Health & Social Care in the Community最新文献

{"title":"The Potential for Experienced Occupational Health Professionals in Encouraging Recruitment to the Field in England: Perspectives of Medical and Nursing Undergraduates and Practitioners Working Outside of Occupational Health","authors":"Antonina Semkina,&nbsp;Caroline Norrie,&nbsp;Ian Kessler,&nbsp;Annette Boaz,&nbsp;Rekha Elaswarapu,&nbsp;Jo Moriarty,&nbsp;Alec Knight,&nbsp;Jill Manthorpe","doi":"10.1155/hsc/4286368","DOIUrl":"https://doi.org/10.1155/hsc/4286368","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> The United Kingdom (UK) population is experiencing high levels of economic inactivity due to long-term sickness absence. Concurrently, the occupational health (OH) workforce, which plays an important role in assisting people back to work and maintaining their health and well-being at work, is declining in numbers and struggling to recruit. The study aim was to explore the role that experienced OH professionals (OHPs) can play in encouraging recruitment to the field—from the perspective of non-OH doctors and nurses (pre- and postqualification) as groups who could potentially join the field.</p>\u0000 <p><b>Methods:</b> In 2023, we undertook a study where we explored the awareness and attractiveness of the OH field based on the perspectives of 58 medical and nursing students, practitioners, and career leavers working within and outside OH. The role of experienced professionals was identified as an important element in OH recruitment. We therefore reinterrogated data (i.e., reanalysed codes) collected in 25 interviews and 3 focus groups (total = 43 participants) with non-OH medical and nursing students and practitioners about the factors that influenced participants’ career choices, factors that influenced levels of awareness and attractiveness of OH, and strategies and channels to increase both and to promote OH career. Data were analysed thematically using NVivo 14 to manage the process.</p>\u0000 <p><b>Findings:</b> Two themes about the role of experienced OHPs in recruitment were identified: developing opportunities to build interactions with OHPs, sharing knowledge about OH occupational features and providing insights about career choices in mentoring relationships.</p>\u0000 <p><b>Conclusions:</b> The potential for experienced OHPs as specialism advocates and ambassadors could be leveraged more purposefully and systematically. Employers, professional and educational bodies, and policy makers could encourage and incentivise experienced OHPs to host more placements and to provide other opportunities for quality interactions between OHPs and potential recruits.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/4286368","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144473176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological Burdens of Social Work Professionals: A Critical Analysis Within the German Welfare System","authors":"Sora Pazer","doi":"10.1155/hsc/6624474","DOIUrl":"https://doi.org/10.1155/hsc/6624474","url":null,"abstract":"<div>\u0000 <p>This study investigates the psychological burdens faced by social work professionals within the German welfare system, with a particular focus on three interrelated constructs: administrative workload (job demand), emotional exhaustion (burnout indicator), and professional resilience (personal resource). Drawing on survey data from 143 social workers in Rheinland-Pfalz, collected between January and May 2024 via an online survey (Unipark), the study operationalizes these constructs using standardized Likert-scale instruments. Guided by the job demands–resources (JD–R) model, the analysis examines (a) the relationships between these constructs, (b) their associations with key sociodemographic and professional variables (educational qualification, field of practice, and organization type), and (c) their implications for evidence-based interventions. The findings indicate that a high administrative workload is strongly associated with emotional exhaustion, while professional resilience serves as a mitigating factor. Social workers employed in municipal agencies report significantly higher levels of emotional exhaustion compared to those in free welfare organizations, suggesting that bureaucratic constraints in public-sector social work exacerbate stress levels. In addition, the study finds that professional resilience moderates the relationship between administrative workload and emotional exhaustion, underscoring its protective role against burnout. These results emphasize the urgent need for systemic reforms aimed at reducing bureaucratic burdens, strengthening resilience-building programs, and restructuring administrative processes within social work organizations. The study contributes to the theoretical and practical understanding of occupational stress in social work and provides recommendations for improving worker well-being through targeted interventions.