Crets S
University of Antwerp (Ufsia), Department of Sociology and Social Policy, Belgium.
Soc Sci Med. 1996 Dec;43(12):1709-20. doi: 10.1016/s0277-9536(96)00060-3.
Policy makers and scientists are increasingly concerned with the use of formal care services by the elderly. This article demonstrates that there are three different care systems: the informal, the commercial and the formal (public) system. In terms of prevalence, the formal system is the least important one. By means of a cross-sectional sample of the elderly population of Antwerp, an Andersen model is estimated to explain the use of formal services. This model shows that the level of functional capacity of the elderly is a crucial factor. Yet, the effect this has on the use of care varies according to the different living arrangements. "Need" as such, therefore, does not determine the use of formal services, since its effect is modified by the different alternatives that are at the disposal of the elderly person (living arrangements, informal care, income, availability of commercial alternatives). In the conclusion it is argued that the Andersen model, in a cross-sectional design, is inadequate to construct a theory concerning the use of care services.
政策制定者和科学家越来越关注老年人对正规护理服务的使用。本文表明存在三种不同的护理体系：非正式体系、商业体系和正规（公共）体系。就普及率而言，正规体系是最不重要的一个。通过对安特卫普老年人口的横断面抽样，估计了一个安德森模型来解释正规服务的使用情况。该模型表明老年人的功能能力水平是一个关键因素。然而，这对护理使用的影响因不同的生活安排而有所不同。因此，“需求”本身并不能决定正规服务的使用，因为其影响会因老年人可利用的不同选择（生活安排、非正式护理、收入、商业替代方案的可用性）而改变。结论部分认为，在横断面设计中，安德森模型不足以构建一个关于护理服务使用的理论。
