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首页> 外文期刊>Health Services Insights >Signs of Inequality? Variations in Providing Home Health Care Across Care Organizations and Across European Countries in the IBenC Study
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Signs of Inequality? Variations in Providing Home Health Care Across Care Organizations and Across European Countries in the IBenC Study

机译：不平等的迹象？在IBenC研究中，跨医疗机构和整个欧洲国家提供家庭医疗服务的差异

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Most countries aim to allocate home health care to those in need in a fair and equal way. Equal allocation implies that the amount of home care a person receives would reflect the level of health impairment and the need for resources. It is not clear whether countries succeed in attaining this. Our objective was to explore signs of (un)equal home health care provisioning across care organizations and across European health countries. We used data of the IBenC study collected from 2718 older community care recipients from 33 organizations in 6 Western European countries ( www.ibenc.eu ). We benchmarked differences of provided and expected formal care time across organizations and countries. Expected formal care hours were estimated by multiplying the overall sample’s mean formal hours with recipients’ case mix weights from interRAI’s resources utilization group profiles. We found substantial variations in provided formal care time among organizations both within and across countries that could not be explained by the case mix differences of recipients. This implied presence of inequality of home care provisioning. These findings may alert professionals and policy makers striving for equal home health care provisioning for dependent older persons.
机译：大多数国家的目标是以公平和平等的方式为有需要的人分配家庭保健。平均分配意味着一个人获得的家庭护理数量将反映健康受损的程度和对资源的需求。尚不清楚各国是否成功实现这一目标。我们的目标是探索跨医疗机构和整个欧洲卫生国家的（家庭）医疗保健配置不平等的迹象。我们使用了IBenC研究的数据，该数据来自西欧6个国家/地区的33个组织的2718位老年社区护理接受者（www.ibenc.eu）。我们对组织和国家之间提供和预期的正式护理时间的差异进行了基准测试。预期的正式护理时间是通过将总体样本的平均正式护理时间乘以interRAI资源利用小组资料中接受者的病例混合权重得出的。我们发现，国家内部和国家之间的组织之间在提供正式照护时间方面存在很大差异，这不能通过接受者的病例组合差异来解释。这暗示着家庭护理供应不平等的存在。这些发现可能会提醒专业人士和决策者为受扶养的老年人争取平等的家庭保健服务。

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