Casado Banghwa Lee, Lee Sang E
University of Maryland, School of Social Work, 525 West Redwood Street, Baltimore, MD 21201, USA.
Home Health Care Serv Q. 2012;31(3):219-42. doi: 10.1080/01621424.2012.703540.
This cross-sectional survey study of 146 caregivers of older Korean Americans explored access barriers to and unmet needs for home- and community-based services (HCBS) programs (respite care, adult day care, personal care, home health, housekeeping, and transportation). Most often reported access barriers were lack of awareness and care recipient refusal. Predictors of unmet needs varied depending on the type of service, but included caregiver gender, relationship, education, caregiving duration, Medicaid coverage, English proficiency, caregiver self-efficacy, care recipient functional dependency, cognitive impairment, and caregiving hours. This study highlighted unmet needs for HCBS in Korean American communities, pointing to the pressing need for a collaborative effort to develop plans that modify and expand HCBS programs for older Korean Americans.
这项横断面调查研究对146名韩裔美国老年人的照料者进行了调查，探讨了获得家庭和社区服务（HCBS）项目（喘息服务、成人日托、个人护理、家庭健康、家务和交通服务）的障碍以及未得到满足的需求。最常报告的获得服务障碍是缺乏认知和照料对象拒绝。未得到满足的需求的预测因素因服务类型而异，但包括照料者性别、关系、教育程度、照料时长、医疗补助覆盖范围、英语水平、照料者自我效能感、照料对象的功能依赖、认知障碍和照料时长。这项研究突出了韩裔美国社区对家庭和社区服务未得到满足的需求，指出迫切需要共同努力制定计划，以修改和扩大针对韩裔美国老年人的家庭和社区服务项目。