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/6624474","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144273066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systematic Literature Review of Decision-Analytic Modeling Studies on Nature-Based Social Prescribing and Loneliness","authors":"Ursula Rochau,&nbsp;Veronika Papon,&nbsp;Igor Stojkov,&nbsp;Felicitas Kuehne,&nbsp;Marjan Arvandi,&nbsp;Annette Conrads-Frank,&nbsp;Daniela Schmid,&nbsp;Beate Jahn,&nbsp;Júlia Santamaria Navarro,&nbsp;Erica Aranha Suzumura,&nbsp;Richard Kimberlee,&nbsp;Kaisu H. Pitkälä,&nbsp;Laura Coll-Planas,&nbsp;Jill S. Litt,&nbsp;Uwe Siebert,&nbsp;Sibylle Puntscher","doi":"10.1155/hsc/6115206","DOIUrl":"https://doi.org/10.1155/hsc/6115206","url":null,"abstract":"<div>\u0000 <p>Nature-based social prescribing (NBSP) is an evolving subject aiming to reduce loneliness and to foster social connections, health, and well-being. To evaluate the short-term and long-term consequences of different health technologies, decision-analytic modeling can be applied. Decision-analytic modeling studies systematically integrate current short- and long-term evidence to weigh benefits, harms, and costs of different strategies. Our systematic literature review identified and assessed decision-analytic modeling studies addressing specifically NBSP or other interventions aiming to reduce loneliness. Predefined inclusion/exclusion criteria guided our systematic literature search in five databases. Title/abstract screening and full-text screening were conducted by two independent reviewers. An a priori defined extraction table included country, intervention, and model type. The Philips framework was used to evaluate the quality of the studies. Overall, 3273 studies were identified, and 16 studies were eligible for full-text screening. None of these studies applied a decision-analytic model specifically to NBSP. However, two studies compared interventions for reducing loneliness. One study was conducted in Australia and performed a cost-utility analysis, resulting in cost-saving results and a positive return on investment. The second study was conducted in England and applied a cost-effectiveness analysis resulting in 768 British pounds per loneliness-free year gained. Overall, the evaluated interventions can be regarded as cost-effective, and in some instances, they have the potential to save costs. Further research on the connection of loneliness, overall health, social well-being, and quality of life and their integration into decision-analytic studies is needed.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/6115206","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144273068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Social Prescribing for Mental Health Across Care Intensity Needs: A Pre–Post Evaluation in Australia","authors":"Rosanne Freak-Poli,&nbsp;Alessandra K. Teunisse,&nbsp;Vaishnavi Sudhakar,&nbsp;Htet Lin Htun,&nbsp;Paula Muis,&nbsp;Achamyeleh Birhanu Teshale,&nbsp;Xin Yuan Quek,&nbsp;Eugene McGarrell,&nbsp;J. R. Baker","doi":"10.1155/hsc/1566354","DOIUrl":"https://doi.org/10.1155/hsc/1566354","url":null,"abstract":"<div>\u0000 <p>Social prescribing is an innovative approach that aims to improve health and wellbeing by addressing nonmedical needs through community-based supports and services. This approach can be delivered through link workers, who work closely with participants to understand their needs and connect them to appropriate services. While social prescribing shows potential for cost savings and improved care quality, further research is needed to understand its effectiveness for people experiencing mental health problems. This pre–post evaluation examined the impact of a social prescribing intervention on health-related quality of life, subjective health, wellbeing and psychological distress among Australian adults diagnosed with mental health conditions. Adults (aged 18 years and over) from metropolitan Northern Sydney region in New South Wales, who either self-presented to their general practitioner or self-referred, were eligible. 