Marek K D, Rantz M J
University Nurses Senior Care, Columbia, Missouri, USA.
Nurs Adm Q. 2000 Spring;24(3):1-11. doi: 10.1097/00006216-200004000-00003.
It is expected that at least 40 percent of the population over 75 will need extensive health care services late in their lives. The public has a negative view of nursing home placement that has, to some extent, been confirmed by research finding that the health of a frail older person deteriorates each time he or she is moved. The Aging in Place model of care for the elderly offers care coordination (case management) and health care services to older adults so they will not have to move from one level of care delivery to another as their health care needs increase. University Nurses Senior Care (UNSC) is the service entity of this project and provides as its core service care coordination with a variety of service options. These options include care packages or services at an hourly rate to meet individual client needs. The Aging in Place project will be evaluated by comparing project clients to residents of similar acuity in nursing homes and to similar clients receiving standard community support services. Data from this project will be important to consumers, researchers, providers, insurers, and policy makers.
预计至少40%的75岁以上人口在晚年将需要广泛的医疗保健服务。公众对养老院安置持负面看法，这在一定程度上已被研究证实，即体弱老年人每次搬家时健康状况都会恶化。老年人就地养老护理模式为老年人提供护理协调（病例管理）和医疗保健服务，这样他们就不必随着医疗保健需求的增加而从一种护理级别转移到另一种护理级别。大学护士高级护理（UNSC）是该项目的服务实体，其核心服务是提供护理协调以及各种服务选项。这些选项包括按小时计费的护理套餐或服务，以满足个别客户的需求。将通过把项目客户与养老院中 acuity 相似的居民以及接受标准社区支持服务的类似客户进行比较，来评估就地养老项目。该项目的数据对消费者、研究人员、提供者、保险公司和政策制定者都很重要。
