Thes study investigated actual service use by 152 dementia patients and used the Anderson model
to examine factors associated with the use of in-home and out-of-home services. On the whole,
practical issues tied to patient care were most powerfully related to the use of formal services
in patients with relatively advanced dementia. Family caregiver appraisal, coping, and emo
tional adjustment were not substantively tied to service use.
Get full access to this article
View all access options for this article.
References
1.
Anderson, R. (1968). A behavioral model of families'use of health services . (Series 25). Chicago: Center for Health Administration Studies Research.
2.
Anderson, R., & Newman, J.F. (1973). Societal and individual determinants of medical care utilization in the United States. Milbank Memorial Fund Quarterly, 51, 95-124.
3.
Bass, D.M., Looman, W.J., & Ehrlich, P. (1992). Predicting the volume of health and social services: Integrating cognitive impairment into the modified Anderson framework. The Gerontologist, 32(1), 33-43.
4.
Bass, D.M., & Noelker, L.S. (1987). The influence of family caregivers on elder's use of in-home services: An expanded conceptual framework. Journal of Health and Social Behavior, 28, 184-196.
5.
Biegel, D.E., Bass, D.M., Schulz, R., & Morycz, R. (1993). Predictors of in-home and out-of-home service use by family caregivers of Alzheimer's disease patients. Journal of Aging and Health, 5(4), 419-438.
6.
Caserta, M.S., Lund, D.A., Wright, S.D., & Redbum, D.E. (1987). Caregivers to dementia patients: The utilization of community services. The Gerontologist, 27(2), 209-214.
7.
Cohler, B.J., Groves, L., Borden, W., & Lazarus, L. (1989). Caring for family members with Alzheimer's disease . In E. Light & B. Lebowitz (Eds.), Alzheimer's disease, treatment and family stress: Directions for research (DHHS Publication No. ADM 89-1569.) Washington DC: National Institute of Mental Health .
8.
Coulton, C., & Frost, A.K. (1982). Use of social and health services by the elderly . Journal of Health and Social Behavior, 23, 330-339.
9.
Derogatis, L.R. (1983). SCL-90-R: Administration, Scoring, & Procedures Manual-II. Baltimore : Clinical Psychometric Research, Johns Hopkins University School of Medicine.
10.
Duke University Center for the Study of Aging and Human Development. (1978). Multidimensionalfunctional assessment: The OARS methodology. Durham, NC: Duke University.
11.
Folstein, M.F., Folstein, S., & McHugh, P.R. (1975). "Mini-Mental State": A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189-198.
12.
Hinrichsen, G.A., & Niederehe, G. (1994). Dementia management strategies and adjustment of family members of older patients. The Gerontologist, 34, 95-102.
13.
Hinrichsen, G.A., & Ramirez, M. (1992). Black and White dementia caregivers: A comparison of their adaptation, adjustment, and service utilization. The Gerontologist, 32, 375-381.
14.
Kosloski, K., & Montgomery, R.J. (1994). Investigating patterns of service use by families providing care for dependent elders. Journal of Aging and Health, 6, 17-37.
15.
Lawton, M., Brody, E., & Saperstein, A. (1989). A controlled study of respite service for caregivers of Alzheimer's disease patients. The Gerontologist, 29(1), 8-16.
16.
Lazarus, R.S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.
17.
Maddox, G.L., & Douglass, E.B. (1974). Self-assessment of health: A longitudinal study of elderly subjects. Journal of Health and Social Behavior, 14, 87-93.
18.
Moos, R.H., Cronkite, R.C., Billings, A.G., & Finney, J.W. (1984). Health and daily living form manual. Palo Alto, CA: Social Ecology Laboratory, Department of Psychiatry, Stanford University.
19.
Mullan, J.T. (1993). Barriers to the use of formal services among Alzheimer's caregivers. In S. H. Zarit, L. I. Pearlin, & K. W. Schaie (Eds.), Caregiving systems: Informal and formal helpers (pp. 241-259). Hillsdale, NJ: Lawrence Erlbaum.
20.
Niederehe, G. & Scott, J. (1987). Psychological and family factors influencing caregiver stress in senile dementia. Southwestern: The Journal of Agingfor the Southwest, 4, 48-58.
21.
Penning, M.J. (1995). Cognitive impairment, caregiver burden, and the utilization of home health services. Journal of Aging and Health, 7(2), 233-253.
22.
Wan, T.T.H., & Arling, G. (1983). Differential use of health services among disabled elderly. Research on Aging, 5(3), 411-431.
23.
Wolinsky, F.D. (1994). Health services utilization among older adults: Conceptual, measurement, and modeling issues in secondary analysis. The Gerontologist, 34(4), 470-475.
24.
Wolinsky, F.D., & Johnson, R.J. (1991). The use of health services by older adults. Journal of Gerontology, 46, 345-357.
25.
Zarit, S.H., & Zarit, J.M. (1983). The memory and behavior problems checklist and the burden interview. Unpublished manuscript, University of Southern California, Department of Psychology, Los Angeles.