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 2023 EHA Congress 2023 ASCO Annual Meeting
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 1/2006

Open Access 01-12-2006 | Research article

Demand of elderly people for residential care: an exploratory study

Authors: PMA van Bilsen, JPH Hamers, W Groot, C Spreeuwenberg

Published in: BMC Health Services Research | Issue 1/2006

Login to get access

Abstract

Background

Because of the rapid aging population, the demand for residential care exceeds availability. This paper presents the results of a study that focuses on the demand of elderly people for residential care and determinants (elderly people's personal characteristics, needs and resources) that are associated with this demand. Furthermore, the accuracy of the waiting list as a reflection of this demand has been examined.

Methods

67 elderly people waiting for admission into a home for the elderly, are subjected to semi-structured interviews. The data are analyzed by using multivariate statistics.

Results

Elderly people who indicate that they would refuse an offer of admission into a home for the elderly feel healthier (p = 0.02), have greater self-care agency (p = 0.02) and perceive less necessity of admission (p < 0.01), compared to those who would accept such an offer. Especially the inability to manage everyday activities and the lack of a social network are highly associated with the elderly people's demand for residential care. Furthermore, it is evident that waiting lists for homes for the elderly do not accurately reflect the demand for residential care, since 35% of the elderly people on a waiting list did not actually experience an immediate demand for residential care and stated that they would not accept an offer of admission. Quite a lot of respondents just registered out of a sense of precaution; a strategic decision dictated by current shortages in care provision and a vulnerable health status.

