Abolhassani Nazanin, Santos-Eggimann Brigitte, Chiolero Arnaud, Santschi Valérie, Henchoz Yves (2019), Readiness to accept health information and communication technologies: A population-based survey of community-dwelling older adults, in International Journal of Medical Informatics
, 130, 103950-103950.
Carvalho Nicolas, Meylan Lionel, Blanco Juan Manuel, Fustinoni Sarah, Abolhassani Nazanin, Santos-Eggimann Brigitte (2019), Gender differences regarding opinions on long-term care arrangements: A study of community-dwelling older adults, in Archives of Gerontology and Geriatrics
, 83, 195-203.
Santos-Eggimann Brigitte, Meylan Lionel (2017), Older Citizens' Opinions on Long-Term Care Options: A Vignette Survey, in Journal of the American Medical Directors Association
, 18(4), 326-334.
Preference for long-term care options in community-dwelling older adultsBackground. The organization of long-term care for dependent older persons will be a major public health challenge for the second quarter of this century. The appropriate balance of resources invested in home care, nursing homes and sheltered homes will be determined by political decisions. These will likely be influenced by opinions and expectations of a growing number of older citizens. Despite a widespread assumption of universal preference for home care, little is known on the view of older citizens who, as potential caregivers or beneficiaries of long-term care, are concerned in first line. This proposal purports to study opinions on appropriate LTC arrangements in the community-dwelling older adults' population and their correlates. Its final aim is to contribute to improvements in the responsiveness of our healthcare systems to the growing needs resulting from the expansion of chronic diseases related to the aging of the Swiss population.Research questions. This study will investigate: 1)What are the opinion of older citizens regarding a) the most appropriate setting for long-term care and b) the need for professional interventions in community settings, in a range of situations characterized by chronic functional deficits ? 2)Are preferences for long-term care arrangements related to the demographic, social, economic, health and functional characteristics of older citizens ?3) Are preferences changing over time ?Methods. The Lausanne cohort 65+ (Lc65+) was created in 2004 to study the development of frailty in a representative sample of the community-dwelling population. Each 5 years, the Lc65+ cohort enrolls individuals aged 65 to 70 at baseline; the follow-up includes annual questionnaires and triennial in-person examinations. In 2012, 2'179 subjects included in the Lc65+ cohort who were born before and during World War II completed a questionnaire on care and expressed their opinion on the most appropriate long-term care arrangement (living place, intervention of spouse and professionals) for a series of 20 "vignette" presenting disability profiles of increasing complexity, with consideration for social circumstances. The purpose of this proposal is to collect identical information 5 years later in the same individuals as well as in some 1'200 subjects born during the baby-boom, who recently joined the Lc65+ cohort. The total expected study sample size is 3'000. Analyses will be based on linkage of data collected in the Lc65+ cohort, in the 2012 survey on care and in the 2017 vignettes survey. Cross-sectional and longitudinal analyses will investigate 1) preferences for LTC options in the 68 to 83 year-old population, 2) their determinants, using data on individual characteristics routinely collected in the Lc65+ cohort, 3) age effects on the choices expressed in the community-dwelling older population (intra-individual changes over five years in individuals aged 68 to 78 years at baseline), 4) gender effects, considering both respondents' gender and the gender characteristics displayed in vignettes, and 5) cohort effects (contrasts between individuals born during the war and baby-boomers).Importance of expected results. The adaptation of the Swiss healthcare system to the needs of older citizens should consider their preferences. This study will provide original data on their expectations in the field of long-term care.