2.50
Hdl Handle:
http://hdl.handle.net/10755/157689
Type:
Presentation
Title:
A Cross-Cultural Comparison of the Use of Home Health Care Services
Abstract:
A Cross-Cultural Comparison of the Use of Home Health Care Services
Conference Sponsor:Western Institute of Nursing
Conference Year:2009
Author:Choi, Myunghan, PhD, MPH, APRN, BC
P.I. Institution Name:Arizona State University, College of Nursing & Healthcare Innovation
Title:Assistant Research Professor
Contact Address:500 N. 3rd Street, Phoenix, AZ, 85004-0698, USA
Contact Telephone:602-496-3282
Co-Authors:Janice D. Crist, PhD, RN, Associate Professor; Seon Hae Woo, PhD, RN, Professor
Objective: The purpose of the study is to identify predictors of home health care service use by Anglo, Mexican American, and South Korean elders to decrease disparities. Background: Home health care is the fastest growing discipline of the health care system. Identifying factors of the use of home health care service is essential in determining the quality of home care services in the U.S. Studies have been reported that cultural, contextual, and socio-structural factors have an impact on the use of home care services. Methods:  The data analysis focused on providing a meaningful and parsimonious explanation for observed relationships and determining predictors of the use of home care services. First, internal consistency of the instruments using Cronbach's alpha was conducted. Second, Chi squared tests and ANOVA were conducted to examine demographic differences. Third, we used correlation coefficients to determine the strength, association, and direction of linear relationships among variables in the model. Last, we conducted linear regression analysis using conditional forward stepwise to identify predictors of home care service use across different ethnic groups. SPSSWIN (version 16.0) was used to analyze the data. A convenient sample of Anglo elders (n = 57), Mexican American elders (n = 56), and elders in South Korea (n = 83) participated in the study. Results: For Anglo elders, the need for home care services was the only predictor of the use of home care services (Beta = .422, t = 3.518, p = .001), explaining 6.4% of variance of the model (Adjusted R square = .164, F = 12.373, p = .001). For Mexican American elders, service awareness (Beta = .435, t = 3.704, p = .001) and lower education (Beta = -.295, t = -2.510, p < .015) were significant predictors, explaining 27.5% of the variance of the model (adjusted R square = .275, F = 11.037, p = .000). For South Korean elders, service awareness (Beta = .318, t = 3.032, p = .003) and marital status (living alone) (Beta = -2.223, t = -2.129, p = .036) were the significant predictors, explaining 11.2% of variance of the model properly (Adjusted R square = .112, F = 6.156, p = .003).  Need for home care services, service awareness, lower education, and marital status were significant predictors of the use of home care services among Anglo, Mexican American and South Korean elders in this study. Implications: We recommend that optimized clinical interventions maximize the awareness of home care services and decrease disparities in the use of home care services by considering diverse elders' marital status and perceptions of need and awareness of services.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleA Cross-Cultural Comparison of the Use of Home Health Care Servicesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157689-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A Cross-Cultural Comparison of the Use of Home Health Care Services</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Choi, Myunghan, PhD, MPH, APRN, BC</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Arizona State University, College of Nursing &amp; Healthcare Innovation</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Research Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">500 N. 3rd Street, Phoenix, AZ, 85004-0698, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">602-496-3282</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">mchoi7@asu.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Janice D. Crist, PhD, RN, Associate Professor; Seon Hae Woo, PhD, RN, Professor</td></tr><tr><td colspan="2" class="item-abstract">Objective: The purpose of the study is to identify predictors of home health care service use by Anglo, Mexican American, and South Korean elders to decrease disparities. Background: Home health care is the fastest growing discipline of the health care system. Identifying factors of the use of home health care service is essential in determining the quality of home care services in the U.S. Studies have been reported that cultural, contextual, and socio-structural factors have an impact on the use of home care services. Methods:&nbsp; The data analysis focused on providing a meaningful and parsimonious explanation for observed relationships and determining predictors of the use of home care services. First, internal consistency of the instruments using Cronbach's alpha was conducted. Second, Chi squared&nbsp;tests and ANOVA were conducted to examine demographic differences. Third, we used correlation coefficients to determine the strength, association, and direction of linear relationships among variables in the model. Last, we conducted linear regression analysis using conditional forward stepwise to identify predictors of home care service use across different ethnic groups. SPSSWIN (version 16.0) was used to analyze the data. A convenient sample of Anglo elders (n = 57), Mexican American elders (n = 56), and elders in South Korea (n = 83) participated in the study. Results: For Anglo elders, the need for home care services was the only predictor of the use of home care services (Beta = .422, t = 3.518, p = .001), explaining 6.4% of variance of the model (Adjusted R square = .164, F = 12.373, p = .001). For Mexican American elders, service awareness (Beta = .435, t = 3.704, p = .001) and lower education (Beta = -.295, t = -2.510, p &lt; .015) were significant predictors, explaining 27.5% of the variance of the model (adjusted R square = .275, F = 11.037, p = .000). For South Korean elders, service awareness (Beta = .318, t = 3.032, p = .003) and marital status (living alone) (Beta = -2.223, t = -2.129, p = .036) were the significant predictors, explaining 11.2% of variance of the model properly (Adjusted R square = .112, F = 6.156, p = .003).&nbsp; Need for home care services, service awareness, lower education, and marital status were significant predictors of the use of home care services among Anglo, Mexican American and South Korean elders in this study. Implications: We recommend that optimized clinical interventions maximize the awareness of home care services and decrease disparities in the use of home care services by considering diverse elders' marital status and perceptions of need and awareness of services.</td></tr></table>en_GB
dc.date.available2011-10-26T20:06:38Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:06:38Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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