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Post acute care of the elderly in Singapore
- Author:
- GOH Soon Noi
- Journal article citation:
- Asia Pacific Journal of Social Work and Development, 21(1), June 2011, pp.31-53.
- Publisher:
- Taylor and Francis
This paper is concerned with understanding the family care of elderly people and their use of post-acute care services such as community hospitals, nursing homes, day rehabilitation centres, and home care. The use of post-acute care services is a result of a complex, inter-related set of physical, social, psychological, organisational, and environmental factors. The aim of this multi-method study was to use Andersen Behavioural Model of Health Service Use to explore how these factors are associated with the use of post-acute care services. The study involved: a survey of 299 elderly patients from a public acute-care hospital using a structured questionnaire; in-depth interviews with 13 of these patients and their family members; and 3 focus groups with service providers. The survey showed that the following factors are associated with the use of post-acute care services: medical and physical conditions; perceived health and utility; knowledge and previous use of service; ethnicity; family size; paid help; housing type; and living arrangements. The results from the interviews and focus group discussions consistently pointed to the affordability of services as an important factor. The question of service accessibility and its implications on practice, policy and research are discussed.