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Help seeking and barriers to utilisation of medical and health social work services among ageing immigrants to Israel from the former Soviet Union
- Authors:
- SOSKOLNE Varda, AUSLANDER Gail K., BEN-SHAHAR Ilana
- Journal article citation:
- Health and Social Care in the Community, 14(1), January 2006, pp.74-84.
- Publisher:
- Wiley
The study aimed to examine utilisation of medical and health social work services among ageing recent and long-term immigrants, to identify barriers to service utilisation, and to examine factors related to utilisation. Four hundred and two participants were recruited from a random community sample of immigrants from the former Soviet Union in Israel, aged 55 and over, residing in urban areas throughout the country were interviewed by telephone. Using an expanded framework of Andersen's behavioural model, the independent variables included predisposing, enabling and need variables, and additional variables – barriers to utilisation or difficulties encountered during utilisation of services. For multivariate analyses of the dependent variables, a linear multiple regression model was employed for utilisation of medical services and a logistic regression model for utilisation of social work services. The main findings show that utilisation rates were high for medical services, but low for social work services. Recent immigrants had similar utilisation rates of medical services but utilised more social work services than long-term immigrants. There were few barriers but numerous difficulties in utilisation of medical services, while there were barriers but negligible difficulties in utilisation of social work services. Predisposing and need variables explained utilisation of medical services, whereas a combination of predisposing, enabling and need variables explained utilisation of social work services. The findings suggest that different factors are associated with the use of non-discretionary versus discretionary (social work) services. There is a need to reduce difficulties in utilisation of medical services and to enhance awareness about health social work services among the immigrants.
The graying of the world: who will care for the frail elderly?
- Editor:
- OLSON Laura Katz
- Publisher:
- Haworth Press
- Publication year:
- 1994
- Pagination:
- 345p.,tables,bibliogs.
- Place of publication:
- Binghamton, NY
Comparative study of policies for older people in 11 countries. Countries covered include Canada, China, Finland, Germany, Israel, Japan, Sweden, United Kingdom, United States and Yugoslavia.
Home care for the elderly
- Author:
- INTERNATIONAL SOCIAL SECURITY ASSOCIATION
- Publisher:
- International Social Security Association
- Publication year:
- 1992
- Pagination:
- 140p.
- Place of publication:
- Geneva
Report describing the experience in 8 European countries with regard to assistance, health care and home care for older and disabled people, focusing in particular on the debate over the introduction of a dependency benefit.
Perceptions regarding the use of physical restraints with elderly persons: comparison of Israeli health care nurses and social workers
- Author:
- WERNER Perla
- Journal article citation:
- Journal of Interprofessional Care, 16(1), February 2002, pp.59-68.
- Publisher:
- Taylor and Francis
In view of the difficulty involved in decision-making regarding the use or removal of physical restraints and the recent pattern encouraging the use of interdisciplinary teams for elder care issues, the present study compared the perceptions of Israeli nurses and social workers in health care settings regarding the use of physical restraints. Data were collected from a convenience sample of 50 nurses and 69 social workers working in long-term and acute care settings. The findings indicated that participants in all professions attributed moderate to low importance towards the use of physical restraints. Social workers' perceptions were similar to those of nurses in psychiatric hospitals and slightly more favourable to the use of physical restraints than those of nurses in nursing homes. Patients' safety (as reflected in the scores of the items related to protecting an older person from falling and protecting an older person from pulling out a catheter) was the most important reason for using physical restraints for both groups. Increased attention should be given to the role of social workers as team members in the process of decision-making regarding the use or removal of physical restraints, especially as mediators between the elderly person, family members and staff members.