a Department of Health Management and Policy , University of Iowa , Iowa City , Iowa , USA.
b Department of Political Science and Criminal Justice , California State University Chico , Chico , California , USA.
J Aging Soc Policy. 2018 Mar-Apr;30(2):155-172. doi: 10.1080/08959420.2017.1414539. Epub 2018 Jan 2.
Informal caregivers may face barriers accessing services like respite care, training, and support groups. Using multinomial logistic regression, I modeled caregivers' probability of using all services sought ("all services used") and nonuse of any services sought ("any unused services") as a function of caregiver and care-recipient characteristics. Care-recipient health and function, especially dementia and need for medical task assistance, were associated with all services used and any unused services, and any unused services were more likely among adult children caring for their parents, caregivers of Black and Hispanic older adults, caregivers providing intensive care, caregivers living in metropolitan areas, and residents of states that spend more on increasing access to caregiver services under the National Family Caregiver Support Program. Regularly scheduled caregiving was associated with higher likelihood of all services used, but not with any unused services. Steps should be taken to increase access for caregivers who provide intensive care, care to dementia patients, or assistance with medical tasks and for Hispanic families.
非专业照护者在获得临时护理、培训和支持小组等服务方面可能会遇到障碍。我采用多项逻辑回归模型，根据照护者和被照护者的特征，对其使用所有所寻求服务（“使用所有服务”）和未使用任何所寻求服务（“任何未使用服务”）的概率进行建模。被照护者的健康和功能状况，特别是痴呆症和医疗任务协助需求，与使用所有服务和任何未使用服务都有关联，而且在为父母提供照护的成年子女、为黑人和西班牙裔老年人提供照护、提供密集护理、居住在大都市区以及所在州在国家家庭照护者支持计划下增加获得照护者服务机会方面投入更多资金的情况下，更有可能出现任何未使用服务的情况。定期安排照护与使用所有服务的可能性增加有关，但与任何未使用服务无关。应采取措施，为提供密集护理、照顾痴呆症患者或提供医疗任务协助的照护者以及西班牙裔家庭增加获得服务的机会。
