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首页> 美国政府科技报告 >Geriatric Home Care: For Whom. How Long. How Much. What Then: Analysis of a Set of Patient Records for Forecasting Geriatric Home Health Outcomes from Personal, Familial, and Systemic Variables
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Geriatric Home Care: For Whom. How Long. How Much. What Then: Analysis of a Set of Patient Records for Forecasting Geriatric Home Health Outcomes from Personal, Familial, and Systemic Variables

机译：老年人家庭护理：为谁。多久。多少。那么：分析一组患者记录，用于预测个人，家庭和系统变量的老年人家庭健康结果

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This study attempted to examine the natural history of home health care service use from entry to exit, and to document the status of clients following home care in terms of types of services used at discharge. In this one-year grant the case records of over 2,000 older adults served by the San Francisco Home Health Services, Inc., between 1968 and 1975 were analyzed. Variables of interest included entry pay plan, referral source, whether or not on public assistance, year of receipt of service, duration and intensity of services. Multivariate analyses was used to analyze the data. Pay plan was shown to be the predominant predictor of utilization, followed by personal condition. Likelihood of discharge to self care was far higher for short-term than for long-term clients; those with higher intensity services within each public pay plan tended to enter institutions or to die. Each pay plan category had unique utilization characteristics. Previous source of care was more useful in accounting for exit situation and duration than intensity; referral source, living arrangement, sex were small influences in explaining proportion of nursing visits. This study indicated that future research should separately assess duration and intensity of home care.

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