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W9 Formal LTC (Wayne) - Coggle Diagram

- - - - that services use factors are individual characteristics and contexts
      - individual is sole unit of decision making
  - - - LTCS use and dyad health and social behaviours
  - - - Service Integration
        
        redefining service receipients =>
        informal caregiver-patient dyad
        
        multidisciplinary clinical teams can be equipped to manage collective intentions and clinically relevant dyad experiences
      - merging of structure and functionality of community/family organisations and healthcare organisations
- - - - explores if psychosocial needs associated with formal LTCS use
      - systematic review and meta anaylsis from 31 journal articles and 6 theses
      - conceptualised informal caregiver subjective well-being :arrow_right: psychosocial needs
    - - :womens: caregivers
        
        Studies with :arrow_down: than 70% :womens: informal caregivers
        
        Caregivers 1.86 times :arrow_up: likely to experience :arrow_up: depression associated with LTCS use
        
        median association: 4%
        
        Studies with :arrow_up: than 70% :womens: informal caregivers
        
        Caregivers 18% :arrow_down: odds of experiencing :arrow_up: depression associated with LTCS use
      - Nursing homes
        
        Studies involving nursing homes
        
        Caregivers 70% :arrow_down: odds of experiencing :arrow_up: burden associated with LTCS use
        
        custodial responsibility transferred to home
        
        median association: 27%
        
        Studies not involving nursing homes
        
        Caregivers 39% :arrow_up: odds of experiencing :arrow_up: burden associated with LTCS use
      - USA vs non-USA studies
        
        50% :arrow_down: odds of experiencing poorer health associated with LTCS use
        
        median association: 5%
        
        USA studies => 25% :arrow_up: odds of experiencing poor health in relation to LTCS use
        
        possibly related to levels of filial piety
  - - - caregiver depression and caregiver burden concurrent and prospective predictors of LTCS use
      - Caregivers with :arrow_up: burden at 3 months and :arrow_up: depressed feelings at 12 months post-stroke
        
        4% and 12% more likely to have cared for stroke-rehab users at 12-month post-stroke
  - - - caregiver burden, depression and health status useful indicators of psychosocial health latent profiles
      - Non-distressed caregivers
        
        Stroke rehab users at 3-month post-stroke continued to use rehab at 12-month post stroke
        
        :arrow_up: likelihood of caring for stroke rehab users at 12-months post stroke
      - Distressed caregivers
        
        caregivers had 24% chance of remaining distressed 12-month post stroke
    - - investigate if these profiles predict stroke rehabilitation use
- - - - older adults with none or minimal disability more adverse towards institutionalisation