Transitions between care networks: a prospective study among older adults in the Netherlands.

IF 3.7 2区 社会学 Q1 GERONTOLOGY European Journal of Ageing Pub Date : 2024-08-13 DOI:10.1007/s10433-024-00817-x
Maura K M Gardeniers, Martijn Huisman, Erik Jan Meijboom, Emiel O Hoogendijk, Marjolein I Broese van Groenou
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Abstract

As health impairment increases, older adults utilize care from different types of caregivers, but little is known about changes in the composition of care networks. We mapped the transitions between different care networks to gain insight into which people develop care networks that include informal, privately and publicly paid care. We used three waves (2012-2015-2018) of the Longitudinal Aging Study Amsterdam with 1413 Dutch community-dwelling adults, aged 64-100. Network types were identified using six types of caregivers: (1) co-resident, (2) non-co-resident children, (3) other kin, (4) neighbours/friends/acquaintances, (5) publicly paid, (6) privately paid, in a latent transition analysis with mortality and moving to a care facility as missing states. Five types of care networks were identified: (1) no care, (2) privately paid, (3) mixed informal, (4) mixed publicly paid, (5) co-resident. The co-resident network was the most unstable and had a high transition rate to nursing homes. Participants from the privately paid care network often transitioned to a mixed informal network and rarely transitioned to a mixed publicly paid network. Transitions out of the no-care network were mostly to the privately paid network. The two mixed care networks were the most stable. Transitions appeared to be most triggered by deteriorating health. Transitions to institutional care were most likely in the mixed informal, mixed publicly paid and the co-resident network. Thus, these networks appear to require additional support to facilitate ageing in place.

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护理网络之间的过渡:一项针对荷兰老年人的前瞻性研究。
随着健康受损程度的增加,老年人会利用不同类型的护理人员提供护理,但人们对护理网络构成的变化知之甚少。我们绘制了不同护理网络之间的过渡图,以深入了解哪些人建立了包括非正式、私人和公共付费护理在内的护理网络。我们使用了阿姆斯特丹老龄化纵向研究的三个波次(2012-2015-2018 年),对象是 1413 名年龄在 64-100 岁之间、居住在荷兰社区的成年人。在以死亡率和搬入护理机构为缺失状态的潜在转变分析中,我们使用六种类型的照顾者确定了网络类型:(1)同住者,(2)非同住者子女,(3)其他亲属,(4)邻居/朋友/熟人,(5)公共付费,(6)私人付费。确定了五种类型的护理网络:(1) 无护理,(2) 私人付费,(3) 非正式混合,(4) 公共付费混合,(5) 同住。共同居住网络最不稳定,向养老院过渡的比例很高。来自私人付费护理网络的参与者通常过渡到混合非正式网络,很少过渡到混合公共付费网络。从无护理网络转出的人主要是转入私人付费网络。两个混合护理网络最为稳定。健康状况恶化似乎最容易引发过渡。在非正规混合护理网络、公费混合护理网络和共同居住网络中,最有可能向机构护理过渡。因此,这些网络似乎需要额外的支持,以促进居家养老。
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来源期刊
CiteScore
6.50
自引率
7.90%
发文量
72
期刊介绍: The European Journal of Ageing: Social, Behavioural and Health Perspectives is an interdisciplinary journal devoted to the understanding of ageing in European societies and the world over. EJA publishes original articles on the social, behavioral and population health aspects of ageing and encourages an integrated approach between these aspects. Emphasis is put on publishing empirical research (including meta-analyses), but conceptual papers (including narrative reviews) and methodological contributions will also be considered. EJA welcomes expert opinions on critical issues in ageing. By stimulating communication between researchers and those using research findings, it aims to contribute to the formulation of better policies and the development of better practice in serving older adults. To further specify, with the term ''social'' is meant the full scope of social science of ageing related research from the micro to the macro level of analysis. With the term ''behavioural'' the full scope of psychological ageing research including life span approaches based on a range of age groups from young to old is envisaged. The term ''population health-related'' denotes social-epidemiological and public health oriented research including research on functional health in the widest possible sense.
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