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  4. Improving primary level home and community care services for older people: The case of Hong Kong
 
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Improving primary level home and community care services for older people: The case of Hong Kong

Author(s)
Kan, Wing Shan
Author(s)
Fu, Y. Y.
Chui, E. W. T.
Ko, L.
Date Issued
2018
Publisher
Wiley
Journal
International Journal of Social Welfare
Volume
27
Issue
1
Start page
52
End page
61
Abstract
The aims of this study were to assess the impairment levels of users and waitlisted applicants for Hong Kong's Integrated Home Care Services (Ordinary Cases) (IHCS [OC]), reveal their possible hidden needs and potential demand for higher level services, assess their unmet needs for IHCS (OC) and explore whether not using IHCS (OC) was associated with any deterioration in impairment. In all, 567 respondents were clinically assessed twice, over a 6‐month interval, by the Minimal Data Set Home Care questionnaire. The results showed that some moderately or severely impaired respondents had only limited access to higher level services. Some respondents with either no impairment or only low‐level impairment had applied for higher level services. Most waitlisted applicants had not received any IHCS (OC), even after 6 months of waiting. Using IHCS (OC) or not had no significant impact on the deterioration in impairment. Several ways of improving home and community care services are discussed.
URI
https://repository.sfu.edu.hk/handle/sfu/162
DOI
10.1111/ijsw.12271
SFU Affiliated Publication
No
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