Older adult service usage assessment: evidence from two rural samples

The purpose of this study was to assess home and community-based services (HCBS) with regard to recent and future frequency of service utilization, along with overall satisfaction and future perceived need for community services as reported by rural older adults. Data from two samples of older adults were examined. Findings suggest support structures, religious involvement, and health related issues differ between the two samples taken from a similar proximity, having like distance to services, and comprised from a comparable population density. Data suggest older adults currently using an HCBS are likely to use that same service in the future and report a need beyond current requirements. The perceptions of future service use and need and may be applicable for use in other regions beyond the current study focus. Given that HCBS availability and use will change, continued measurement of service use and perceived needs could play a role toward furthering healthy aging and informing funding policy.