Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
BMC Health Services Research
Published in: BMC Health Services Research 1/2014

Open Access 01-12-2014 | Research article

Which need characteristics influence healthcare service utilization in home care arrangements in Germany?

Authors: Lena Dorin, Suzi C Turner, Lea Beckmann, Jörg große Schlarmann, Andreas Faatz, Sabine Metzing, Andreas Büscher

Published in: BMC Health Services Research | Issue 1/2014

Login to get access

Abstract

Background

We see a growing number of older adults receiving long-term care in industrialized countries. The Healthcare Utilization Model by Andersen suggests that individual need characteristics influence utilization. The purpose of this study is to analyze correlations between need characteristics and service utilization in home care arrangements.

Methods

1,152 respondents answered the questionnaire regarding their integration of services in their current and future care arrangements. Care recipients with high long-term care needs answered the questionnaire on their own, the family caregiver assisted the care recipient in answering the questions, or the family caregiver responded to the questionnaire on behalf of the care recipient. They were asked to rank specific needs according to their situation. We used descriptive statistics and regression analysis.

Results

Respondents are widely informed about services. Nursing services and counseling are the most used services. Short-term care and guidance and training have a high potential for future use. Day care, self-help groups, and mobile services were the most frequently rejected services in our survey. Women use more services than men and with rising age utilization increases. Long waiting times and bad health of the primary caregiver increases the chance of integrating services into the home care arrangements.

