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Title: Service use barriers differentiating care-givers' service use patterns
Authors: Hong, S.-I. 
Hasche, L.
Lee, M.J.
Keywords: affordability
informal care-giving
service use barrier
service use pattern
Issue Date: Nov-2011
Citation: Hong, S.-I., Hasche, L., Lee, M.J. (2011-11). Service use barriers differentiating care-givers' service use patterns. Ageing and Society 31 (8) : 1307-1329. ScholarBank@NUS Repository.
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. © 2011 Cambridge University Press.
Source Title: Ageing and Society
ISSN: 0144686X
DOI: 10.1017/S0144686X10001418
Appears in Collections:Staff Publications

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