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Utilization Of Benefits For Home Nursing Care In The German Statutory Nursing Care In Insurance

  • Ulrike Kliebsch
  • Bernd Fleischle
  • Susanne Busch
  • Uwe Huchler
  • Anita Pfaff
  • Hermann Brenner
Article
  • 57 Downloads

Zusammenfassung

Im Rahmen der Pflegeversicherung werden seit 1995 Leistungen für die häusliche Pflege in Form von Geld-, Sach-, bzw. Kombinationsleistungen zur Verfügung gestellt. Ziel der vorliegenden Querschnittstudie war es, Faktoren zu identifizieren, die mit der Beantragung der verschiedenen Leistungsarten zusammenhängen.

Insgesamt wurden 6550 zu Hause lebende Personen aus dem Raum Augsburg in die Untersuchung eingeschlossen, die 1995 einen Antrag auf Leistungen nach dem Pflegeversicherungsgesetz stellten. Als potentielle Determinanten des Antragsverhaltens wurden sowohl individuelle Faktoren der Antragsteller als auch Charakteristika des Wohnorts (soziodemographische Merkmale und Angebot an Versorgungseinrichtungen für Pfleeebedürftige) betrachtet.

Das Antragsvolumen der Studienpopulation verteilte sich mit 66.2% bzw. 11.3% bzw. 22.5% auf die Beantragung von Geld-, bzw. Sach- bzw. Kombinationsleistungen. Individuelle Faktoren wie Alter, bisherige Versorgungssituation und Einschränkungen bei elementaren Aktivitäten des täglichen Lebens zeigten den stärksten Zusammenhang mit dem Antragsverhalten. Soziodemographische Charakteristika des Wohnortes sowie das vorhandene Angebot an Versorgungseinrichtungen waren dagegen von untergeordneter Bedeutung.

Diese Studie liefert empirische Basisdaten zu den Determinanten des Antragsverhaltens von Pflegebedürftigen und zur Interaktion mit potentiellen Determinanten, die für eine bedarfsorientierte Weiterentwicklung der Versorgung von Pflegebedürftigen hilfreich sind.

Schlüsselwörter

Pflegeversicherung häusliche Pflege Determinanten Querschnittstudie 

Determinanten der beantragten art von leistungen für häusliche pflege im rahmen der pflegeversicherung nach SGB XI

Abstract

The aim of this study was to identify factors associated with the utilization of professional versus financial aid for home care from the German statutory nursing care insurance. The study included 6550 people having applied for statutory home care benefits for the most severely disabled persons in 1995. The relation of individual factors of the participants as well as characteristics of the living area (sociodemographic variables and the supply with health and nursing care services) with the type of benefits applied for were examined cross-sectionally in a logistic regression model.

11.3% of the study sample applied for professional home care, 66.2% preferred financial aid instead and 22.5% applied for a combination of both. Persons previously relying on informal care had a much lower probability (OR=0.02) of applying for professional support compared to persons relying on both informal and professional care. High age, living alone and limitation in basic activities of daily living were associated with an increased likelihood of applying for professional aid. No strong associations with the type of benefits applied for were observed for the characteristics of the living area.

This study clearly identified certain individual factors as the key determinants of the type of requested home care benefits, and should therefore be useful as empirical basis for developing long-term care policy.

Keywords

Home care Determinants German statutory nursing care insurance 

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Copyright information

© Springer-Verlag 2000

Authors and Affiliations

  • Ulrike Kliebsch
    • 1
  • Bernd Fleischle
  • Susanne Busch
  • Uwe Huchler
  • Anita Pfaff
  • Hermann Brenner
  1. 1.Universität Ulm, AbtEpidemiologicUlm

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