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首页> 外文学位 >Estimating the determinants of the utilization of nursing homes and community-based home care services by the elderly: Cross-sectional and longitudinal analyses.
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Estimating the determinants of the utilization of nursing homes and community-based home care services by the elderly: Cross-sectional and longitudinal analyses.

机译：估算老年人使用养老院和社区居家护理服务的决定因素：横断面和纵向分析。

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摘要

The aging of the population is and will be one of the most important social trends of the next century in the United States. One consequence of an aging population is the increased cost of long-term care. In order to correctly identify the potential users of different types of long-term care services, policy makers need to understand the determinants that affect the type and amount of care used by the elderly and the risk determinants of being institutionalized.;To identify the factors influencing the utilization of nursing homes and community-based home care services by the elderly, Andersen's behavioral model was examined with three different methods of analysis--cross-sectional, time-lagged, and hazard models. The effect of the utilization of community-based home care services on nursing home entry are also examined. The analyses were based on responses from the 1986, 1988, and 1990 Longitudinal Study of Aging (LSOA).;The results show that the characteristics of those who used nursing home care and paid home care services were different. Understanding the differences in characteristics which predict long-term care services is critical to the development and planning of services for the older population. This study, which also showed that the use of community-based home care may deter nursing home entry, gives the rationale for increasing public financing and for expansion of community-based long-term care. By making community-based home care more available and accessible to elderly people, it is expected that more elderly will be able to receive better quality care at a reasonable cost.
机译：人口的老龄化是并且将成为美国下个世纪最重要的社会趋势之一。人口老龄化的后果之一是长期护理费用的增加。为了正确识别不同类型的长期护理服务的潜在用户，决策者需要了解影响老年人使用的护理类型和数量的决定因素以及被制度化的风险决定因素。为了影响老年人对养老院的使用和基于社区的家庭护理服务，Andersen的行为模型通过三种不同的分析方法进行了检验：横断面，时滞和危害模型。还检查了使用基于社区的家庭护理服务对疗养院进入的影响。这些分析基于1986年，1988年和1990年的纵向老龄化研究（LSOA）。结果表明，使用养老院护理和付费家庭护理服务的人的特征不同。了解可以预测长期护理服务的特征差异对于开发和规划针对老年人的服务至关重要。这项研究还表明，使用社区居家护理可能会阻止进入养老院，这为增加公共资金和扩大社区长期护理提供了理由。通过使老年人更容易获得和获得社区式家庭护理，预计更多的老年人将能够以合理的价格获得更好的护理质量。

著录项

  • 作者

    Lin, Shin-Jong.;

  • 作者单位

    Vanderbilt University.;

  • 授予单位 Vanderbilt University.;
  • 学科 Sociology Public and Social Welfare.;Gerontology.
  • 学位 Ph.D.
  • 年度 1995
  • 页码 171 p.
  • 总页数 171
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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