University of Maryland School of Social Work, Baltimore, MD, USA.
J Aging Health. 2011 Apr;23(3):529-53. doi: 10.1177/0898264310387132. Epub 2010 Nov 17.
This study examined unmet needs for home- and community-based services (HCBS) among frail older Americans.
Using population-based sample from the National Long-Term Care Survey, a hierarchical logistic regression analysis was conducted to examine the predictors of unmet needs for seven types of HCBS.
Lack of awareness, reluctance, unavailability, and affordability of services were the main reasons for unmet needs for HCBS. Factors that were associated with unmet needs included Black race/ethnicity, greater care needs (functional limitations and behavioral problems), and less informal support (substitute help and family agreement).
It is important to identify risk factors that may lead to older adults' unmet needs for HCBS. The findings of this study charge researchers to look beyond service utilization and give more attention to service needs among those who did or could not access the services.
本研究调查了美国体弱老年人对家庭和社区服务（HCBS）的未满足需求。
本研究使用全国长期护理调查的基于人群的样本，采用分层逻辑回归分析，调查了七种类型的 HCBS 未满足需求的预测因素。
缺乏意识、不愿意、不可用和服务负担能力是 HCBS 未满足需求的主要原因。与未满足需求相关的因素包括黑人种族/民族、更大的护理需求（功能限制和行为问题）和较少的非正式支持（替代帮助和家庭协议）。
确定可能导致老年人对 HCBS 未满足需求的风险因素很重要。本研究的结果要求研究人员不仅要关注服务的利用情况，还要更加关注那些已经或无法获得服务的老年人的服务需求。
