Using home health care services: situation and demands among the elderly in Thuy Bieu Ward, Hue City, Vietnam

Nguyễn Thị Đăng Thư, Trần Văn Vui, Nguyễn Văn Hùng

Abstract


Introduction: Parallel with the aging population and increasing illness and disability, the need for home health care services has been growing rapidly among the elderly in Vietnam. The aims of this study were to determine the situation and demands of using home health care services and its associated factors among the elderly living in Thuy Bieu Ward, Hue City. 

Methods: A descriptive cross-sectional study was conducted on 425 elderly persons in 2018. Data were collected by using a structured questionnaire. Information of using home health care services situation and demands (proportions, cost, types, and quality assessments) among the elderly were calculated. Multiple logistic regression analysis was performed to measure the correlates of using home health care services. 

Results: The actual prevalence of those who had been using home health care services was 3.1% while their demands for these services were 28.7%. Multivariate logistic regression analysis indicated that physical disability (p<0.001, 95%CI: 3.6-48.3), marital status (p=0.03, 95%CI: 0.3-0.9), affordability (p=0.003, 95%CI: 0.02-0.5), acute (p=0.023, 95%CI: 1.1-4.5) and chronic illness (p=0.004, 95%CI: 1.1-2.7), and history of using (p=0.002, 95%CI: 2.6-60.7) were found to be significantly associated with need of seeking home health care services. Conclusions: The actual prevalence of seeking home health care services among the elderly was low whereas their demands for these services were critically high. The health system should improve this kind of service to meet the demand of the elderly on health care at their home.

Keywords


home health care services, the elderly, home health care situation, health care demands, Hue City

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