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

  • Thomas T. H. Wan and Barbara Gill Odell (a1)
Abstract

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.

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References
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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.

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

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.

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.

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.

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

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

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

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

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

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

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

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

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

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.

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.

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

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

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

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.

21 Wolinsky, , 1978.

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

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

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.

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

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.

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.

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.

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

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

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

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Ageing & Society
  • ISSN: 0144-686X
  • EISSN: 1469-1779
  • URL: /core/journals/ageing-and-society
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