Older Citizens' Opinions on Long-Term Care Options: A Vignette Survey.

Details

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State: Public
Version: Final published version
Serval ID
serval:BIB_E90913E2828C
Type
Article: article from journal or magazin.
Collection
Publications
Title
Older Citizens' Opinions on Long-Term Care Options: A Vignette Survey.
Journal
Journal of the American Medical Directors Association
Author(s)
Santos-Eggimann B., Meylan L.
ISSN
1538-9375 (Electronic)
ISSN-L
1525-8610
Publication state
Published
Issued date
01/04/2017
Peer-reviewed
Oui
Volume
18
Number
4
Pages
326-334
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Older citizens are directly concerned, as potential beneficiaries and informal caregivers, by access to long-term care (LTC) services matching their expectations. The aim of this research was to collect their opinions regarding LTC arrangements for a diversity of disability profiles.
Mailed vignette survey in a representative population-based sample of 3133 community-dwelling persons 68 years or older residing in a Swiss region.
All persons received a set of 10 vignettes. For each vignette, they considered 2 social situations successively: a person (1) living with an able-bodied spouse, and (2) living alone or with a spouse unable to help (resulting in 20 vignettes). Subjects selected a care setting (home, sheltered housing, or nursing home) and specified the preferred type of caregivers (spouse, professionals, or both) after community-based care options. Population estimates were based on weighted data accounting for the stratification of the survey sample.
A total of 2985 participants (95.3%) expressed opinions on 55,178 vignettes (mean 18.5 vignettes, SD 4.1) Institutionalization was selected by 0.8% (95% confidence interval 0.3-1.4) of the population for the vignette of lowest disability with able-bodied spouse and 78.8% (76.1-81.6) for the vignette of highest disability and no possible help from a spouse. Continence, cognitive, and behavioral difficulties further influenced the preferences expressed for LTC options. Community-based LTC choices involved professionals mostly as a complement to informal help by the spouse, except for vignettes describing isolated moderate cognitive impairment or difficulties in instrumental activities of daily living. In these cases, most favored help provided by spouses only.
This survey had high acceptance. Responses to variations in the disability and social profile displayed in the vignettes suggested the validity of measurements.

Keywords
Aged, Aged, 80 and over, Female, Health Services Accessibility, Humans, Long-Term Care/methods, Male, Patient Preference, Surveys and Questionnaires, Switzerland, Long-term care, aged, opinion, population-based, preference, survey
Pubmed
Web of science
Open Access
Yes
Create date
15/12/2016 15:14
Last modification date
20/08/2019 17:11
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