Conceptualizing Family Caregivers' Use of Community Support Services: A Scoping Review.

Background and Objectives Only a fraction of the 53 million caregivers in the United States use available formal community services. This scoping review synthesized the literature on the barriers and facilitators of community support service utilization by adult caregivers of a family member or frie...

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Publicado en:Gerontologist Vol. 64; no. 5; pp. 1 - 12
Autores principales: Choi, Hyojin, Reblin, Maija, Litzelman, Kristin
Formato: Artículo
Publicado: Oxford University Press / USA May2024
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2024
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      pub: Oxford University Press / USA
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        10.1093/geront/gnad039
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        atl: Conceptualizing Family Caregivers' Use of Community Support Services: A Scoping Review.
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        au:
          Choi, Hyojin
          Reblin, Maija
          Litzelman, Kristin
        affil:
          Department of Human Development and Family Studies, School of Human Ecology, University of Wisconsin-Madison , Madison, Wisconsin , USA
          Department of Family Medicine, Larner College of Medicine, University of Vermont , Burlington, Vermont , USA
          Center for Demography of Health and Aging, University of Wisconsin-Madison , Madison, Wisconsin , USA
      su:
        United States
        Families & psychology
        Community health services
        Health services accessibility
        Community support
        Psychology of caregivers
        Adults
        Medical care use
        Research funding
        CINAHL database
        Services for caregivers
        Descriptive statistics
        Systematic reviews
        MEDLINE
        Burden of care
        Online information services
        Psychology information storage & retrieval systems
      sug:
        subj:
          Families & psychology
          Community health services
          Health services accessibility
          Community support
          Psychology of caregivers
          Adults
          United States
          All Other Outpatient Care Centers
          Residential Mental Health and Substance Abuse Facilities
          Other Individual and Family Services
          Other local, municipal and regional public administration
          Community health centres
          Medical care use
          Research funding
          CINAHL database
          Services for caregivers
          Descriptive statistics
          Systematic reviews
          MEDLINE
          Burden of care
          Online information services
          Psychology information storage & retrieval systems
      keyword:
        Caregiving—informal
        Health care policy
        Home and community-based care and services
        Social services
        Caregiving—informal
        Health care policy
        Home and community-based care and services
        Social services
      ab: Background and Objectives Only a fraction of the 53 million caregivers in the United States use available formal community services. This scoping review synthesized the literature on the barriers and facilitators of community support service utilization by adult caregivers of a family member or friend with an illness, disability, or other limitation. Research Design and Methods We searched PubMed, CINAHL, PsycInfo, and Web of Science for quantitative and qualitative articles assessing barriers and facilitators of caregivers' access to and utilization of resources, following Preferred Reporting Items for Systematic Review and Meta-Analysis scoping review guidelines. Thematic analysis, drawing on an initial conceptualization, informed key insights around caregivers' resource navigation process. Results The review provides support for individual factors affecting service use. Notably, some factors—such as time restrictions and increased caregiving demands—appear to function as barriers to accessing services even as they increase caregivers' need for support. Additionally, contextual barriers including cultural factors and support of friends/family can affect caregivers' access to resources. Finally, experience with health systems and structures and the intersection with other factors can affect service utilization. Discussion and Implications Suboptimal access to and utilization of community support services can be addressed at both the person and system level to mitigate potential inequities. Ensuring that caregivers are aware of, eligible for, and have the capacity and support to access the appropriate resources at the right time is essential for improving caregiver outcomes, reducing burnout, and supporting continued care.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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