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在一个贫困地区的全科诊所中由护士主导的福利筛查。

Nurse-led welfare benefits screening in a General Practice located in a deprived area.

作者信息

Hoskins R A J, Smith L N

机构信息

Nursing and Midwifery School, University of Glasgow, UK.

出版信息

Public Health. 2002 Jul;116(4):214-20. doi: 10.1038/sj.ph.1900848.

DOI:10.1038/sj.ph.1900848
PMID:12087480
Abstract

OBJECTIVE

To evaluate a nurse-led attendance allowance screening service in General Practice.

DESIGN

Intervention study.

SETTING

One General Practice located in two sites in deprived areas in the East-End of Glasgow (Carstairs Deprivation Index-6 and 4).

PARTICIPANTS

Participants aged >64 y who in the nurses clinical judgment appeared to be physically or mentally frail were opportunistically recruited over a 12-week period by community nurses (health visitors, district nurses and practice nurses). A Welfare Rights Officer (WRO) contacted all potential underclaimers by telephone and offered a home visit in order to assess for unclaimed benefits.

MAIN OUTCOME MEASURE

Total unclaimed attendance allowance and linked benefits.

RESULTS

Thirty-seven of the original 86 participants plus four relatives were found not to be claiming the benefit payments that they were entitled to. Referral to the Department of Social Security (DSS) revealed unclaimed benefits to a total of: pound sterling112 893.00of this pound sterling95 306.00 is on a recurrent annualized basis and pound sterling17 587.00 as lump sums.

CONCLUSIONS

A community nurse-led attendance allowance screening service combined with a home visit by a WRO was an efficient and highly effective model for maximising the income of the frail elderly. This model could contribute to reducing the increasing number of pensioners living below the poverty line.

摘要

目的

评估在全科医疗中由护士主导的出勤津贴筛查服务。

设计

干预性研究。

地点

位于格拉斯哥东区贫困地区两个地点的一家全科医疗诊所(卡斯尔斯贫困指数为6和4)。

参与者

年龄大于64岁且社区护士(健康访视员、 district护士和执业护士)根据临床判断认为身体或精神虚弱的参与者,在12周内被机会性招募。一名福利权益官员(WRO)通过电话联系了所有可能未申领津贴的人,并提供上门家访以评估未申领的福利。

主要观察指标

未申领的出勤津贴总额及相关福利。

结果

在最初的86名参与者中有37人以及4名亲属被发现未申领他们有权获得的福利金。向社会保障部(DSS)查询后发现未申领的福利金总计:112893.00英镑,其中95306.00英镑为年度经常性金额,17587.00英镑为一次性金额。

结论

由社区护士主导的出勤津贴筛查服务并结合WRO的上门家访是一种高效且有效的模式,可最大化体弱老年人的收入。该模式有助于减少生活在贫困线以下的养老金领取者数量。

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