Conclusion

The results contribute to the understanding of waiting lists and the demand for residential care. It became apparent that not everybody who asks for admission into a home for the elderly, really needed it. The importance of elderly people's resources like social networks and the ability to manage everyday activities in relation to the demand for care became clear. These findings are important because they indicate that resources also play a role in predicting elderly people's demand and as a result can guide the development and the (re)design of adequate health care services.
Appendix
Available only for authorised users
Literature
1.
Stevens JAM, Lalleman AW, Mathijssen SW, van Eijk W, Hamers JPH: Zorg in Limburg. De AWBZ -sector in kaart gebracht (Care in the Southern part of the Netherlands. An overview of the sector Care and Nursing),. 2000, Maastricht, Universitaire Pers Maastricht, 176.
2.
Vliegenthart M: Voortgang wachtlijstaanpak V&V sector. Progression concerning the solution of waiting list problems in the sector Care and Nursing). 2002, , Ministerie van Volksgezondheid, Welzijn en Sport
3.
De Klerk MMY: Rapportage ouderen 2001. Veranderingen in de leefsituatie (Report elderly people 2001. Changes in social situation). 2001, Den Haag, Sociaal en Cultureel Planbureau
4.
Rosenberg M, Everitt J: Planning for aging populations: inside or outside the walls. Progress in Planning. 2001, 56: 199-168. 10.1016/S0305-9006(01)00014-9.CrossRef
5.
IJland CM: Eerste resultaten wachtlijstinventarisatie Sector Verpleging & Verzorging. Peildatum 1 november 2002 (First results inventory waiting lists, reference date 1 November 2003). 2003, , Taskforce Wachtlijsten
6.
Gibler KM, Moschis GP, Lee E: Planning to move to retirement housing. Finacial Services Review. 1998, 7: 291-300. 10.1016/S1057-0810(99)00024-4.CrossRef
7.
Aro A, Noro A, Salinto M: Deinstitutionalization of the elderly in Finland, 1981-91. Scand J Soc Med. 1997, 25: 136-143.CrossRef
8.
Ministerie van Volksgezondheid Welzijn en Sport: Choosing with Care. The equipping of patients and consumers in a demand driven care sector. International Publication Series Health, Welfare and Sport no 13. 2002, The Haque, Ministerie van Volksgezondheid Welzijn en Sport
9.
Lewis JS: Housing and social support needs of elderly persons: a need assessment in an independent living facility. Evaluation and Program Planning. 1997, 20: 269-277. 10.1016/S0149-7189(97)00005-0.CrossRef
10.
Splann Krothe J: Giving voice to Elderly People: Community-Based Long Term Care. Public Health Nursing. 1997, 14: 217-226.CrossRef
11.
Van Bilsen PMA, Hamers JPH, Groot W, Spreeuwenberg C: Welke zorg vragen ouderen? (What care do elderly people ask for?). 2002, Maastricht, Universitaire Pers Maastricht
12.
Van Campen C, Woittiez IB: Client demands and the allocation of home care in the Netherlands. A Multinomial logit model of client types, care needs and referrals. Health Policy. 2003, 64: 229-241. 10.1016/S0168-8510(02)00156-2.CrossRef
13.
Raad van Volksgezondheid en Zorg: De wensen van zorgcliënten in Europa (The wants of care consumers in Europe). 2003, , Raad voor de Volksgezondheid en Zorg
14.
Bandura A: Self-efficacy: The exercise of control. 1997, New York, Freeman
15.
Maslow A: Motivation and personality. 1954, New York, Harper & Row
16.
Sheldon KM, Elliot AJ, Kim Y, Kasser T: What is Satisfying about Satisfying Events? Testing 10 Candidate Psychological Needs. Journal of Personality and Social Psychology. 2001, 80: 325-339. 10.1037/0022-3514.80.2.325.CrossRef
17.
Freud S: Beyond the pleasure principle. 1920, London, Hogarth
18.
Meijer A: Nursing homes in Europe: a comparative study of the organization and financing of nursing homes in five European countries. 1998, Wageningen, Wageningen Agricultural University
19.
Ministerie van Volksgezondheid Welzijn en Sport: Zorgindicatiebesluit; Besluit van 2 oktober 1997, houdende regels met betrekking tot werkterrein, de samenstelling en werkwijze van indicatieorganen (Care needs Assessment Decree; White Paper of October, 2 1997, regarding fields of activities, the formation, and the operation of Regional Needs Assessment Agencies). Staatsblad van het Koningrijk der Nederlanden. 1997, Sdu 447.
20.
Maarse H, Van der Made J: Cost containment and the right to health care. European Journal of Public Health. 1998, 8: 119-126. 10.1093/eurpub/8.2.119.CrossRef
21.
Kempen GIJM, Doeglas DM, Suurmeijer TPBM: Het meten van problemen met zelfredzaamheid op verzorgend en huishoudelijk gebied met de Groningen Activiteiten Restrictie Schaal (GARS): een handleiding (The measurement of functional status on personal and domestic care by the Groningen Activity Restriction Scale: a manual). 1993, Groningen, Noordelijk Centrum voor Gezondheidsvraagstukken, Rijksuniversiteit Groningen
22.
Van Linschoten CP, Gerritsen JC, Romijn C: De schaal Subjektief Welzijn nader onderzocht (The Scale Subjective Welfare studied closer). TijdschrGerontolGeriatr. 1993, 57 -565.
23.
Brouns G, Evers GCM, Smeets H, Isenberg M, Philipsen H: Appraisal of self-care agency scale. 1988, Maastricht.
24.
Nunnally JCJ: Psychometric Theory. 1978, New York , McGraw-Hill, 2e
25.
Caris-Verhallen WMCM, Kerksta A: Continuity of care for patients on a waiting list for institutional long-term care. Health and Social Care in the Community. 2001, 9: 1-9. 10.1046/j.1365-2524.2001.00274.x.CrossRef
26.
Van Eijk LM, Miedema I: Ouderen op de wachtlijst nader bekeken. Een onderzoek onder ouderen op de wachtlijst voor een verzorgingshuis in Oost-Groningen (A closer look on elderly people at a waiting list for residential care in East Groningen). 2001, , Provinciaal Ontwikkelingsinstituut Zorg en Welzijn Groningen (POZW)
27.
Crets S: Determinants of the use of ambulant social care by the elderly. Soc Sci Med. 1996, 43: 1709-1720. 10.1016/S0277-9536(96)00060-3.CrossRef
28.
Bass DM, Looman WJ, Ehrlich P: Predicting the volume of health and social services: intergrating cognitive impairment into the modified Andersen framework. Gerontologist. 1992, 32: 33-43.CrossRef
29.
Brandenburg H: Welche Faktoren beeinflussen die Nutzung sozialer Dienste bei Alteren Menschen (Factors influencing the utilization of social services in old age). Pflege. 1998, 11: 5-10.PubMed
30.
Calsyn RJ, Winter JP: Predicting four types of service needs in older adults. Evaluation and Program Planning. 2001, 24: 157-166. 10.1016/S0149-7189(01)00006-4.CrossRef
31.
Kempen GIJM, Suurmeijer PBM: Factors influencing professional home care utilization among the elderly. Soc Sci Med. 1991, 32: 77-81. 10.1016/0277-9536(91)90130-5.CrossRef
32.
Kempen GIJM, Sonderen FLP: Individuele determinanten van gebruik van professionele en informele thuiszorg (Determinants of professional and informal home care use). Dagelijks functioneren van ouderen. Edited by: Kempen GIJM and Ormel J. 1996, Assen, Van Gorcum
33.
Lilja M, Borell L: Elderly People's Daily Activities and Need for Mobility Support. Scand J Caring Sci. 1997, 11: 73-80.CrossRef
34.
Linden M, Horgas AL, Gilberg R, Steinhagen-Thiessen E: Predicting health care utilization in the very old. Journal of Aging and Health. 1997, 9: 3-27.CrossRef
35.
Stoddard H, Whitley E, Harvey I, Sharp D: What determines the use of home care services by elderly people. Health and Social Care in the Community. 2002, 10: 348-360. 10.1046/j.1365-2524.2002.00380.x.CrossRef
36.
Tomiak M, Berthelot J, Guimond E, Mustard CA: Factors associated with nursing-home entry for elders in Manitoba, Canada. Journal of Gerontology: MEDICAL SCIENCES. 2000, 55a: M279-M287.
37.
Algera M: Al you need is ... home care. Matches between home care needed, indicated and delivered; a study among chronic patients. 2004, Maastricht, Universiteit Maastricht
Metadata
Title
Demand of elderly people for residential care: an exploratory study
Authors
PMA van Bilsen
JPH Hamers
W Groot
C Spreeuwenberg
Publication date
01-12-2006
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2006
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/1472-6963-6-39

Other articles of this Issue 1/2006

BMC Health Services Research 1/2006 Go to the issue

Research article

Two years of psychogeriatric consultations in a nursing home: reasons for referral compared to psychiatrists' assessment

Research article

Development and preliminary validation of a Greek-language outpatient satisfaction questionnaire with principal components and multi-trait analyses

Research article

Functional status decline as a measure of adverse events in home health care: an observational study

Research article

Evaluation of the utilization of the preanaesthetic clinics in a University teaching hospital

Study protocol

The DAMASK trial protocol: a pragmatic randomised trial to evaluate whether GPs should have direct access to MRI for patients with suspected internal derangement of the knee

Research article

Evidence-informed obstetric practice during normal birth in China: trends and influences in four hospitals