Patterns and determinants of health and social care service needs among community-dwelling older adults

Abstract

Aim: Using Anderson's behavioral model, we examined the patterns and determinants associated with older adults' needs for community- and institution-based care services.

Methods: Participants included 411 community-dwelling older adults from the 2020 National Survey of Older Koreans. Logistic regression analyses were performed to examine factors associated with service needs among older adults.

Results: The need was greatest for movement support services. Enabling factors (marital status, co-residence with children, receipt of financial assistance for medical expenses, social participation, and satisfaction with healthcare facilities) were associated with service needs. Long-term care beneficiary status, activities of daily living limitations, depressive symptoms, hypertension, and vision impairment were also significant factors.

Conclusions: Older adults with physical disabilities, depressive symptoms, and limited resources for care require prioritization in support policies to promote aging in place. Both health and social care needs should be addressed in long-term care to enhance social participation among older adults.

Keywords: Community health services; Health services needs and demand; Independent living; Long-term care.