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Titolo:
Explaining the use and non-use of community-based long-term care services by caregivers of persons with dementia
Autore:
Markle-Reid, M; Browne, G;
Indirizzi:
McMaster Univ, Fac Hlth Sci, Sch Nursing, Hamilton, ON L8N 3Z5, Canada McMaster Univ Hamilton ON Canada L8N 3Z5 ng, Hamilton, ON L8N 3Z5, Canada
Titolo Testata:
JOURNAL OF EVALUATION IN CLINICAL PRACTICE
fascicolo: 3, volume: 7, anno: 2001,
pagine: 271 - 287
SICI:
1356-1294(200108)7:3<271:ETUANO>2.0.ZU;2-3
Fonte:
ISI
Lingua:
ENG
Soggetto:
ALZHEIMERS-DISEASE; FAMILY CAREGIVERS; COGNITIVE IMPAIRMENT; HEALTH-SERVICES; BEHAVIORAL-MODEL; RESPITE SERVICES; MEDICAL-CARE; HOME; ATTITUDES; ADULTS;
Keywords:
caregivers; community services; decision-making; dementia;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
130
Recensione:
Indirizzi per estratti:
Indirizzo: Markle-Reid, M McMaster Univ, Fac Hlth Sci, Sch Nursing, 1200 Main St W,HSC 3N46, Hamilton, ON L8N 3Z5, Canada McMaster Univ 1200 Main St W,HSC 3N46 Hamilton ON Canada L8N 3Z5
Citazione:
M. Markle-Reid e G. Browne, "Explaining the use and non-use of community-based long-term care services by caregivers of persons with dementia", J EVAL CL P, 7(3), 2001, pp. 271-287

Abstract

The purpose of this paper is to synthesize and critically evaluate the current literature that explains the use and non-use of formal community-basedlong-term care services by caregivers of persons with dementia. There are four issues related to formal community service use by caregivers: reluctance to initiate formal services; under-utilization of available services; delayed utilization of services; and inappropriate utilization of services. Despite substantial research efforts to understand these issues, the reasonsfor low rates of community service use by this population remains unclear. Common methodological problems and limitations in the underlying theoretical assumptions in the literature, as they relate to caregivers of persons with dementia, have, limited the usefulness of the current research for informing practice and policy. A conflict-theory model of decision-making is proposed as an alternative theoretical framework for understanding the particularity and complexity of the decision-making process leading up to the initiation of formal service use. Utilization of formal services is a result of a complex and subjective decision-making process that is unrelated to objective circumstances. The proposed conflict theory model of decisionmaking can inform policy and practice regarding the development of appropriate, timely and individualized interventions to facilitate the use of formal services by caregivers of persons with dementia.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/02/20 alle ore 07:48:05