TY - JOUR
T1 - Factors influencing the utilization of visiting nursing and home-help services
AU - Choi, Junghyun
AU - Murashima, Sachiyo
AU - Horii, Toyomi
AU - Hattori, Mariko
AU - Nagata, Satoko
AU - Asahara, Kiyomi
PY - 2002
Y1 - 2002
N2 - PURPOSE: To identify the respective characteristics of clients using visiting nursing service and home-help service. Since the past, research on the utilization of in-home care services has usually focused on different services collectively. METHODS: Interviews using structured questionnaires were carried out with 134 elderly individuals who were selected in October 1997 from the list for home visit of public health nurses in a town with a population of 36,000. With regard to the utilization of visiting nursing as well as home-help service, the relationship with three factors of the conceptual Andersen's model (predisposing factor, needs factor, enabling factor) were examined. RESULTS AND DISCUSSION: Of the 134 subjects, 38.1% utilized visiting nursing service and 36.6% used home-help services. Use of visiting nursing service was significantly associated with variables such as declining ADL in the elderly, hospitalization within the past two years, less caregiving by family members, and less resistance to service-use by caregivers. On the other hand, use of home help service was related to less caregiving by family members and resources of visiting nursing. The clients who used both visiting nursing and home-help service had more difficulty with caregiving by family members compared to those who used only nursing service, and the latter were inferior in them of physical conditions, including ADL, to those who employed only home-helpers. CONCLUSION: The factors promoting the use of visiting nursing are different to some extent from those for home-help service. Clients using both are characterized by the presence of a broader variety needs.
AB - PURPOSE: To identify the respective characteristics of clients using visiting nursing service and home-help service. Since the past, research on the utilization of in-home care services has usually focused on different services collectively. METHODS: Interviews using structured questionnaires were carried out with 134 elderly individuals who were selected in October 1997 from the list for home visit of public health nurses in a town with a population of 36,000. With regard to the utilization of visiting nursing as well as home-help service, the relationship with three factors of the conceptual Andersen's model (predisposing factor, needs factor, enabling factor) were examined. RESULTS AND DISCUSSION: Of the 134 subjects, 38.1% utilized visiting nursing service and 36.6% used home-help services. Use of visiting nursing service was significantly associated with variables such as declining ADL in the elderly, hospitalization within the past two years, less caregiving by family members, and less resistance to service-use by caregivers. On the other hand, use of home help service was related to less caregiving by family members and resources of visiting nursing. The clients who used both visiting nursing and home-help service had more difficulty with caregiving by family members compared to those who used only nursing service, and the latter were inferior in them of physical conditions, including ADL, to those who employed only home-helpers. CONCLUSION: The factors promoting the use of visiting nursing are different to some extent from those for home-help service. Clients using both are characterized by the presence of a broader variety needs.
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M3 - Article
C2 - 12402473
AN - SCOPUS:0036719396
VL - 49
SP - 948
EP - 958
JO - [Nihon kōshū eisei zasshi] Japanese journal of public health
JF - [Nihon kōshū eisei zasshi] Japanese journal of public health
SN - 0546-1766
IS - 9
ER -