398 eligible participants completed the program between December 2021 and August 2024 (data cutoff date) from an ongoing initiative. Participants were assigned to a link worker within 4–6 weeks of initial intake. The 12-week social prescribing program involved link workers codesigning individualised plans addressing specific needs, providing support and revising plans when required. Validated instruments measuring quality of life, wellbeing and psychological distress were administered preintervention and postintervention, alongside a satisfaction survey. Program enrolment lasted a mean of 17.6 ± 7.6 weeks (median 16.6, range: 1–48). Participants experienced improvements in health-related quality of life (<i>p</i> &lt; 0.001), mental wellbeing (<i>p</i> &lt; 0.001), general wellbeing (<i>p</i> &lt; 0.001), subjective health (<i>p</i> &lt; 0.001) and psychological distress (<i>p</i> &lt; 0.001). Benefits were consistent across binary gender, clustered mental health diagnoses and clustered care intensity levels (lower and higher). These findings suggest that social prescribing program can improve wellbeing outcomes among people experiencing mental illness, highlighting the potential for broader implementation within Australian mental healthcare systems.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/1566354","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144256404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender and Urban–Rural Disparities in Housing, Environmental Sustainability and the Physical Well-Being of Older Adults in Ghana","authors":"Joseph Kojo Oduro,&nbsp;Mary Ama Oduro","doi":"10.1155/hsc/5527044","DOIUrl":"https://doi.org/10.1155/hsc/5527044","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> The rapid growth in the population of older adults creates challenges such as workforce shortages, higher healthcare costs and poor living conditions. These strain the existing social support systems and the decline in the physical well-being of older adults. This study examines how gender, urban–rural differences, housing conditions and environmental sustainability impact the physical well-being of older adults in Ghana.</p>\u0000 <p><b>Methods:</b> Using a nationally representative dataset from the 2021 Ghana Population and Housing Census, the authors analysed 47,962 adults aged 60 years and over. Logistic regression analyses were used to examine the association between gender, urban–rural differences, housing conditions, environmental sustainability and older adults’ physical well-being. The output was reported as odds ratios (OR).</p>\u0000 <p><b>Results:</b> Findings indicate that males, urban residence and improved housing conditions (e.g., better building materials, roofing (OR = 1.08, 95% CI = 0.99, 1.17), walls (OR = 1.11, 95% CI = 1.04, 1.18), floors (OR = 1.10, 95% CI = 0.99, 1.23) and lighting (OR = 1.05, 95% CI = 0.96, 1.14)) are significantly associated with higher physical well-being. Environmental factors like access to clean drinking water (OR = 1.12, 95% CI = 1.02, 1.23), improved sanitation (solid waste disposal methods (OR = 1.18, 95% CI = 1.09, 1.27), bathing facilities (OR = 1.01, 95% CI = 0.95, 1.07) and toilet facilities (OR = 1.00, 95% CI = 0.94, 1.07)) and safer cooking conditions ((improved cooking fuel) (OR = 1.24, 95% CI = 1.14, 1.34) and (improved cooking space) (OR = 1.18, 95% CI = 1.12, 1.26)) are also associated positively with physical health.</p>\u0000 <p><b>Conclusion:</b> The study highlights the need for policies targeting gender and geographic health disparities, suggesting that enhancing housing and environmental conditions could improve the quality of life for older adults in Ghana.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/5527044","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144244151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social Inequalities in Health-Related Quality of Life Among Chinese Older Adults Across Multimorbidity Patterns","authors":"Yue-Hui Yu,&nbsp;Bo Xu,&nbsp;Ya-Xuan Mao","doi":"10.1155/hsc/4394984","DOIUrl":"https://doi.org/10.1155/hsc/4394984","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Although social inequalities in health-related quality of life (HRQOL) have been widely studied, little is known about how they differ across multimorbidity patterns. To address this knowledge gap, this study examined how social inequalities in HRQOL vary by multimorbidity patterns among older Chinese adults.</p>\u0000 <p><b>Methods:</b> This study used nationally representative data from the China Health and Retirement Longitudinal Study, with only the 2020 wave cross-sectional data being used in the analysis. First, latent class analysis was used to identify the predominant patterns of multimorbidity and to classify older adults into different groups. Regression models were then used to examine the associations between multimorbidity patterns (key independent variables) and four dimensions of HRQOL (outcome variables), namely, physical pain, basic self-care ability, independent living ability, and depressive symptoms. Finally, regression models were used to examine specific socioeconomic factors (e.g., gender, education, and income) in relation to HRQOL outcomes across different multimorbidity patterns.