|
Sign In to gain access to subscriptions and/or personal tools.
|
Differential Use of Health Services among Disabled Elderly
Thomas T.H. Wan
Virginia Commonwealth University
Greg Arling
Virginia Commonwealth University
In order to facilitate program planning for the chronically ill, it is essential to understand their propensity to use health and social services. This study has systematically examined the use of ambulatory services among the noninstitutionalized elderly (N = 772) who reported with one or more activity-limiting chronic conditions in a statewide survey of older Virginians in 1979. The determinants of differential use of physician services are investigated. The independent variables included in the analysis are: (1) personal attributes that may predispose individuals to seek care; (2) need for care factors as evidenced by the number of health disorders, physical functioning limitations, and perceived health; and (3) enabling factors such as income, insurance status, regular source of care, perceived service needs, and transportation barriers. Findings show that a significantly large number of physician visits may be generated in response to the psychological needs of disabled elderly. The eighteen predictors accounted for a relatively larger amount of variance (39%o) in use of social services than in physican visits (14%o). Furthermore, there is a strong complementary relationship between physician visits and use of social services.
Research on Aging, Vol. 5, No. 3,
411-431 (1983)
DOI: 10.1177/0164027583005003008
 CiteULike  Complore  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter What's this?
This article has been cited by other articles:
|
|
|
|
 
E. J. Porter, L. H. Ganong, N. Drew, and T. I. Lanes
A New Typology of Home-Care Helpers
Gerontologist,
December 1, 2004;
44(6):
750 - 759.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. A. Emlet and K. J. Farkas
Correlates of Service Utilization Among Midlife and Older Adults With HIV/AIDS: The Role of Age in the Equation
J Aging Health,
August 1, 2002;
14(3):
315 - 335.
[Abstract]
[PDF]
|
|
|
|
|
|
|
E. J. Porter, L. H. Ganong, and J. M. Armer
The Church Family and Kin: An Older Rural Black Woman's Support Network and Preferences for Care Providers
Qual Health Res,
July 1, 2000;
10(4):
452 - 470.
[Abstract]
[PDF]
|
|
|
|
|
|
|
C. E. Gill, G. A. Hinrichsen, and R. DiGiuseppe
Factors Associated With Formal Service Use by Family Members of Patients With Dementia
Journal of Applied Gerontology,
March 1, 1998;
17(1):
38 - 52.
[Abstract]
[PDF]
|
|
|
|
|
|
|
M. Linden, A. L. Horgas, R. Gilberg, and E. Steinhagen-Thiessen
Predicting Health Care Utilization in the Very Old: The Role of Physical Health, Mental Health, Attitudinal and Social Factors
J Aging Health,
February 1, 1997;
9(1):
3 - 27.
[Abstract]
[PDF]
|
|
|
|
|
|
|
D. E. STULL, K. KERCHER, and K. D. KOSLOSKI
Physical Health and Long-Term Care: A Multidimensional Approach
American Behavioral Scientist,
January 1, 1996;
39(3):
317 - 335.
|
|
|
|
|
|
|
L. Grabbe, A. S. Demi, F. Whittington, J. M. Jones, L. G. Branch, and R. Lambert
Functional Status and the Use of Formal Home Care in the Year before Death
J Aging Health,
August 1, 1995;
7(3):
339 - 364.
[Abstract]
[PDF]
|
|
|
|
|
|
|
K. M. Skinner, S. L. Tennstedt, and S. L. Crawford
Do Characteristics of Informal Caregivers Affect the Length of Hospital Stay for Frail Elders?
J Aging Health,
May 1, 1994;
6(2):
255 - 269.
[Abstract]
[PDF]
|
|
|
|
|
|
|
D. E. Biegel, D. M. Bass, R. Schulz, and R. Morycz
Predictors of In-Home and Out-of-Home Service Use by Family Caregivers of Alzheimer's Disease Patients
J Aging Health,
November 1, 1993;
5(4):
419 - 438.
[Abstract]
[PDF]
|
|
|
|
|
|
|
S. L. Tennstedt, L. M. Sullivan, J. B. McKinlay, and R. B. D'Agostino
How Important is Functional Status as a Predictor of Service Use by Older People?
J Aging Health,
November 1, 1990;
2(4):
439 - 461.
[Abstract]
[PDF]
|
|
|
|
|
|
|
R. A. Starrett, A. M. Todd, and L. DeLeon
A Comparison of the Social Service Utilization Behavior of the Cuban and Puerto Rican Elderly
Hispanic Journal of Behavioral Sciences,
November 1, 1989;
11(4):
341 - 353.
[Abstract]
|
|
|
|
|
|
|
M. H. Rivnyak, T. T. H. Wan, M. H. Stegall, M. Jacobs, and S. Li
Ambulatory Care Use among the Noninstitutionalized Elderly: A Causal Model
Research on Aging,
September 1, 1989;
11(3):
292 - 311.
[Abstract]
|
|
|
|
|
|
|
W. Rakowski, M. Julius, T. Hickey, and J. B. Halter
Correlates of Preventive Health Behavior in Late Life
Research on Aging,
September 1, 1987;
9(3):
331 - 355.
[Abstract]
|
|
|
|
|
|
|
M. R. Haug and M. G. Ory
Issues in Elderly Patient-Provider Interactions
Research on Aging,
March 1, 1987;
9(1):
3 - 44.
[Abstract]
|
|
|
|
|
|
|
T. T.H. Wan
Functionally Disabled Elderly: Health Status, Social Support, and Use of Health Services
Research on Aging,
March 1, 1987;
9(1):
61 - 78.
[Abstract]
|
|
|
|
|
