Abstract
Abstract
Background
Despite many studies on home-based primary care (HBPC)-related benefits and challenges, little is known about the perspectives of potential target groups of the care and their intention or preference for using it. This study aimed to explore the demand for HBPC from the perspective of people with disabilities (PWDs) and caregivers and identify relevant determinants for that demand.
Methods
Data from the population-based survey conducted in the Gyeonggi Regional Health & Medical Center for People with Disabilities in South Korea were analyzed. Logistic regression analysis was performed to identify relevant determinants for the demand on HBPC.
Results
Overall, 22% of respondents required HBPC, and 34.7% of persons aged ≥ 65 years demanded it. Older adults with disability, homebound status, and a need for assistance with daily living activities were associated with a demand for HBPC. Though having severe disability, only 19.49% of self-reported respondents demanded for HBPC, while 39.57% of proxy-reported respondents demanded for HBPC. Among self-reported group, only marital status was a predictor associated with a demand for HBPC. In contrast, among proxy-reported groups, PWDs with external physical disabilities, or with unmet medical needs due to availability barriers reported a higher demand for HBPC.
Conclusions
The demand for HBPC does not derive from the medical demands of the users themselves, but rather the care deficit by difficulty in getting out of the house or in outpatient care. Beyond an alternative to office-based care, HBPC needs to be considered to solve the care deficit and as well as to deal with PWDs’ medical problems.
Publisher
Springer Science and Business Media LLC
Reference48 articles.
1. Stall N, Nowaczynski M, Sinha SK. Back to the future: home-based primary care for older homebound Canadians: Part 1: where we are now. Can Fam Physician. 2013;59(3):237–40.
2. Stall N, Nowaczynski M, Sinha SK. Back to the future: home-based primary care for older homebound Canadians: Part 2: where we are going. Can Fam Physician. 2013;59(3):243–5.
3. Stall N, Nowaczynski M, Sinha SK. Systematic review of outcomes from home-based primary care programs for homebound older adults. J Am Geriatr Soc. 2014;62(12):2243–51.
4. Schamess A, Foraker R, Kretovics M, Barnes K, Beatty S, Bose-Brill S, et al. Reduced emergency room and hospital utilization in persons with multiple chronic conditions and disability receiving home-based primary care. Disabil Health J. 2017;10(2):326–33.
5. Zimbroff RM, Ornstein KA, Sheehan OC. Home-based primary care: a systematic review of the literature, 2010–2020. J Am Geriatr Soc. 2021;69(10):2963–72.