Alexander J R, Eldon A
Epidemiol Community Health. 1979 Mar;33(1):91-5. doi: 10.1136/jech.33.1.91.
Approximately 100 consecutive admissions in Southampton to sheltered housing, to Part III homes, and to long-stay geriatric hospital beds in 1975 and 1976 were selected and data were collected by interview with patients and staff. There was a total of 299 admissions in the final sample. The sheltered housing group were younger and more often married than those admitted to Part III homes, who were more often married but only slightly younger than the new geriatric patients. The three groups were separated on dependency measures with almost no overlap between the sheltered housing and the other groups, but a little more evidence of overlap and interchange between Part III and hospital admissions. The patients in hospital whose dependency scores were more typical of Part III residents were almost all special cases and this was found to be true of other apparently misplaced individuals. Most of the sheltered housing admissions were suffering from heart, chest, and musculoskeletal complaints, while new Part III residents had more psychiatric disturbance; cerebrovascular and psychiatric problems occurred most often in the hospital group. The three groups of admissions form distinct categories and it is arguable that this is a concomitant of underprovision. This also shows that there is no great measure of misplacement on the basis of the current norm, although the suitability of this norm in sheltered housing is open to question.
1975年和1976年，在南安普敦，选取了约100例连续入住庇护性住房、第三部分住房（Part III homes）以及长期老年病医院病床的患者，并通过与患者及工作人员访谈收集数据。最终样本共有299例入院患者。与入住第三部分住房的患者相比，入住庇护性住房的患者更年轻，且结婚的比例更高；入住第三部分住房的患者结婚比例也较高，但仅比新入住老年病医院的患者略年轻。在依赖程度指标上，这三组患者相互区分，庇护性住房组与其他两组几乎没有重叠，但第三部分住房组和医院入院组之间有更多重叠和互换的迹象。医院中依赖得分更符合第三部分住房居民特征的患者几乎都是特殊情况，其他明显安置不当的个体也是如此。大多数入住庇护性住房的患者患有心脏、胸部和肌肉骨骼方面的疾病，而新入住第三部分住房的居民有更多精神障碍问题；脑血管和精神问题在医院组中最为常见。这三组入院患者构成了不同的类别，可以说这是供应不足的一个伴随现象。这也表明，根据当前标准，安置不当的情况并不严重，尽管该标准在庇护性住房中的适用性值得怀疑。
