title: Community-Based Long-Term Care Services: If We Build It, Will They Come?
abstract: OBJECTIVE
  This study examines the relationship between caregivers' perception of community-based long-term care (CBLTC) services and the service use.
  
  
  METHODS
  We used first two waves of the longitudinal data set of 1,416 dyads of care recipients and their caregivers in Singapore. Four perceived attributes of LTC services--service quality, convenience, social connectedness, and affordability--were measured on a 5-point scale.
  
  
  RESULTS
  Among the four perceived attributes, perceived affordability was significantly associated with future utilization for all types of CBLTC services. Perceived service quality and convenience was significantly associated with center-based LTC services use.
  
  
  CONCLUSIONS
  Caregivers are critically involved in the decision of using CBLTC services, and their perception of service characteristics is significantly associated with the uptake of CBLTC services. It is important to incorporate both care recipients' and caregivers' needs and preferences when designing and promoting integrated health care delivery models.
authors.affiliation: Duke-NUS Graduate Medical School Singapore, Singapore.
authors.forename: Chang
authors.initials: C
authors.lastname: Liu
authors.affiliation: Duke-NUS Graduate Medical School Singapore, Singapore.
authors.forename: Kirsten
authors.initials: K
authors.lastname: Eom
authors.affiliation: Duke-NUS Graduate Medical School Singapore, Singapore Duke University Medical Center, Durham, NC, USA.
authors.forename: David B
authors.initials: DB
authors.lastname: Matchar
authors.affiliation: The Agency for Integrated Care, Singapore.
authors.forename: Wayne F
authors.initials: WF
authors.lastname: Chong
authors.affiliation: Duke-NUS Graduate Medical School Singapore, Singapore angelique.chan@duke-nus.edu.sg.
authors.forename: Angelique W M
authors.initials: AW
authors.lastname: Chan
mesh_terms: D000328:Adult; D000368:Aged; D001294:Attitude to Health; D017028:Caregivers / Q000523:psychology* / Q000706:statistics & numerical data; D003153:Community Health Services / Q000458:organization & administration* / Q000706:statistics & numerical data*; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D008134:Long-Term Care / Q000458:organization & administration / Q000706:statistics & numerical data; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D012846:Singapore
keywords: caregivers; community health services/utilization; long-term care; preferences