Abstract
This investigation examined cognitive impairment as a predictor of the volume of community services used by older adults. Predictors of service volume were selected according to the modified Andersen framework and tested with 97 health care and 246 social service clients of a large multiservice agency. Results for health care clients showed that the effects of four predictors differ depending on clients' level of cognitive impairment; living arrangement, presence of secondary caregivers, client depression and task burden of the primary caregiver. No differences in predictor of social service use were observed for cognitively impaired and lucid clients.
Keywords
Volume (thermodynamics)Cognitive impairmentPsychologyCognitionGerontologySociologyMedicinePsychiatryPhysics
Affiliated Institutions
Related Publications
Caring for the Caregivers: Patterns of Organizational Caregiving
The author gratefully acknowledges the comments of Marion McCollom and Vicky Parker on an earlier version of this manuscript and the extensive support of Robert Sutton and this ...
Statewide adoption and initial implementation of contingency management for substance-abusing adolescents.
Four hundred thirty-two public sector therapists attended a workshop in contingency management (CM) and were interviewed monthly for the following 6 months to assess their adopt...
2024 Alzheimer's disease facts and figures
Abstract This article describes the public health impact of Alzheimer's disease (AD), including prevalence and incidence, mortality and morbidity, use and costs of care and the ...
Health Care Users Residing on the Mexican Border
Using multivariate analytic techniques, this article examines the factors influencing choice of the Mexican or U.S. health care system by service users residing on the Mexican b...
Mental Illness and Help-seeking Behavior Among Mariel Cuban and Haitian Refugees in South Florida
Differences in psychopathology and use of the mental health system by recent refugee groups are explored in light of competing hypotheses stemming from theories of immigrant ada...
Publication Info
- Year
- 1992
- Type
- article
- Volume
- 32
- Issue
- 1
- Pages
- 33-43
- Citations
- 92
- Access
- Closed
External Links
Social Impact
Altmetric
PlumX Metrics
Social media, news, blog, policy document mentions
Citation Metrics
92
OpenAlex
Cite This
David M. Bass,
Wendy J. Looman,
Phyllis Ehrlich
(1992).
Predicting the Volume of Health and Social Services: Integrating Cognitive Impairment into the Modified Andersen Framework.
The Gerontologist
, 32
(1)
, 33-43.
https://doi.org/10.1093/geront/32.1.33
Identifiers
- DOI
- 10.1093/geront/32.1.33