</p>\u0000 <p><b>Results:</b> Older adults with chronic conditions were categorized into low multimorbidity, high multimorbidity, respiratory, cardiovascular-metabolic, and gastroarthritis classes. Physical pain, loss of self-care, loss of independent living, and depressive symptoms were all more pronounced in those with typical multimorbidity patterns (<i>p</i> &lt; 0.001). Gender, education, income, social participation, health insurance, health technician, and region were all significant factors associated with different dimensions of HRQOL, and their effects varied across multimorbidity patterns.</p>\u0000 <p><b>Conclusion:</b> There is a significant HRQOL burden of multimorbidity among older adults in China, and the burden varied across multimorbidity patterns. It is important to develop targeted health interventions that address the specific needs of different multimorbidity groups and take into account social inequalities in HRQOL outcomes.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/4394984","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144232405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dynamics of Unmet Social Care Needs and Depressive Symptoms Among Older Adults: Evidence From a Prospective Study in England","authors":"Jane Falkingham,&nbsp;Maria Evandrou,&nbsp;Min Qin,&nbsp;Athina Vlachantoni","doi":"10.1155/hsc/8867042","DOIUrl":"https://doi.org/10.1155/hsc/8867042","url":null,"abstract":"<div>\u0000 <p>This study examines the dynamics of unmet social care needs and the impact on depressive symptoms in a longitudinal study of older people in England. Using data from Waves 8 and 9 of the English Longitudinal Study of Ageing, we explore the relationship between trajectories of unmet needs amongst disabled or frail older adults aged 65 and over and depressive symptoms, taking into account changes in care needs across time and loneliness. Nested regression models are used to explore the independent impact of trajectories of unmet needs upon depressive symptoms. We find a significant difference in the prevalence of depressive symptoms between those older adults reporting difficulties in performing activities of daily living or instrumental activities of daily living and those who do not, with these differences outweighing those between older adults with met or unmet care needs. Receiving timely care helps to reduce further overall care needs and, in turn, alleviates depressive symptoms. In contrast, delays or repeat lack of care can increase future social care needs, worsening depressive symptoms. Moreover, loneliness moderates the association between the dynamic pattern of unmet social care needs and depression, while it amplifies one’s depression risk when care is delayed or repeatedly absent. Our results highlight that timely access to social care services alongside interventions to reduce loneliness could play a role in supporting mental health in later life.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/8867042","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144214133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Altruism, Political Trust, and Their Influence on COVID-19 Vaccination Intentions","authors":"Jaeyoung Lim,&nbsp;Kuk-Kyoung Moon","doi":"10.1155/hsc/9931276","DOIUrl":"https://doi.org/10.1155/hsc/9931276","url":null,"abstract":"<div>\u0000 <p>The COVID-19 pandemic reconfirmed the fact that not everyone is motivated to receive vaccination. In fact, many showed hostility to COVID-19 vaccination, raising public health concerns. Thus, this study explores the factors associated with COVID-19 vaccination intentions, focusing on altruism and political trust and arguing that they are positively associated with individuals’ vaccination intentions. More importantly, this study examines whether political trust serves as a moderator between altruism and vaccination intentions. We argue that political trust strengthens the positive relationship between altruism and vaccination intentions. We relied on the 2021 Korean General Social Survey, which yielded a sample of 306. Employing an ordered logit regression, we found that individuals’ levels of altruism are positively associated with their vaccination intentions. Although the individual level of political trust was not statistically significantly linked to vaccination intentions, it was proven to strengthen the positive link between individuals’ levels of altruism and their vaccination intentions. The results suggest the importance and need to cultivate individuals’ altruism as well as their political trust.