2025 Volume 45 Pages 603-612
Objective: The objective of this study was to ascertain factors contributing to the reduced utilization of ambulance services and the provision of assistance to homebound older adults who are recuperating.
Methods: One thousand visiting nurses participated in the study. A questionnaire survey was conducted using the two-stage Delphi method. The survey’s first and second stages garnered 70% and 80% consent rates, respectively.
Results: In the initial survey, a consensus rate of 70% or higher was achieved for 14 of the 18 factors hindering homebound older adults from utilizing ambulances with greater frequency. This consensus was reached for 20 of the 21 items designed to assist homebound older adults. In a subsequent survey, the agreement rate surpassed 80% for 13 of 14 factors hindering the utilization of ambulances by homebound older adults, along with 19 of 20 items designed to enhance their well-being.
Conclusion: The factors that inhibited homebound older adults from the frequent use of ambulance services were the ability to understand and respond to symptoms, access to necessary home health care, and the transition from the hospital to home. Thus, the provision of clear explanations regarding urgent conditions and assurance of the constant availability of support are necessary.
