Access to information on home- and community-based services and functional status

Anne Cattagni Kleiner (), Brigitte Santos-Eggimann, Sarah Fustinoni and Laurence Seematter-Bagnoud
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Anne Cattagni Kleiner: Lausanne University Hospital
Brigitte Santos-Eggimann: Lausanne University Hospital
Sarah Fustinoni: Lausanne University Hospital
Laurence Seematter-Bagnoud: Lausanne University Hospital

International Journal of Public Health, 2018, vol. 63, issue 2, No 14, 273-282

Abstract: Abstract Objectives To examine differences in access to home- and community-based service (HCBS) information among older adults of different functional status. Methods 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. Results 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. Conclusions 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.

Keywords: Older adult; Access to information; Home- and community-based services; HCBS; Functional status (search for similar items in EconPapers)
Date: 2018
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DOI: 10.1007/s00038-017-0990-5

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