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/9931276","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144196958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare Needs and Services Utilization Among Older People in Iran: A National-Level Analysis of Socioeconomic Inequalities","authors":"Maryam Tajvar,&nbsp;Maria Mohammadi,&nbsp;Mehdi Yaseri,&nbsp;Zeinab Khaledian,&nbsp;Badriyeh Karami","doi":"10.1155/hsc/3497396","DOIUrl":"https://doi.org/10.1155/hsc/3497396","url":null,"abstract":"<div>\u0000 <p><b>Background and Aims:</b> With the aging population and the corresponding increase in health service needs due to chronic diseases and age-related conditions, understanding health services utilization rates and the factors influencing them is crucial for providing better care. This study aims to investigate inequalities in inpatient and outpatient health services utilization among Iranian older adults.</p>\u0000 <p><b>Methods:</b> This secondary analysis was based on primary data from the national survey of IrUHSS conducted in 2016. The study population consisted of 8205 older adults aged 60 and over, drawn from participants across the country. Data were collected through personal and household questionnaires, gathering information on participants’ needs for, referrals to, and utilization of inpatient and outpatient health services. Logistic regression analysis was used to determine the associations between the utilization of inpatient and outpatient services by older adults and their individual characteristics. Principal component analysis (PCA) was utilized to assess socioeconomic inequalities and construct the wealth score. The concentration index (CI) was employed to measure socioeconomic inequities in health service utilization using R software.</p>\u0000 <p><b>Results:</b> Out of 8205 participants, 1411 (17.2%) individuals reported needed inpatient services during the last year, and 3152 (38.4%) ones required outpatient services at least once in the last 2 weeks. High utilization rates were observed for both outpatient (98%) and inpatient (97%) services. Significant associations were identified between outpatient service utilization and education level, supplementary insurance coverage, and gender. Inpatient service utilization was linked to supplementary insurance and age. Equity was observed in outpatient service utilization regardless of socioeconomic status (CI = 0.01993), while inpatient services showed inequity, with utilization concentrated among the wealthiest individuals (CI = 0.2477).</p>\u0000 <p><b>Conclusion:</b> The findings indicated that older adults with better socioeconomic status had higher utilization rates for inpatient health services, highlighting inequality in access. These results underscore the urgent need for health policymakers to consider the socioeconomic status of older adults when designing interventions, ensuring equitable access to health services.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/3497396","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144196957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Respite Experiences and Needs of Caregivers of Older Adults in Singapore: A Qualitative Study","authors":"Zhiying Lim,&nbsp;Jeannette Jen-Mai Lee","doi":"10.1155/hsc/8847165","DOIUrl":"https://doi.org/10.1155/hsc/8847165","url":null,"abstract":"<div>\u0000 <p>In many countries, the caregiving of older adults often falls on their family members. Family caregivers advocate respite care to mitigate the negative impacts of caregiving. Most related studies have been conducted in Western countries and lack an Asian perspective. Hence, this study explored the perceptions and needs for respite care among family caregivers of older adults in Singapore. Semistructured interviews were conducted with 15 caregivers and 5 social workers. An inductive analysis approach was implemented. The results revealed that caregivers perceived “ideal” respite care as a dyadic and preventive strategy, whereby caregivers would attend to their own needs only when adequate care for their care recipients was assured and when they recognized that they had relegated their own needs. However, there was a disparity between their “ideal” respite and actual respite experiences. The experience of negotiating their “ideal” respite was found to be dependent on their personal resources, and the use of respite services also reflects unmet needs of emergency respite. This study identified personal and systemic factors influencing how caregivers negotiate their “ideal” respite. The study highlights the importance of raising awareness and normalizing the need for respite, as caregivers often prioritize their care recipients’ needs above their own. A dyadic approach must be considered in respite care policy and service delivery, whereby care recipients’ health is stabilized while caregivers are supported to meet their personal needs. Importantly, it is useful to view respite as a social need to address the recurrent issues of availability and affordability in the current biomedical-centric respite care provision.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/8847165","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144190933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}