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Factors Affecting the Use of Social and Health Services Among the Elderly

Published online by Cambridge University Press:  14 November 2008

Barbara Gill Odell
Affiliation:
Department of Sociology, University of Maryland, Baltimore County, 5401 Wilkens Avenue, Baltimore, Md. 21228.
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Abstract

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This study has systematically examined the use of health and social services among non-institutionalized elderly people according to the Andersen model which groups factors influencing use into predisposing, enabling and need variables. Need for service as evidenced by physical and psychological functioning was the most important predictor of use of physician services and hospitalization. Predisposing factors had the most effect on use of dental services. On the other hand, knowledge of services, an enabling factor, was most relevant to use of social services. Since this factor is manipulable to planned change, several program strategies were suggested for increasing awareness of social services particularly among the impaired elderly.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1981

References

NOTES

1 Andersen, R. and Newman, J. F., ‘Societal and Individual Determinants of Medical Care Utilization in the United States’, The Milbank Memorial Fund Quarterly 51:95124, 1973.CrossRefGoogle ScholarPubMed

2 Andersen, R. and Aday, L. A., ‘Access to Medical Care in the U.S.: Realized and Potential’, Medical Care 16:533546, 1978.CrossRefGoogle ScholarPubMed

3 Berki, S. E. and Kobashigawa, B., ‘Socioeconomic and Need Determinants of Ambulatory Care Use: Path Analysis of the 1970 Health Interview Survey Data’, Medical Care 14:405421, 1976.CrossRefGoogle ScholarPubMed

4 Wan, T. T. H. and Soifer, S. J., ‘Determinants of Physician Utilization: A Causal Analysis’, Journal of Health and Social Behavior 13:115152, 1974.Google Scholar

5 Wolinsky, F. D., ‘Assessing the Effects of Predisposing, Enabling, and Illness-Morbidity Characteristics on Health Service Utilization’, Journal of Health and Social Behavior 19:384396, 1978.CrossRefGoogle ScholarPubMed

6 Andersen, R. and Newman, F. J., 1973, op. cit.Google Scholar

7 Wan, T. T. H. and Soifer, S. J., 1974, op. cit.Google Scholar

8 Berki, S. E. and Kobashigawa, B., 1976, op. cit.Google Scholar

9 Wan, T. T. H. and Yates, A. S., ‘Prediction of Dental Service Utilization: A Multivariate Approach’, Inquiry, 12, 143156, 1975.Google ScholarPubMed

10 Wan, T. T. H. and Soifer, S. J., 1974, op. cit.Google Scholar

11 Wan, T. T. H. and Soifer, S. J., 1974, op. cit.Google Scholar

12 Berki, S. E. and Kobashigawa, B, 1976, op. cit.Google Scholar

13 Andersen, R. and Aday, L. A., 1978, op. cit.Google Scholar

14 Andersen, R. and Aday, L. A., 1978, op. cit.Google Scholar

15 German, P. S., Skinner, E. A. and Shapiro, S.Ambulatory Care for Chronic Conditions in an Inner City Elderly Population’, American Journal of Public Health 66:660666, 1976.CrossRefGoogle Scholar

16 Wan, T. T. H., ‘Access to Care, Health Status, and Health Services Utilization of Noninstitutionalized Older Persons in Urban-low-Income Area’. Forthcoming in Health and Society, 1981.Google Scholar

17 Wolinski, F. D., 1978, op. cit.Google Scholar

18 Wan, T. T. H. and Soifer, S. J., 1974, op. cit.Google Scholar

19 Wan, T. T. H. and Soifer, S. J., 1974, op. cit.Google Scholar

20 McKinlay, J. B., ‘Some Approaches and Problems in the Study of the Use of Services – An Overview’, Journal of Health and Social Behavior 13:115152.CrossRefGoogle Scholar

21 Wolinsky, , 1978.Google Scholar

22 Andersen, R. and Newman, J. F., 1973, op. cit.Google Scholar

23 Wan, T. T. H. and Yates, A. S., 1975, op. cit.Google Scholar

24 Wan, T. T. H., Weissert, W. and Liveratos, B., ‘Geriatric Day Care and Home-maker Services: An Experimental Study’, Journal of Gerontology 35:256274, 1980.CrossRefGoogle Scholar

25 Holmes, Douglas et al. , ‘Use of Community-Based Services in Long-term Care by Older Minority Persons’, The Gerontologist, 19:389397, 1979.CrossRefGoogle ScholarPubMed

26 Murdock, S. H. and Swartz, D. F., ‘Family Structure and Use of Agency Services: An Examination of Patterns Among Elderly Native Americans’, The Gerontologist Vol. 18 (October), 475481, 1978.CrossRefGoogle ScholarPubMed

27 Katz, S. et al. , ‘Studies of illness in the Aged: The Index of ADL Standardized Measures of Biological and Psychosocial Function’, Journal of the American Medical Association 185:914, 1963.CrossRefGoogle Scholar

28 Lawton, M. P., and Brody, E. M., ‘Assessment of Older People: Self-Maintaining and Instrumental Activities of Daily Living’, The Gerontologist 9:179186, 1969.CrossRefGoogle ScholarPubMed

29 Pfeiffer, Eric, ‘Multidimensional Functional Assessment: The OARS Methodology, Durham, N.C.’, Center for the Study of Aging and Human Development, 1976.Google Scholar

30 Andrews, F., Morgan, J. and Sonquist, J., Multiple Classification Analysis, Ann Arbor, M., University of Michigan Institute for Social Research, 1967.Google Scholar

31 USDHEW Health United States 1976–1977. U.S. Government Printing Office-DHEW Publication No. 77–1232, 1977.Google Scholar