title: The use of community-based social services by elderly people at risk of institutionalization: an evaluation.
abstract: OBJECTIVE
  To examine the use of community-based social services by elderly people at risk of institutionalization, who prefer to remain at home.
  
  
  METHODS
  A study with a longitudinal design (measurements at two points in time) was conducted.
  
  
  RESULTS
  One hundred and thirty-four elderly people (mean age=82 years) were interviewed twice. At baseline, 81 respondents indicated that they made use of at least one social service (60.4%). After 1 year the use of these services did not increase significantly (64.2%, p=0.53). Only two services (socio-cultural activities and restaurant facility) out of five services were used frequently. The respondents reported more autonomy and fewer feelings of loneliness after 1 year. These positive changes cannot be related to an increased use of services.
  
  
  CONCLUSIONS
  Overall, the use of social services remained moderate. This raises questions about the need for these services, the possible barriers and the ability of these social services to contribute to de-institutionalization.
authors.affiliation: School for Public Health and Primary Care, Department of Health Care and Nursing Science, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands. p.vanbilsen@zw.unimaas.nl
authors.forename: P M A
authors.initials: PM
authors.lastname: van Bilsen
authors.forename: J P H
authors.initials: JP
authors.lastname: Hamers
authors.forename: W
authors.initials: W
authors.lastname: Groot
authors.forename: C
authors.initials: C
authors.lastname: Spreeuwenberg
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D003153:Community Health Services / Q000706:statistics & numerical data*; D005260:Female; D005522:Food Services / Q000706:statistics & numerical data; D016330:Frail Elderly / Q000523:psychology / Q000706:statistics & numerical data*; D015577:Geriatric Assessment; D006297:Health Services Accessibility; D006299:Health Services for the Aged / Q000706:statistics & numerical data*; D006699:Home Care Services / Q000706:statistics & numerical data; D006801:Humans; D007326:Institutionalization; D008137:Longitudinal Studies; D008297:Male; D009426:Netherlands; D011788:Quality of Life; D012307:Risk Factors; D012947:Social Work / Q000706:statistics & numerical data*