title: Long-term care preferences among older adults: a moving target?
abstract: This study investigates long-term care preferences across three hypothetical scenarios and over one year of time among a sample of disabled older women receiving informal care (n = 420). Unpaid or paid help in one's home was preferred, given scenarios of instrumental activities of daily living (IADL) and activities of daily living (ADL) needs; nursing home care was most preferred for dementia care. While aggregate preferences for long-term care were relatively stable, there was considerable fluctuation in individuals' preferences over time, with just 52.5%, 44.4%, and 44.6% of participants retaining their initial first choice across IADL, ADL, and dementia scenarios, respectively. Implications of study findings are discussed.
authors.affiliation: Department of Health Policy and Management and Lipitz Center for Integrated Health Care, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA. jwolff@jhsph.edu
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Wolff
authors.forename: Judith D
authors.initials: JD
authors.lastname: Kasper
authors.forename: Andrew D
authors.initials: AD
authors.lastname: Shore
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D003704:Dementia / Q000628:therapy; D006233:Persons with Disabilities / Q000523:psychology*; D005260:Female; D006304:Health Status; D006699:Home Care Services; D006707:Homes for the Aged; D006801:Humans; D008134:Long-Term Care / Q000523:psychology*; D009735:Nursing Homes; D017060:Patient Satisfaction; D012959:Socioeconomic Factors