Estimating Service Demand for Intermediary Care at a Community Integrated Intermediary Care Center among Family Caregivers of Older Adults Residing in Chiang Mai, Northern Thailand
| Autor: | Yuka Koyanagi, Thin Nyein Nyein Aung, Motoyuki Yuasa, Siripen Supakankunti, Mariko Ichikawa, Saiyud Moolphate, Myo Nyein Aung |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Gerontology
Population ageing Health Toxicology and Mutagenesis Population Caregiver Burden global health Article 03 medical and health sciences 0302 clinical medicine Respite care Surveys and Questionnaires Humans Family 030212 general & internal medicine education Community Integrated Intermediary Care (CIIC) Aged Service (business) respite care education.field_of_study Family caregivers 030503 health policy & services Anderson’s behavioral model of health care use Public Health Environmental and Occupational Health family caregiver burden Caregiver burden intermediary care Thailand TCTR20190412004 Local community Long-term care Caregivers ageing long-term care Medicine 0305 other medical science Psychology |
| Zdroj: | International Journal of Environmental Research and Public Health International Journal of Environmental Research and Public Health; Volume 18; Issue 11; Pages: 6087 International Journal of Environmental Research and Public Health, Vol 18, Iss 6087, p 6087 (2021) |
| ISSN: | 1660-4601 1661-7827 |
| Popis: | Background: Thailand’s population is currently the third most rapidly aging in the world, with an estimated 20 million ageing population by 2050. Sustainability of the family based long-term care model is challenged by the chronic burden on family caregivers and by smaller family sizes. We aimed to introduce a new service model, Community Integrated Intermediary Care (CIIC), TCTR20190412004, including free of charge intermediary care services at CIIC centers in the local community, to help older adults whose caregivers are temporarily unable to sustain care at home. Since Thai society upholds values of gratefulness, it is better to estimate willingness to use such an intermediary care service first, before introducing the service. Methods: A total of 867 pairs of senior citizens and their family caregivers were interviewed with structured-questionnaires in 2019. Descriptive analysis and binary logistic regression were applied to determine the predictors of family caregivers’ willingness to use the CIIC service, guided by Anderson’s model of health services use. Results: About 26.8% of elderly participants and 24.0% of family caregivers were willing to use an intermediary care service. The family caregiver determinants of predisposing factors (kinship: spouse caregivers, other relatives, maid or friends; job types: own business and private company staff), enabling factors (original community residents and monthly income ≤9000 baht), and need factors (caregiver burden total scores ≥24, taking leave for caregiving, and having diabetes), were found to be significantly associated with willingness to use the CIIC service. Conclusions: The baseline survey data noted that caregivers’ sociodemographic factors and burden determined their willingness to use the intermediary care service, although the dependency of care recipients was low in this study. This, nonetheless, indicated that there is need for a backup respite care to strengthen current family based long-term aging care in Thailand. |
| Databáze: | OpenAIRE |
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