Improving primary level home and community care services for older people : The case of Hong Kong

Yuan Yuan FU*, Ernest Wing Tak CHUI, Wing Shan KAN, Lisanne KO

*Corresponding author for this work

Research output: Journal PublicationsJournal Article (refereed)peer-review

3 Citations (Scopus)


The aims of this study were to assess the impairment levels of users and waitlisted applicants for Hong Kong's Integrated Home Care Services (Ordinary Cases) (IHCS [OC]), reveal their possible hidden needs and potential demand for higher level services, assess their unmet needs for IHCS (OC) and explore whether not using IHCS (OC) was associated with any deterioration in impairment. In all, 567 respondents were clinically assessed twice, over a 6-month interval, by the Minimal Data Set Home Care questionnaire. The results showed that some moderately or severely impaired respondents had only limited access to higher level services. Some respondents with either no impairment or only low-level impairment had applied for higher level services. Most waitlisted applicants had not received any IHCS (OC), even after 6 months of waiting. Using IHCS (OC) or not had no significant impact on the deterioration in impairment. Several ways of improving home and community care services are discussed.

Original languageEnglish
Pages (from-to)52-61
Number of pages10
JournalInternational Journal of Social Welfare
Issue number1
Publication statusPublished - Jan 2018
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2017 The Author(s). International Journal of Social Welfare © 2017 International Journal of Social Welfare and John Wiley & Sons Ltd


  • hidden needs
  • home and community care
  • Hong Kong
  • MDS-HC
  • potential demand
  • unmet needs


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