The Influence of Family Caregivers on Elder's Use of In-Home Services: An Expanded Conceptual Framework

A widely-acknowledged deficiency in the Andersen model of service use is its neglect of family-related factors. Since gerontological researchers have established that family members are central to the care of the impaired aged, this void in the Andersen framework is particularly glaring when the eld...

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Bibliographic Details
Published in:Journal of health and social behavior 1987-06, Vol.28 (2), p.184-196
Main Authors: Bass, David M., Noelker, Linda S.
Format: Article
Language:English
Subjects:
Adult. Elderly
Aged
Biological and medical sciences
Caregivers
Developmental psychology
Diseases
Elderly
Enabling factors
Family
Family Life
Family members
Female
Fundamental and applied biological sciences. Psychology
Geriatric nursing
Health Care Utilization
Health Services for the Aged - utilization
Home Care Services - utilization
Home Environment
Household income
Humans
Male
Medical sciences
Miscellaneous
Older adults
Paralysis
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
Public health. Hygiene
Public health. Hygiene-occupational medicine
Social behavior
Spouses
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Summary:A widely-acknowledged deficiency in the Andersen model of service use is its neglect of family-related factors. Since gerontological researchers have established that family members are central to the care of the impaired aged, this void in the Andersen framework is particularly glaring when the elderly are the focus of study. In this investigation, the Andersen model is bifurcated to include predisposing, enabling and need characteristics of both the primary family caregiver and the elder care recipient. In addition, family-related enabling characteristics are used to represent the role of secondary kin caregivers in provision of the elder's care. This research tests whether characteristics of the primary and secondary family caregivers influence the elder's use of in-home nursing and aide services. Findings indicate that caregiver need characteristics account for significant variation in whether or not services are used, while family enabling factors are the most important predictors of the amount of services used.
ISSN:0022-1465
2150-6000
DOI:10.2307/2137131