A Longitudinal Study of Factors that Influence Use of ...

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Agency for Integrated Care (AIC), Singapore; 3. Changi ... take-up referral differ across different LTC services. ... A national representative survey of the patients.
A Longitudinal Study of Factors that Influence Use of Long Term Care Services in Singapore: Wave 1 Results Chang Liu, PhD1, Wee Shiou Liang, PhD2, Wayne Chong, MA2, Goh Soon Noi, PhD3, Angelique Chan,PhD1 1. Duke-NUS Graduate Medical School; 2. Agency for Integrated Care (AIC), Singapore; 3. Changi Hospital, Singapore BACKGROUND

 Population aging in Singapore  Governmental investments on formal Long-term Care Services (LTCS)

METHODS

RESULTS

Table 1. Odds Ratios for Referred Long-Term Figure 1. Care Giver’s Perception Scores and Referred Long-Term Care Services Utilization Care Services Utilization

o Add 3000+ NH beds by 2016  LTCS utilization is low compared to Western societies  Take-up rate for some community services is less than 50%  LTCS can be cost-effective for the society OBJECTIVES

 To uncover the factors that are associated with take-up LTC services referral.

1.6 1.4

1.45*

1.40***

1.34 1.23

1.2

1.09

1.46** 1.40**

1.1

0.91

0.8

Analysis Approach

0.6

 Logistic Regression

0.4

 Conditional Logistic Regression

0.2

RESULTS & IMPLICATIONS

0.0 Quality Score

Convenience Score

Any LTC Services (n=1,084) Home-Based Services (n=575)

Social Connectedness Score

Affordability Score

Community-Based Services (n=730)

Notes: LTC services=long term care services. In all the models, we adjusted for care recipients’ age, sex, housing, education, comorbidity, ADL, iADL, income, Medisave status, and care givers’ age, sex, housing, health, # of family members in the household, decision, and whether have a maid. *p