citation:
- Gerontologist, 60(2), 2020, pp.350-358.
- Publisher:
- Oxford University Press
Perceptions of how societies should care for the elderly people can differ among countries. This study examines to what extent individuals’ value of informal care is shaped by the politico-economic system in which they grew up and if this value adjusts once an individual lives in a different politico-economic system. Research Design and Methods: The study uses data from the German Family Panel and take advantage of the unique setting of the German separation and reunification. Probit models are used to examine the effect of being born in East Germany on individuals’ value of informal care relative to employment at different birth cohorts and survey waves (N = 14,093). Average marginal effects are calculated. Results: Twenty years after reunification, East Germans who spent their adolescence under communism exhibit a higher value of informal care relative to employment than West Germans who grew up in a western social market economy. Differences in values between East and West Germans do not significantly converge over time. Discussion and Implications: Individuals’ value of informal care is deeply shaped by the politico-economic system in which they grew up. If immigration policies are introduced to increase the care for elderly people, differences in individuals’ cultural perceptions of elderly care should be considered as these will not suddenly adjust. (Edited publisher abstract)
Family caregivers' viewpoints towards quality of long-term care services for community-dwelling elders in Taiwan
- Authors:
- LEE I., et al
- Journal article citation:
- Health and Social Care in the Community, 17(3), May 2009, pp.312-320.
- Publisher:
- Wiley
This study aims to explore family caregivers' viewpoints and opinions regarding the long-term care services for community-dwelling older adults in Taiwan. A qualitative study was conducted between August and December of 2005. Fifty family caregivers agreed to participate in this study. Data were collected by focus group interviews, in order to obtain the experience and expectation of family caregivers concerning long-term care services in their daily lives. Through content analysis and peer discussion, the data were categorized into five major themes: (1) praise for the services; (2) flexibility of long-term care services; (3) comprehensiveness of long-term services; (4) linkage and extension of existing resources; and (5) activeness of service provision. Study findings from the family caregivers' viewpoints should contribute to the improvement of long-term care services and provide a basis for designing suitable programmes to enhance community-dwelling in situ elderly people care.
Understanding care of people with dementia in Spain: cohabitation arrangements, rotation and rejection to long term care institution
- Authors:
- RIVERA Jesus, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 24(2), February 2009, pp.142-148.
- Publisher:
- Wiley
This study aimed to describe the cohabitation arrangements of families of people with dementia in Spain and to understand the caregivers' characteristics related to rotation and the rejection of long term care institutions. 'Rotation' or cohabitation arrangement of dementia patients is a strategy to share the burden of care between family members. A cross sectional study -NEDICES study- was conducted using both quantitative and qualitative methodologies. One hundred and fifty caregivers of people with dementia from two communities from Madrid, Spain, were surveyed using a questionnaire designed to describe cohabitation arrangements and care. Qualitative methods included: 13 caregivers participating in focus groups, and 3 caregivers in Semi Structured Interviews aimed to understand rotation practices and rejection to long term care institution. Characteristics related with rotation were: sex of persons with dementia, widowhood, socio-economic status, caregiver relationship and burden of the caregiver. The qualitative study showed that the use of the rotation was related to normative behaviours and with obligation feelings, along with a change in the role of women in the current Spanish family. The use of long term care institutions was related to geographical distance of the family. The results of this study suggest that rotation has appeared in Spain as a new mechanism of care for people with dementia, and its related to the rejection of long term care institutions.
Long-term care preferences among older adults: a moving target?
- Authors:
- WOLFF Jennifer L., KASPER Judith D., SHORE Andrew D.
- Journal article citation:
- Journal of Aging and Social Policy, 20(2), 2008, pp.182-200.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
Long term care preferences in relation to three hypothetical scenarios were investigated over a year in a sample of 420 community-dwelling older women with disabilities who were receiving informal care. Unpaid or paid help in the home was preferred when help was needed with instrumental activities of daily living (IADL) or activities of daily living (ADL), while nursing home care was preferred where dementia was the hypothesised problem. Aggregate preferences for long term care were relatively stable but there was considerable fluctuation in individuals’ preferences over time, with only 52.%, 44.4% and 44.6% retaining their initial first choice for the IADL, ADL and dementia scenarios. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Testing consumer views on paying for long-term care
- Authors:
- CROUCHER Karen, RHODES Paul
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2006
- Pagination:
- 48p.
- Place of publication:
- York
To test the viability and acceptability of options, public attitudes towards them were tested in a series of eight focus groups. This report and summary documents the findings. The ideas tested were: standardised assessment and means testing of domiciliary services; re-packaging Attendance Allowance into a standardised care payment; increasing support of informal carers – through resources and/or formal help; the potential of equity release schemes to pay for domiciliary care costs.
Preferences for receipt of care among community dwelling adults
- Authors:
- ECKERT J Kevin, MORGAN Leslie, SWAMY Namratha
- Journal article citation:
- Journal of Aging and Social Policy, 16(2), 2004, pp.49-65.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
Preferences for long-term care alternatives include both place of care and persons to provide care. Uses a survey of 1,503 adults to discover their attitudes regarding future care needs. Most adults preferred care in home/community settings by kin or non-kin, with few deeming nursing homes acceptable. Demographics and personal knowledge, experience, and expectations were marginally likely to influence preferences; males were more likely to prefer care in paid/professional settings. Women, who more often expressed preference for kin/home care, face demographic trends reducing available female kin who might be caregivers. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street Binghamton, NY 13904-1580).