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Service use barriers differentiating care-givers' service use patterns

Published online by Cambridge University Press:  07 February 2011

SONG-IEE HONG ,
LESLIE HASCHE  and
MI JIN LEE
SONG-IEE HONG*
Affiliation:
Department of Social Work, National University of Singapore, Singapore.
LESLIE HASCHE
Affiliation:
School of Social Welfare, University of Kansas, Lawrence, USA.
MI JIN LEE
Affiliation:
Department of Social Welfare, Konkuk University, Chungcheongbuk-do, South Korea.
*
Address for correspondence: Song-Iee Hong, Department of Social Work, National University of Singapore, Faculty of Arts and Social Sciences Block AS3, Level 4, 3 Arts Link, Singapore, 117570. E-mail: swkhs@nus.edu.sg
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Abstract

This study describes what types of service use barriers older adults' informal care-givers perceive and examines how these barriers differentiate care-giver service use patterns. Analysing the 2004 National Long-Term Care Survey and Informal Care-giver Data Set (N=1908) in the United States of America, this study reports the prevalence of service barriers for each type of service as well as for overall service use. Service barriers are measured in terms of availability, awareness, affordability, staff quality, privacy violation, complex bureaucracy, language barriers, qualification of each programme and no thought of service. Andersen's health behaviour model guides determinants related to care-giver service use patterns. As a main outcome, care-giver service use patterns (light service users, selective in-home users, and multiple service users) are examined in relation to service use barriers when other predisposing, enabling and need variables are controlled. Of the ten service use barriers defined in this study, awareness and no thought of service are the most prevalent barriers. Care-givers reporting service barriers of availability, awareness and affordability are more likely to be light service users compared to multiple service users and selective in-home service users. These findings highlight the significance of enhancing awareness of care-giver supportive services as well as increasing availability and financial support for service use.

Keywords

informal care-givingservice use patternservice use barrierawarenessavailabilityaffordability
Type
Articles
Information
Ageing & Society , Volume 31 , Issue 8 , November 2011 , pp. 1307 - 1329
Creative Commons
The contribution by Lee, is a work of the U.S. Government and is not subject to copyright protection in the United States
Copyright
Copyright © Cambridge University Press 2011. The contribution by Lee, is a work of the U.S. Government and is not subject to copyright protection in the United States.

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