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The use of community-based social services by elderly people at risk of institutionalization: An evaluation

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  • van Bilsen, P.M.A.
  • Hamers, J.P.H.
  • Groot, W.
  • Spreeuwenberg, C.

Abstract

Objective To examine the use of community-based social services by elderly people at risk of institutionalization, who prefer to remain at home.Methods A study with a longitudinal design (measurements at two points in time) was conducted.Results One hundred and thirty-four elderly people (mean age = 82 years) were interviewed twice. At baseline, 81 respondents indicated that they made use of at least one social service (60.4%). After 1 year the use of these services did not increase significantly (64.2%, p = 0.53). Only two services (socio-cultural activities and restaurant facility) out of five services were used frequently. The respondents reported more autonomy and fewer feelings of loneliness after 1 year. These positive changes cannot be related to an increased use of services.Discussion Overall, the use of social services remained moderate. This raises questions about the need for these services, the possible barriers and the ability of these social services to contribute to de-institutionalization.

Suggested Citation

  • van Bilsen, P.M.A. & Hamers, J.P.H. & Groot, W. & Spreeuwenberg, C., 2008. "The use of community-based social services by elderly people at risk of institutionalization: An evaluation," Health Policy, Elsevier, vol. 87(3), pages 285-295, September.
    • Handle: RePEc:eee:hepoli:v:87:y:2008:i:3:p:285-295
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    2. Tsiachristas, Apostolos & Hipple-Walters, Bethany & Lemmens, Karin M.M. & Nieboer, Anna P. & Rutten-van Mölken, Maureen P.M.H., 2011. "Towards integrated care for chronic conditions: Dutch policy developments to overcome the (financial) barriers," Health Policy, Elsevier, vol. 101(2), pages 122-132, July.
    3. Eneja Drobež & David Bogataj, 2022. "Legal Aspects of Social Infrastructure for Housing and Care for the Elderly—The Case of Slovenia," Laws, MDPI, vol. 11(2), pages 1-19, February.
    4. Ziyue Huang & Qingyue Liu & Hongdao Meng & Danping Liu & Debra Dobbs & Kathryn Hyer & Kyaien O Conner, 2018. "Factors associated with willingness to enter long-term care facilities among older adults in Chengdu, China," PLOS ONE, Public Library of Science, vol. 13(8), pages 1-13, August.
    5. Jiayun Liu & Jianyuan Huang & Huimin Li, 2022. "How Can the Modern Chinese Family Retirement Function Be Separated and Sustainable?," Sustainability, MDPI, vol. 14(15), pages 1-19, August.

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