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The Gerontologist 40:698-705 (2000)
© 2000 The Gerontological Society of America

Patterns of Service Use in a Continuing Care Retirement Community

John A. Krout, PhDa, Jean Oggins, PhDa and Heidi H. Holmes, MAa

a Gerontology Institute, Ithaca College, New York

Correspondence: John A. Krout, PhD, Ithaca College, Gerontology Institute, 411 Center for Health Sciences, Itahca, NY 14850-7188. E-mail: krout{at}

Vernon L. Greene, PhD

The authors analyzed the use of 16 onsite services reported by 91 residents of a new continuing care retirement community (CCRC). The most frequently used services appear to be those of convenience to the residents, including an onsite pharmacy, insurance billing, and a bank, as well as health and fitness services. Perceived health and multiple illnesses were associated with greater use of health and auxiliary health/fitness services, whereas age and marital status were not. In addition, respondent reports of spouse service use predicted respondent service use, whereas measures of social connectedness and friendship did not. Community service use before relocation to the CCRC was predictive of total CCRC service use only in unmarried respondents, demonstrating the complex nature of the relationship between informal support and the use of formal services. The behavioral model appears to be applicable to the study of CCRCs.

Key Words: Long-term care • Senior housing • Service utilization

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Copyright © 2000 by The Gerontological Society of America.