Conrad K J, Hughes S L, Wang S
Center for Health Services and Policy Research, Northwestern University, Evanston, IL 60208.
Health Serv Res. 1992 Oct;27(4):481-503.
Health planners, policymakers, and providers urgently require methods and information that explain the factors that affect health services utilization. This information is especially critical for planning programs that are effective in maintaining the burgeoning elderly population in community care. In this study, correlation and regression analyses examined the characteristics of adult day care (ADC) centers that were associated with utilization as operationalized by demand for and actual attendance in 822 centers. Community, client population, services and activities, and structural characteristics were associated with demand per center whereas the social environment of the ADC center was not. The attendance rate was most strongly affected by services and activities and structural characteristics. The significance of the study, its limitations, and future directions for research are discussed.
卫生规划者、政策制定者和服务提供者迫切需要能够解释影响卫生服务利用因素的方法和信息。这些信息对于规划有效维持社区护理中迅速增长的老年人口的项目尤为关键。在本研究中，相关性和回归分析考察了822家成人日托（ADC）中心的特征，这些特征与利用情况相关，利用情况通过需求和实际出勤情况来衡量。社区、客户群体、服务与活动以及结构特征与每个中心的需求相关，而ADC中心的社会环境则与之无关。出勤率受服务与活动以及结构特征的影响最大。本文讨论了该研究的意义、局限性以及未来的研究方向。
