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Unmet need among disabled elders: A problem in access to community long term care?

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  • Tennstedt, Sharon
  • McKinlay, John
  • Kasten, Linda

Abstract

To more completely understand unmet need as an indicator of demand for long-term care, longitudinal data on a representative sample of disabled elders were used to track the extent, type, and predictors of unmet need(s) over a 4-year period. Unmet IADL needs were more common than unmet PADL needs with only 1-2% reporting both types. Unmet needs appear to be temporary rather than persistent and are predicted by lack of an engaged (not necessarily unavailable) caregiving system. The data suggest that the rate of unmet personal care need rather than the rate of any unmet need represents a more accurate estimate of the number of elders for whom community long-term care services are critical to decrease risk of institutionalization.

Suggested Citation

  • Tennstedt, Sharon & McKinlay, John & Kasten, Linda, 1994. "Unmet need among disabled elders: A problem in access to community long term care?," Social Science & Medicine, Elsevier, vol. 38(7), pages 915-924, April.
    • Handle: RePEc:eee:socmed:v:38:y:1994:i:7:p:915-924
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    Cited by:

    1. Anne Cattagni Kleiner & Brigitte Santos-Eggimann & Sarah Fustinoni & Laurence Seematter-Bagnoud, 2018. "Access to information on home- and community-based services and functional status," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(2), pages 273-282, March.
    2. Sergi Jiménez-Martín & Cristina Vilaplana Prieto, 2015. "Do Spanish Informal Caregivers Come to the Rescue of Dependent People with Formal Care Unmet Needs?," Applied Economic Perspectives and Policy, Agricultural and Applied Economics Association, vol. 37(2), pages 243-259.
    3. García-Gómez, Pilar & Hernández-Quevedo, Cristina & Jiménez-Rubio, Dolores & Oliva-Moreno, Juan, 2015. "Inequity in long-term care use and unmet need: Two sides of the same coin," Journal of Health Economics, Elsevier, vol. 39(C), pages 147-158.
    4. Kang, Lili & Zhao, Guangchuan, 2022. "Financial support for unmet need for personal assistance with daily activities: Implications from China's long-term care insurance pilots," Finance Research Letters, Elsevier, vol. 45(C).
    5. Md. Mizanur Rahman & Megumi Rosenberg & Gabriela Flores & Nadia Parsell & Shamima Akter & Md Ashraful Alam & Md. Mahfuzur Rahman & Tessa Edejer, 2022. "A systematic review and meta-analysis of unmet needs for healthcare and long-term care among older people," Health Economics Review, Springer, vol. 12(1), pages 1-10, December.
    6. Momtaz, Yadollah Abolfathi & Hamid, Tengku Aizan & Ibrahim, Rahimah, 2012. "Unmet needs among disabled elderly Malaysians," Social Science & Medicine, Elsevier, vol. 75(5), pages 859-863.
    7. Zhu, Yumei & Österle, August, 2017. "Rural-urban disparities in unmet long-term care needs in China: The role of the hukou status," Social Science & Medicine, Elsevier, vol. 191(C), pages 30-37.
    8. Anais Cheneau & Véronique Simonnet & Valérie Fargeon, 2017. "Le recours aux aides des personnes fragiles et leurs effets sur le bien-être," Post-Print halshs-02120698, HAL.

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