Conclusion

The primary family caregiver has a high impact on service utilization. This indicates that the whole family should be approached when offering services. Professionals should react upon the specific needs of care dependents and their families.
Appendix
Available only for authorised users
Literature
1.
2.
3.
Rosenfeld P, Russell D: A review of factors influencing utilization of home and community-based long-term care: trends and implications to the nursing workforce. Policy Polit Nurs Pract. 2012, 12 (2): 72-80.CrossRef
4.
Wallace SP, Levy-Storms L, Kington RS, Andersen RM: The persistence of race and ethnicity in the use of long-term care. J Gerontol B Psychol Sci Soc Sci. 1998, 53 (2): 104-112.CrossRef
5.
Büscher A, Wingenfeld K, Schaeffer D: Determining eligibility for long-term care – lessons from Germany. Int J Integr Care. 2011, 11: 1-9.
6.
7.
Schwarzkopf L, Menn P, Leidl R, Graessel E, Holle R: Are community-living and institutionalized dementia patients cared for differently? Evidence on service utilization and costs of care from German insurance claims data. BMC Health Serv Res. 2013, 13 (2): 1-11.PubMedPubMedCentral
8.
9.
Hoover M, Rotermann M: Seniors’ use of and unmet needs for home care. Component of Statistics Canada Catalogue. Health Rep. 2012, 23 (4): 3-8.
10.
11.
12.
Chung MH, Hsu N, Wang YC, Lin HC, Huang YL, Amidon RL, Kao S: Factors affecting the long-term care preferences of the elderly in Taiwan. Geriatr Nurs. 2008, 29 (5): 293-301. 10.1016/j.gerinurse.2007.09.003.CrossRefPubMed
13.
Kane R: Long-term care and a good quality of life: bringing them closer together. Gerontologist. 2001, 41 (3): 293-304. 10.1093/geront/41.3.293.CrossRefPubMed
14.
15.
Babitsch B, Gohl D, von Lengerke T: Re-visiting Andersen’s behavioral model of health services Use: a systematic review of studies from 1998–2011. Psychosoc Med. 2012, 9: 1-15.
16.
Andersen R: Revisiting the behavioral model and access to medical care: Does it matter?. J Health Soc Behav. 1995, 36: 1-10. 10.2307/2137284.CrossRefPubMed
17.
Schomerus G, Appel K, Meffert JP, Luppa M, Andersen MR, Grabe JH, Baumeister ES: Personality-related factors as predictors of help-seeking for depression: a population-based study applying the behavioral model of health services use. Soc Psychiatry Psychiatr Epidemiol. 2013, 48 (11): 1809-1817. 10.1007/s00127-012-0643-1.CrossRefPubMed
18.
Andersen R, Newman J: Societal and individual determinants of medical care utilization in the United States. Milbank Mem Fund Q Health Soc. 1973, 51 (1): 1-28. 10.2307/3349608.CrossRef
19.
Bradley EH, McGraw SA, Curry L, Buckser A, King KL, Kasl SV, Andersen R: Expanding the Andersen model: the role of psychosocial factors in long-term care Use. Health Serv Res. 2002, 37 (5): 1221-1242. 10.1111/1475-6773.01053.CrossRefPubMedPubMedCentral
20.
Condelius A, Edberg AK, Hallberg IR, Jakobsson U: Utilization of medical healthcare among people receiving long-term care at home or in special accommodation. Scand J Caring Sci. 2010, 24: 404-413.CrossRefPubMed
21.
Chang HT, Lin MH, Hwang I, Lai HY, Ho MM, Lin CH, Chen CK, Hwang SJ: Utilization and patterns of community healthcare services for senior residents in long-term care facilities in Tawain: A nationwide study. J Chin Med Assoc. 2013, 76: 42-47. 10.1016/j.jcma.2012.09.008.CrossRefPubMed
22.
Genet N, GW Boerma W, Kringos D, Bouman A, Francke A, Fagerstrom C, Melchiorre M, Greco C, Deville W: Home care in Europe: a systematic literature review. BMC Health Serv Res. 2011, 11: 207-214. 10.1186/1472-6963-11-207.CrossRefPubMedPubMedCentral
23.
Scharlach EA, Giunta N, Chow J, Lehning A: Racial and ethnic variations in caregiver service use. J Aging Health. 2008, 20 (3): 326-346. 10.1177/0898264308315426.CrossRefPubMed
24.
Rose E, Mallinson K, Gerson L: Mastery, burden, and areas of concern among family caregivers of mentally ill persons. Arch Psychiatr Nurs. 2006, 20 (1): 41-51. 10.1016/j.apnu.2005.08.009.CrossRefPubMed
25.
Casado BL, van Vulpen KS, Davis SL: Unmet needs for home and community-based services among frail older americans and their caregivers. J Aging Health. 2011, 23: 529-553. 10.1177/0898264310387132.CrossRefPubMed
26.
Hong S: Understanding Patterns of Service Utilization among Informal Caregivers of Community Older Adults. Gerontologist. 2010, 50 (1): 87-99. 10.1093/geront/gnp105.CrossRefPubMed
27.
Corbin J, Strauss A: Making arrangements. The key to home care. The Home Care Experience. Edited by: Sage Publications, Gubrium JF, Sankar A. 1990, Newbury Park, London, New Dehli: Ethnography and Policy, 59-74.
28.
29.
van Exel J, de Graaf G, Brouwer W: Give me a break! Informal caregiver attitudes towards respite care. Health Policy. 2008, 88: 73-87. 10.1016/j.healthpol.2008.03.001.CrossRefPubMed
30.
Schneekloth U: Entwicklungstrends und Perspektiven in der häuslichen Pflege. Zentrale Ergebnisse der Studie Möglichkeiten und Grenzen selbständiger Lebensführung (MuG III). Z Gerontol Geriat. 2006, 39: 405-412. 10.1007/s00391-006-0413-3.CrossRef
31.
Lee T, Kovner CT, Mezey MD, Ko IS: Factors influencing long-term home care utilization by the older population: implications for targeting. Public Health Nurs. 2001, 18 (6): 443-449. 10.1046/j.1525-1446.2001.00443.x.CrossRefPubMed
32.
Rothgang H, Müller R, Unger R, Weiß C, Wolter A: BARMER GEK Pflegereport 2012. Schwerpunktthema: Kosten bei Pflegebedürftigkeit. 2012, Siegburg: BARMER GEK
Metadata
Title
Which need characteristics influence healthcare service utilization in home care arrangements in Germany?
Authors
Lena Dorin
Suzi C Turner
Lea Beckmann
Jörg große Schlarmann
Andreas Faatz
Sabine Metzing
Andreas Büscher
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2014
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/1472-6963-14-233

Other articles of this Issue 1/2014

BMC Health Services Research 1/2014 Go to the issue

Research article

Process evaluation of a point-of-care cluster randomised trial using a computer-delivered intervention to reduce antibiotic prescribing in primary care

Research article

Decision-making factors affecting different family members regarding the placement of relatives in long-term care facilities

Research article

Cohort study of Western Australia computed tomography utilisation patterns and their policy implications

Research article

Barriers to and facilitators of interventions to counter publication bias: thematic analysis of scholarly articles and stakeholder interviews

Research article

Implementing strategies in consumer and community engagement in health care: results of a large-scale, scoping meta-review

Research article

The safety attitudes questionnaire – ambulatory version: psychometric properties of the Norwegian translated version for the primary care setting