Center for Aging Studies, Lausanne University Hospital, Lausanne, Switzerland.
Institute of Social and Preventive Medicine, Lausanne University Hospital, Route de la Corniche 10, Lausanne, 1010, Switzerland.
Int J Public Health. 2018 Mar;63(2):273-282. doi: 10.1007/s00038-017-0990-5. Epub 2017 Jun 16.
To examine differences in access to home- and community-based service (HCBS) information among older adults of different functional status.
Cross-sectional survey of 5435 out of 11,000 randomly selected Swiss older community dwellers from the state of Vaud. Analyses stratified by functional status examined characteristics associated with limited access to HCBS information, based on self-reported knowledge on where to find information on 13 HCBS.
Proportionally, more individuals did not know where to look for information in the functionally vulnerable group than in the robust and dependent ones for virtually each service. Among robust individuals, males and persons with low financial status had increased odds of limited access. Low financial status was also negatively associated with access to information among vulnerable people. Belonging to the youngest group increased the odds of limited access for dependent individuals.
Efforts should be made to improve elders' access to HCBS information by developing specific strategies relevant to each functional status group. Further studies on access to HCBS information should be conducted using complex conceptual frameworks as it has been done for HCBS use.
研究不同功能状态的老年人获取家庭和社区服务（HCBS）信息的差异。
对瑞士沃州随机抽取的 11000 名老年社区居民中的 5435 人进行横断面调查。根据功能状态进行分层分析，根据对 13 项 HCBS 信息的了解程度，研究了与有限获取 HCBS 信息相关的特征。
在功能脆弱组中，相对于功能健全和依赖组，更多的个体不知道在哪里可以找到关于每项服务的信息。在功能健全的个体中，男性和经济状况较低的人获取信息的机会较少。脆弱人群的经济状况较低也与获取信息的机会呈负相关。在依赖个体中，属于最年轻组的人获取信息的机会增加。
应通过制定与每个功能状态组相关的特定策略，努力改善老年人获取 HCBS 信息的机会。应该使用复杂的概念框架进一步研究 HCBS 信息的获取情况，就像已经对 HCBS 使用情况进行的研究一样。
